Revista de enfermería (Barcelona, Spain)
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The branch hospital triage aimed at, as well as exercised by nurses, has evolved to meet their needs to organize and make visible the nurses' duties. However, it is still not properly considered as independent nursing intervention. Evidencing practice triage nurse in hospital as experienced by their protagonists disclosed the possible causes of this paradoxical competence. ⋯ In its results, 65.8% of those polled thought the triaje nursing training to be deficient and even though nearly half 48.7%, was considered competent to decide the level of emergency, 46.3% disagreed to take this task part of their duty. It is conclusive that the training received in hospital triage, regulated and sustained, is deficient, that is the main reason why professionals have their doubts to take on an activity they are not familiar with. Triage systems do not record the entire outcome of the nursing work and nursing methodology does not seem to be quite indicative for this task.
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Observational Study
[Triage evaluation making in a pediatric emergency department of a tertiary hospital].
Evaluation triage level assignments depending level of the professionals' education and experience in the unit. ⋯ The triage education favors better adaptation in the triage assignment. The most common errors are: not to register level pain and hydration when it's needed for the principal symptoms.
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Emergency Services in Spain are suffering from a permanent increase in demand, making it difficult to fast and efficient they are required. The new situation has led to a transformation of the emergency departments with structural, organizational and functional changes, being triage system one of the key points. Triage systems are intended primarily to classify patients according to the level of urgency in order to prioritize the order of attendance, in addition to defining the most appropriate location, predict clinical outcomes and resource needs of patients, which contribute to the management of Emergency Service. ⋯ Triage has become the hallmark of the hospital Emergency department who applies. It is an objective tool used to evaluate and improve the operation of the Emergency Services.