-Triage by level red – yellow – blue – green
-Triage by either:
-Nurse
-Doctor (If by doctor waiting doctors should always be 3 doctors) (in case of green cases take less than 5 min he can manage them)
Then according to the color they will be seen and it is clearly mention to patients be by priority as in A&E.
If there is shortage of nurse the first ? patient will be triage by doctor (provided 3 doctors available in waiting).
-Waiting doctor see only acute cases and chronic cases and same apply for staff doctor should be seen by an appointment.
For example these cases should not see by waiting doctors:-
-Asking for annual investigations
-Coming to trace the investigations
-Come with chronic problem
-Come for medication
-Coming for medical check up
In these cases you should ask the patient to take appointment and did not encourage him/her to see waiting doctor.
-Waiting doctor should follow up his/her patients and if you ask for any follow up or investigation you should give them appointment with you (do it yourself on the system please don’t rely on the medical record)
-Emergency cases seen by staff doctor
Medical record *check for eligibility
*Handout included information about
new system
*If not urgent /chronic case to take
appointment
Waiting patients
Emergency Routine
(Red- Yellow) yellow-blue-green
Staff Doctor First ? patients (triage doctor*) Triage by nurses
Until nurses are able to start
triage system as they complains
they are too busy
Triage Doctor Responsibility
-Category patients as:
-Red- accompanies patient to treatment room and
hand over the case to staff doctor and help he
if needed
-Yellow
-Blue Either to see him/her or direct to
-Green Waiting 2 or 3
-Chronic case (advice to take an appointment)
Triage Nurse Responsibility
-Category patients as:
-Red- accompanies patient to treatment room and
hand over the case to staff doctor and help he
if needed
-Yellow
-Blue Distribute it to
-Green Waiting1, 2 or 3
-Chronic case (advice to take an appointment)
If problem to convince patient call the residents
preceptor (SQUH consultant)
• Triage process in intended to differentiate between emergencies acute cases and cold cases.
• Emergencies such as high fever or chest pain should be given priority and be seen immediately whereas chronic cases such s controlled HTN or DM can wait and be seen on appointment basis since those patient needs to spend a longer period of time with their doctors.
• As a triage doctor your role is not prescribing cold medications or Paracetamol or to do refill medications.
• Triaging starts when the waiting doctor’s slots had been filled / if they had already seen 24 patients if there were 2 waiting doctors and 36 if there were 3 waiting doctors. The reception will send the patient to the vital signs and she will triage the patients. Only patient who had been acutely ill for the past 72 hours will be accepted. The nurse may ask the decision of the senior precepting doctor if she cannot decide on according to her judgment. Please see the instructions for residents about triaging available in the vital signs room.