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ASAN001 - Patient Evaluation & Triage > Triage (ASAN001/4) > Flashcards

Triage (ASAN001/4) Flashcards

1
Q

What are the two main Triage Classifications?

A
  • Good, Fair, Serious & Critical
  • Minor, Moderate, Severe (non–life threatening) & Severe (life–threatening)
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2
Q

What are the characteristics of GOOD (Minor) triage classification? (4)

A
  • All vital signs normal
  • Minimal pain
  • Still BAR
  • Has conditions that require vet attention, but not immediately.
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3
Q

When should a patient with a GOOD (Minor) classification be seen? (1)

A
  • Should be seen same day
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4
Q

What are some examples of patients with GOOD (Minor) classification? (2)

A
  • Skin irritation
  • Slight lameness (still toe–touching)
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5
Q

What are the characteristics of FAIR (Moderate) triage classification? (4)

A
  • Slightly altered vitals (eg ↑ temp – not HS!)
  • Still BAR
  • Moderate pain
  • Patient has some significant illness but only slightly altered clinical signs.
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6
Q

When should a patient with a FAIR (Moderate) classification be seen? (1)

A
  • Vet attention within a few hours
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7
Q

What are some examples of patients with FAIR (Moderate) classification? (5)

A
  • Cat fight abscess
  • Minor wounds
  • Minor burns / scalds
  • Haematuria
  • Occasional Vomiting
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8
Q

What are the characteristics of SERIOUS (Severe non life–threatening) triage classification? (2)

A
  • Severe changes in vitals
  • Life not in immediate danger
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9
Q

When should a patient with a SERIOUS (Severe non life-threatening) classification be seen? (3)

A
  • Vet attention ASAP
  • Take straight out the back
  • Immediate first aid attention
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10
Q

What are some examples of patients with SERIOUS classification? (8)

A
  • Conscious collapse, dull
  • Dyspnoea
  • Prolapsed eye
  • Dystocia
  • Large, gaping wounds
  • Severe Dysuria
  • Seizures
  • Pale MM’s
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11
Q

What are the characteristics of CRITICAL (Severe Life–threatening) triage classification? (2)

A
  • Life–threatening
  • CPCR
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12
Q

When should a patient with a CRITICAL (Severe Life-threatening) classification be seen? (3)

A
  • Immediate Vet attention
  • Immediate first aid actions
  • Straight out the back
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13
Q

What are some examples of patients with CRITICAL classification? (10)

A
  • Unconscious
  • Collapse w/ dypsnoea & blue/wht MM’s
  • Severe haemorrhage (arterial, venous)
  • Severe burns / scalds
  • Poisionings
  • Snake bite
  • Thoracic wounds
  • Acute abdomen
  • GDV (may look ok but will crash!)
  • Cat open mouth breathing
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14
Q

What are the main purposes of Telephone Triage? (4)

A
  • VN to recognise & establish status of patient.
  • Determine need for immediate veterinary attention.
  • Advise owner of actions they can perform prior to arriving at clinic.
  • Advise may be as basic as how to move the patient.
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15
Q

How do we Establish Patient Status over the phone? (5)

A

Determine:
- What is the nature of the injury / problem?
- Consciousness
- Breathing
- Haemorrhage
- Ability to ambulate

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16
Q

Examples of the nature of the injury? (3)

A
  • Hit by car
  • Dog attack
  • Sudden collapse etc.
17
Q

What questions to ask about Consciousness? (2)

A
  • Is the patient conscious?
  • Are they responsive to stimuli ie name calling, touch etc?
18
Q

What questions to ask about Breathing? (5)

A
  • Is the patient breathing?
  • Normally?
  • With effort?
  • Rapidly?
  • Slowly?
19
Q

What questions to ask about Haemorrhage? (3)

A
  • Is there any obvious haemorrhage?
  • Where from?
  • Give advice on suppression of haemorrhage as required.
20
Q

What is the patient’s Ability to Ambulate? (1)

A

Can the patient walk?

21
Q

What is Waiting Room Triage? (2)

A
  • Each patient should be visually assessed as they arrive.
  • Do this for all ‘unwell’ patients, not just trauma patients.
22
Q

What to observe in a Visual Assessment of a patient? (5)

A
  • Ability to ambulate
  • Level of Consciousness (LOC)
  • Demeanour
  • Reaction to stimuli

Determine immediate action to be taken.

23
Q

What to do if Cats present in carriers / boxes? (2)

A
  • Open box & visually assess patient.
  • Never rely on client’s interpretation of their pet’s status.
24
Q

What questions to ask owners about Emergency Patient, while taking patient to receive immediate attention? (4)

A

Ask vital Q’s only:
- History of trauma
- Access to toxins
- how long patient has been in present state, etc.

25
Q

When is it ok to NOT perform a full Patient Examination? (2)

A

If the patient presents as serious or critical
- First aid measures need to be started immediately.

26
Q

Why are patient triage / exam forms important in emergency situations? (3)

A
  • Record of patient presentation & initial Tx.
  • Assist in further monitoring
  • Can assess patient’s response to Tx.
27
Q

What is important info that should be included on patient triage / exam forms aside from results of physical examination? (2)

A
  • Time of examination.
  • Name or initials of examiner.

ASAN001 - Patient Evaluation & Triage (4 decks)

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