In Emergency Departments, triage is undertaken by an expert emergency nurse who performs an initial patient assessment on arrival.
Triage requires the ED nurse to have an extensive knowledge base and effective prioritisation skills in order to determine the urgency and complexity of the patient’s condition.
Following a brief history of the presenting complaint, general appearance and the collection and interpretation of physiological data, decisions are made to establish clinical risk.
The Australian Triage Scale (ATS) is used as a tool to guide the process of triage and allows for the allocation of one of five categories to specify clinical urgency. For nursing students attending a clinical placement in the ED it is important to have an understanding of the process, role of the triage nurse and the use and application of the ATS.
The resources within this module will enhance knowledge of the triage process.
Triage in Emergency Department
Triage is the term derived from the French verb trier meaning to sort or to choose It’s the process by which patients classified according to the type and urgency of their conditions to get the Right patient to the Right place at the Right time with the Right care provider.
Sanders, S. F., & DeVon, H. A. (2016). Accuracy in ED triage for symptoms of acute myocardial infarction. JEN: Journal of Emergency Nursing, 42(4), 331-337. doi:10.1016/j.jen.2015.12.011