Assigning degree of urgency to patients based on the health conditions and nature of the disease increases the effectiveness of the treatment, and reduces the time lag between the patient’s visit and treatment. Triage protocols useful in this regard are highly specialized and needs thorough training to the professionals especially, the nurses. For example, pediatric triage protocols include pediatric cough, pediatric vomiting and several other types. Triage services need to be reliable and cost effective for their application in hospitals or private nursing homes. The process starts from the visits of the patients or the calls received from the patients (telephone triage). Correct protocol needs to be identified based on the symptoms as explained by the patients. The patients are asked the relevant questions based on the check-list for confirmation to make the preliminary diagnostic procedure effective to provide the appropriate health care required. This will make the process simpler down the line for treatment and nursing. Nursing triage protocol system in an organization enhances the efficiency level and improves patient health care. The implementation of Triage Protocol in an organization involves establishment of infrastructure required for triage practice including the support services and training to the triage nurses in the triage policies of the organization and the triage procedures to be adopted on day-to-day work in triage practice. Initiating treatment in triage room calls for broader understanding and knowledge about the triage practices for efficiency in performance. Search strategy There are several permutations and combinations involved in deciding the appropriate course of treatment based on the analysis of symptoms. Triage protocols makes it easier since the diagnostic procedures are seamlessly integrated into the treatments required and the timeline. Inclusion and exclusion criteria in diagnostic process with reference to a particular treatment proposed are standardized. Search strategy mainly depends upon the Key Words. The search is conducted on the components for its causal link with the formal problem. This is followed by clinical trials. The validation of the proposed solution, the evidence of its usefulness, criteria for inclusion and exclusion are the important aspects of the search strategy development. For example, Stacey et al (2012) have found in a study “Acceptability and usability testing of the symptom populated template with 12 practicing oncology nurses revealed: high readability (n=12), just the right amount of information (n=10), appropriate terms (n=10), fit with clinical work flow (n=8), and self-evident for how to complete (n=5).” The important principles governing the template features in respect of clinical nursing protocol are given in Annexure - I. Review of the evidence based literature on triage protocol This paper seeks to provide evidence based literature review on triage protocol covering various aspects related to it. The guidelines issued by the international bodies, articles published in the medical journals and books have been used for the purpose the study. In the Literature Review Grid given under Appendix –III, the study/research type, method used or information available and the results and comments related to the source materials are given for highlighting the reliability of the materials used and its relevance to the study. There are various types of triage scales used in different countries. “Of note is the Manchester Triage System (MTS) used in the United Kingdom, the Emergency Severity Index (ESI) used in America and the Canadian Emergency Department Triage and Acuity Scale (CTAS).” (Monash Institute of Health Services Research, 2001) Triage decisions in respect of nursing are related to emergency care and normal patient care. In a study to assess the workability of triage system in community palliative care, it was found “
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This paper seeks to provide evidence based literature review on triage protocol covering various aspects related to it. The guidelines issued by the international bodies, articles published in the medical journals and books have been used for the purpose the study…
The word count is: Signature: Student’s name: Elmira Mah Date: 15/5/2013 Acknowledgements I will like to acknowledge the support and encouragement given to me from a number of people throughout this dissertation process. I will first of all start by thanking God for giving me the strength and good health to sail through this dissertation process.
On the other hand, pressure ulcer refers to an area of unrelieved pressure on a specific area, which results in ischemia, cell death and tissue necrosis (National Institute for Health and Care Excellence, 2013). There are several reasons pressure ulcer is the topic of choice for this paper.
After initial approval, project supervisors need to submit these forms to PG IS, UG ARP, UG MP or LTW coordinator who would then submit these to the Chair of the Computing Ethics Committee (CREC) for further consideration. Students conducting PG Research projects (eg MPhil, PhD etc) must also complete this form and submit to their research supervisors for approval who would then submit these to the Chair of the CREC for further consideration.
It is worth mentioning that the new protocol is developed with such sophistication that is demanding for fresher courses of the nurses and emergency officers who will be responsible for using it. The competency of the responsible officers will be validated through both the assessment and the quality of their judgements in relation to the need of some patients for using the system (Davies, 1994a).
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This type of research is ongoing. White, et al (2004) describes that impact of unrelieved patients on nurses is quite depressive. So support mechanism is very much important. So to deal with such challenges adequate training and education, peer supports are required.
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The role of nurses plays a pivotal role in such situations. As bereaved families need moral support and counseling to bear the loss (or major accident/injury) of their loved one, thus advance nursing practitioners have identified a number of helpful actions which might assist and support them.
For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning
12 pages (3000 words)Dissertation
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