[Triage area. Use and effectiveness of a protocol].
In the Organization of the urgency services, there's a general agreement about need to have a triage system or a first classification of the patient at their arrival, for a quick, ordered, and directed access, attending the dangerously wounded patient with priority, acting like a true filter of the dangerously wounded patient. This is a function realized in The Juan Ramon Jimenez Hospital by nurses in the triage area. Patient is classified into these groups, determining of this way the priority of their attention, basing in the triage protocol: I: emergency or vital risks. II: acute processes, critical. III: acute processes, no critical. IV: banal processes, no urgent. The objective of this study is to evaluate the utility and efficacy of the nurse triage protocol from the valuation of different nurses, compiling data of 300 clinic histories, taking as indicative or evaluations, the degree of homogeneity of the differents triages realized. We take from a comparative description study of a total of 300 cases, being cassified in a continuous way by two nurses in different areas. To emphasize, that of the total of the studied population, the percentage of patients that have been classified with the same gravity level by both nurses, is about the 95.9%, being located the not coincidences, always in levels iii and iv. the 99.7% of these patients have been derived to the same speciality atter their triage. The specialities that sustain greater assistance demand are internal medicine and traumatology, with a 41.7% and a 34.3% respectively. The total of studied cases, 75% attend to the urgency service by own petition, which 86% are catalogued as level iv (banal processes), 23.4% are transmitted by urgency services or provide p10, being only a 20% of theses cases considered as acute processes, that it supposes a 4.6% of the total and a 1.3% are transferred by e.p.e.s 061, being the 100% defined as acute processes. The group of age that demand more sanitary assistance is between 20 and 40 years, prevailed the masculine sex in all the groups, except in those greater of 60 years, where the women exceed them in a 23.6%.
Rojas Ocaña
M J
MJ
Servicio Cuidados Críticos y Urgencias, Hospital General Juan Ramón Jiménez, Huelva.
Rodríguez Rodríguez
J B
JB
D000208:Acute Disease; D000328:Adult; D000367:Age Factors; D016529:Emergency Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods*; D012737:Sex Factors; D014218:Triage / Q000379:methods*