
| Vol 2/Issue 1 ~ Triage First Quarterly Newsletter ~ Spring 2007 | |
|
Two-Day Course Comments "Absolutely, positively awesome course!" "The instructors are dynamite!" "Their knowledge base, expertise, and professionalism clearly shine through." "Triage First's course will greatly add to my nursing practice. I sincerely thank you for that!" "Everything covered was nurse-driven – this class is for nurses, by nurses." "Two-day course is real world knowledge – now I can't wait to go to the Triage Specialist Course."
2007 Workshops St. Louis, MO May 8-9 Washington, DC June 19-20 More info
Triage First, Inc. info@triagefirst.com Website www.triagefirst.com Call toll-free (866) 369-8029
Triage Specialist Course Comments "The Triage Specialist Course was a wonderful complement to the 2-day course...taking triage concepts to new heights." "The best course I have ever taken – I have been a nurse for 39 years, 30 of them in the ED. At last we have a course that teaches a methodical method for triage!" "I have spent 30 of the last 32 years in emergency nursing. I've learned more from this course than any other course I've taken." "It offers practical situations and solutions to our real life emergency departments." "I feel it will positively impact our practice." "The course was excellent, realistic and applicable."
|
Newsletter Contents
Front Page Welcome! Case Presentation Ask the Experts Literature & Research What's New at Triage First Triage First Services Ask the Experts Which Five-Level Acuity Scale Is Best? Question: Our hospital is planning to choose and implement a five-level acuity scale in the next few months. Which scale is better, CTAS (Canadian Triage Acuity Scale) or ESI (Emergency Severity Index)?
Answer: In 2003, a joint ENA/ACEP task force determined that the quality of patient care in America would benefit from a standardized five-level acuity scale. In 2004, this same task force issued a position statement advocating that either CTAS or ESI would be a good choice. The task force also "continues to encourage further research of five-level triage systems and recommends an in-depth, evidence-based review of all current five-level triages systems, as well as those under development," such as ascending five-level scales and computerized triage, algorithmic-driven five-level scales.
Conclusion CTAS and ESI acuity scales differ somewhat in their approach: CTAS (and other five-level scales) are symptom-driven for all acuity levels, while ESI is symptom-driven for the higher acuity levels and resource-driven for the lower acuity levels. ENA and ACEP consider both to be valid and reliable as validated by research. In order to determine which scale is most appropriate for your hospital, an implementation team would need to consider both types by becoming knowledgeable and conversant in both and then comparing the two.
Ask the Experts a question by clicking here. ![]() |