WELCOME to Triage Education and Consulting

ED triage education and consulting tailored to your exact needs! Need a triage course solution, looking for triage information, or require point of entry process improvement for your hospital emergency department? Triage First, Inc. meets challenges and exceeds expectations according to our clients.

Tight budget? We tailor ED triage education and consulting services based on need and expectation. Did you know that Triage First was instrumental in developing and sustaining the momentum for the national implementation and standardization of a five-level triage acuity scale? That’s right. We were addressing the need for a five-level acuity scale years before our principal consultant, Rebecca McNair, was asked to become a member of the ENA / American College of Emergency Physicians (ACEP) Triage Task Force. Since 1997, Triage First has educated thousands of health-care team members including physicians, licensed independent practitioners, nurses, paramedics, and EMTs, as well as unlicensed members of organizational teams (65,000+ courses taught).

Best-selling courses find missing pieces. “Triage is a process, not a place.” (Rebecca McNair, President, Triage First, Inc. Circa 2004.) Remember: A triage scale (whether it be ESI or CTAS) is but one piece of the puzzle. Our triage courses instruct learners on how to use the triage scale of your choice and how to implement it as a tool in all the processes that envelope the triage position – think advanced protocols, reassessments, risk, patient satisfaction, patient flow, hospital and federal mandates, and the list goes on.

The ED Triage Comprehensive Curriculum™ addresses every facet and function of emergency department triage with an evidence-based, best practice, systematic approach. The Curriculum consists of nine course series, with their respective courses:

ED Triage Foundation
Triage Curriculum Introduction
Triage Concepts and Competency
Triage Legal Concerns – Risk Management

HIPAA and EMTALA for Triage Nurses

ED Triage Role Management and Decision-making Strategies
Safety Strategies
Patient Flow and Communication Strategies
TIGER – Self Awareness and Professional Health
Triage Critical Thinking Skills

ED Systematic Triage Assessment Process: Steps 1-4
Systematic Triage Assessment Step 1 – The Critical Look
Systematic Triage Assessment Step 2 – Chief Complaint & Considering WCS
Systematic Triage Assessment Step 3 – Rapid Triage and Immediate Bedding
Systematic Triage Assessment Step 4 – Comprehensive Triage Assessment
Systematic Triage Assessment Step 4 – Developing Focused Assessments

ED Systematic Triage Assessment Process: Step 5 – Acuity
Systematic Triage Assessment Step 5 – Triage Acuity 1.3   
Maternal fetal Triage Index Introduction 0.5


Using the Emergency Severity Index (OR Using the Canadian Triage and Acuity Scale)

ED Systematic Triage Assessment Process: Steps 6-7
Systematic Triage Assessment Step 6 – Nurse-Initiated Interventions
Systematic Triage Assessment Step 7 – Reassessment
The Art and Science of Sorting – Multiple Case Presentations

ED Triage Clinical Readiness – Population Specific
Triage Clinical Readiness – Age-Related
Triage Clinical Readiness – Psychiatric
Triage Clinical Readiness – Victims of Abuse 

ED Triage Clinical Readiness – Body System Illness and Injuries
Triage Clinical Readiness – Unit I (abdomen back and extremities)
Triage Clinical Readiness – Unit II (head neck and chest)
Triage Clinical Readiness – Unit III (environmental toxicological and body systems) 

Emergency Response Plan and Curriculum Applications
Triage Clinical Readiness – Emergency Response Plan
Curriculum Applications and Conclusion


And if those aren’t enough ED triage courses, we offer yearly Continuing Competency Scenarios, all constructed from actual patient presentations and charts.


Our bench is your team-building strength. Most Triage First consultants and educational content providers hold advanced nursing, education, and health-care administration degrees, all specializing in triage and point-of-entry processes. Partner with us to move your triage and point-of-entry processes forward, and we will honor our commitment to excellent patient outcomes. Inquire here.


Triage First’s mission is to help healthcare professionals and staff develop a consistent, compassionate, safe, and healthy approach from which to practice, and to provide them with the tools necessary to understand the conceptual and clinical aspects of care. Our goal is to give the gift of experience and knowledge to practitioners in these stressful arenas so that we are able to care for the patient and for one another. With the changes in healthcare and the demands placed upon us as clinicians and managers, we strive to elevate the level of understanding about the dynamics that impact the health-care environment, as well as the cohesiveness and strength of character of the institution. Does your facility’s environment seem like an unhealthy place at times? As practitioners, we know that we need a nurturing, healthy place to survive the inherent stressors of our practice and to be able to provide excellent, clinically expert, and compassionate nursing care.

WHY Select Triage First? Our consulting and educational services are structured in such a way that learning occurs organically, based on sound education science and social learning theory. Opportunities for content application are woven throughout all courses. Our technique provides a transfer of comprehensive knowledge that would take a nurse many years to acquire through experience alone. Furthermore, Triage First: + Read more

Triage First is Qualified Triage First is the ONLY ED consultation entity that also provides online education, which is standardized and acuity scale-specific, as well as able to impart knowledge, transfer that knowledge, AND provide the opportunity to hardwire that knowledge through self-paced online modules, developed over a 23-year history. +Read more

Full Portfolio Strategy While education alone will most certainly produce better outcomes in emergency nursing triage and point-of-entry processes, the best outcomes and most cost-efficient ED optimization of point-of entry processes, will be realized from executing our full portfolio, providing your staff with our online training courses which includes, progressive competency courses and hardwiring opportunities. +Read more

Triage First is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The ANCC Accreditation Program and ANCC Accredited Organization are trademarks of the American Nurses Credentialing Center. All Rights Reserved. ANCC is the world’s largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association (ANA).  ANCC is the only nurse credentialing organization to successfully achieve ISO 9001:2008 certification in the design, development, and delivery of global credentialing services and support products for nurses and healthcare organizations. There are no relevant financial relationships by any planner or content author that affect the planning, implementation, or evaluation of these activities. These activities are successfully completed by: signing in, participating in all lessons included, achieving a satisfactory performance of 75% or higher on the post-test (if applicable), completing the participant feedback tool, and attesting to the method of participation.