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    Disaster Triage

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    Megan Dirige
    This document outlines a lecture on disaster triage and management. It discusses different models of triage including daily hospital triage, mass casualty incident triage, and population-based triage. It describes the goals of triage including sorting patients into categories based on need. Categories include immediate, delayed, minimal and expectant. Common triage tools like SALT and START are presented. The document also covers disaster management phases and the hospital incident command system for coordinating response. The role of leadership and interagency collaboration are emphasized.

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    Disaster Triage

    Uploaded by

    Megan Dirige
    119 views29 pages
    This document outlines a lecture on disaster triage and management. It discusses different models of triage including daily hospital triage, mass casualty incident triage, and population-based triage. It describes the goals of triage including sorting patients into categories based on need. Categories include immediate, delayed, minimal and expectant. Common triage tools like SALT and START are presented. The document also covers disaster management phases and the hospital incident command system for coordinating response. The role of leadership and interagency collaboration are emphasized.

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    DISASTER TRIAGE_c3abdb00b40b00bfe7b42004cfbef32c

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    This document outlines a lecture on disaster triage and management. It discusses different models of triage including daily hospital triage, mass casualty incident triage, and population-based triage. It describes the goals of triage including sorting patients into categories based on need. Categories include immediate, delayed, minimal and expectant. Common triage tools like SALT and START are presented. The document also covers disaster management phases and the hospital incident command system for coordinating response. The role of leadership and interagency collaboration are emphasized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    119 views29 pages

    Disaster Triage

    Uploaded by

    Megan Dirige
    This document outlines a lecture on disaster triage and management. It discusses different models of triage including daily hospital triage, mass casualty incident triage, and population-based triage. It describes the goals of triage including sorting patients into categories based on need. Categories include immediate, delayed, minimal and expectant. Common triage tools like SALT and START are presented. The document also covers disaster management phases and the hospital incident command system for coordinating response. The role of leadership and interagency collaboration are emphasized.

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    of 29

    DISASTER TRIAGE &

    MANAGEMENT
    NCM 120 LECTURE

    JOSEPH BAHIAN ABANG RN MN


    LEARNING OUTCOMES
    At the end of this session, student nurses will be able to:

    1. Define triage.
    2. Describe the differences between daily
    hospital triage, multiple or mass casualty
    incident (MCI)/disaster triage, and population-
    based triage.
    3. Understand the situations in which each model
    of disaster triage is used.
    4. Discuss how objective disaster triage tools are
    beneficial not only to the victims themselves
    but also to those tasked with performing triage.
    5. Explain the criteria for each of the five basic
    primary disaster triage levels.
    LEARNING OUTCOMES
    At the end of this session, student nurses will be able to:

    1. Describe how an external disaster can create


    an internal disaster in a hospital.
    2. Describe the different styles of disaster
    leadership and when to use each one.
    3. Describe the five phases of disaster
    management.
    4. Implement the Hospital Incident Command
    System during disaster management.
    5. Discuss the role of interagency coordination
    and collaboration during disaster planning
    and response.
    DISASTER
    TRIAGE
    DISASTER TRIAGE
    RIGHTS
    right patient
    right place
    right time
    right level of care
    Burkle (1984) identified a variety of personal
    abilities that are essential to be an effective triage
    officer during a disaster:
    Clinically experienced
    Good judgment and leadership
    Calm and cool under stress
    Decisive
    Knowledgeable of available resources
    Sense of humor
    Creative problem solver
    Available
    Experienced and knowledgeable
    regarding anticipated casualties
    PHILOSOPHIES
    OF DIFFERENT TYPES OF ACUTE MEDICAL TRIAGE

    1. Daily Triage
    ED routine basis
    2. Incident Triage
    large number of patients
    3. Disaster Triage
    multicasualty
    During a disaster, patients are
    usually sorted into one of the
    following categories

    1. Minimal or minor (designated


    with the color green)
    2. Delayed (designated with the
    color yellow)
    3. Immediate (designated with
    the color red)
    4. Deceased (designated with the
    color black)
    5. Expectant (designated with the
    color gray)
    five
    population-based triage
    categories (SEIRV
    1. Susceptible
    classifications) individuals
    2. Exposed individuals
    3. Infectious individuals
    4. Removed individuals
    5. Vaccinated or on
    prophylactic
    antibiotics
    PHASES OF DISASTER TRIAGE:
    1. primary triage
    sort patients into categories
    2. secondary triage
    thorough physical
    assessment
    3. tertiary triage
    resources are overwhelmed
    Hospital Triage Categories
    Three-tier System

    1. Emergent (Class 1)
    2. Urgent (Class 2)
    3. Non-urgent (Class 3)

    Four-tier System Five-tier System

    1. Emergent (Class 1A) 1. Emergent (Class 1A)


    2. Emergent (Class 1B) 2. Emergent (Class 1B)
    3. Urgent (Class 2) 3. Urgent (Class 2)
    4. Non-urgent (Class 3) 4. Non-urgent ED Care (Class 3)
    5. Non-urgent Ambulatory Care
    (Class 4)
    Triage Team
    Emergency Physician
    triage officer
    Emergency Nurse (1)
    evaluates patients
    Emergency Nurse (2)
    records assessments
    Nurse's Aide/Clerk
    applies identification
    Transporter
    moves patient to
    assigned areas
    PRIMARY TRIAGE TOOLS
    1. SALT (Sort-Assess-Lifesaving
    Interventions-Treatment
    2. START (Simple Triage and
    Rapid Treatment)
    3. JumpSTART (Pediatric MCI
    Tool)
    priority for
    treatment/transport

    dead immediate expectant


    those who are not breathing those with difficulty breathing, uncontrolled those with difficulty breathing, uncontrolled
    even after lifesaving hemorrhage, absence of peripheral hemorrhage, absence of peripheral pulses,
    interventions have been pulses, and/or inability and/or inability
    attempted. to follow commands; who are likely to to follow commands; who are unlikely to
    survive given the survive given the
    available resources. available resources.

    delayed minimal
    those who are alert and follow commands, have those who are alert and follow commands, have
    palpable peripheral pulses, no signs of respiratory distress, palpable peripheral pulses, no signs of respiratory distress,
    and all bleeding is controlled, with injuries or an illness that and all bleeding is controlled, with injuries/condition that
    in the opinion of the rescuer is more than minor. in the opinion of the rescuer are minor.
    TRIAGE TAGS
    DISASTER
    MANAGEMENT
    CLASSIFICATIONS OF
    DISASTER
    1. Internal disaster
    within an organization/facility
    2. External disaster
    service demands exceeds the usual
    3. Combined External/Internal Disaster
    external event triggers internal impact
    Disaster Magnitude
    Level I
    able to contain the event
    Level II
    requires assistance from
    external source
    Level III
    requires assistance from
    state level
    ROLE OF LEADERSHIP
    L-leads the mission of hospitals response
    E-emergency hazard analysis regulary
    A-active implementation of response plan
    D-describe collaborative relationship
    E-establish emergency key elements
    R-response activities are communicated
    S-strong communications skills with others
    H-has expertise in use of PPE & other supplies
    I-insstitute flexible thinking & resources use
    P-prepare to evaluate response effectiveness
    DISASTER MANAGEMENT PROCESS
    1. Preparedness/Risk Assessment
    2. Mitigation
    3. Response
    a. infrastructure
    b. staff competency
    c. the plan
    d. relationships & partnerships
    4. Recovery
    5. Evaluation & follow-through
    HOSPITAL INCEDENT
    COMMAND SYSTEMT

    1. predictable, responsibility-
    oriented chain of command
    2. use of common nomenclature
    3. modular, flexible organization
    4. unified command structure
    5. incident action plan (IAP)
    6. facility action plan (FAP)
    7. unity of command
    8. manageable span of control
    9. use of job action sheets (JAS)
    Specific HICS
    Functional Roles 1. incident commander
    2. safety and security
    officer
    3. liaison officer
    4. public information
    officer
    5. medical/technical
    specialists
    Sections Staff Chief
    1. planning section chief
    2. operations section chief
    3. logistics section chief
    4. finance/administrative section chief
    Questions or
    comments?
    Get in touch!

    Phone Number
    0997-350-2574

    Email Address
    [email protected]

    Messenger
    Yucef Bahian Abang
    DISASTER TRIAGE &
    MANAGEMENT
    NCM 120 LECTURE

    JOSEPH BAHIAN ABANG RN MN

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