Triage Specialist Course Comments
"I absolutely had a life-changing experience. I know in my heart I went into nursing to make a difference. I am inspired to 'make it better'."
Nina S., RN, EMT-P
"My toolbelt is now full with the tools not only to care and practice mercy with my patients, but also to influence and encourage my co-workers to change our culture and overcome the stumbling blocks in our way."
Jackie M., RN
"I loved the class and learned so much."
Robin I., RN, BSN, MSN-ANP
"Thank you for realizing the need for improved process and for teaching this course - But more than anything, renewing my faith in the Triage Nursing process."
Sandra M., RN, ADN, Nurse Manager
"Great instructors - down to earth and passionate about the material! I cannot wait to bring my knowedge back to the hospital to share and I can't wait to teach my 1st course." Michelle T., RN, MA, CEN, Assistant Director Emergency Services
Something beautiful...
Triage Specialist Course
Comprehensive Training for the Triage Educator
March 14 - 19, 2010
Asheville, NC
Now accepting applications
More info
Two-Day Course
Comments
"I am a new ER nurse and this class has given me another view of ER/triage. I have a desire to learn more and stay longer."
"Great job!! I left with some great ideas and information to make our ED/Triage better. I was amazed by the things we can improve and what we are doing incorrectly."
"I appreciated that we were taught by an ER RN. It is refreshing to have someone that can relate to what we face."
"I would absolutely recommend this program to other nursing professionals."
"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."
Triage First, Inc.
Email
info@triagefirst.com
Website
www.triagefirst.com
Phone
(828) 628-8029
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Literature & Research
No Surprise: Boarding in the ED Results in Undesirable Events
The results of a recently published study in the Annals of Emergency Medicine will come as no surprise to many emergency department clinicians - 27.8% of patients in the study experienced an undesirable event while boarding in the emergency department. For purposes of the study, undesirable event was defined as deviation from hospital-based standards and adverse events and/or complications. This included, but was not limited to, such events as missed relevant treatments in the ED, missed relevant home medications, giving repeated doses of antibiotics, suboptimal blood pressure control, hypoxia, or aspiration (witnessed by a nurse or physician). The study found that patients over the age of 50 or patients who were boarded for greater than 6 hours had more undesirable events while in the emergency department. Missed relevant home medications resulted in the greatest number of undesirable events and, as the authors of the study note, "given that EDs are not designed to function as inpatient units, it is not surprising that basic levels of impatient care such as repeat antibiotics or administration of home medications were found to be a prominent source of undesirable events in our sample." While the authors freely acknowledge the limitations of the study including sample size, the study none the less contributes to the national conversation about the crisis of emergency department crowding by identifying the need to determine how to care for these patients. Suggestions offered by the authors include formally transferring care to inpatient teams or creating or having specific designated boarding nurses.
1Liu, S. W., Thomas, S.H., Gordon, J.A., Hamedani, A. G., & Weissman, J.S. (2009). A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Annals of Emergency Medicine, 54(3), 381-385. 
 Copyright 2010 Triage First, Inc.
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