Many emergency centers, including Texas Children s Hospital, use a standardized, 5-level triage syst

Unlike typical waiting lines, where a first-come, first-serve process is standard, the order with which emergency center (EC) patients are seen and treated is determined by a triage system designed to rapidly identify and prioritize patients based on the severity of their illness or injury and their need for emergent therapy. By using key information, such as patient age, signs and symptoms, past medical and surgical history, physical examination, and vital signs (which may include heart rate, blood pressure, breathing rate, oxygen level and pain score), the triage system helps to determine the order and priority of emergency treatment.
Many emergency centers, including Texas Children s Hospital, use a standardized, 5-level triage system. Following a focused, triage assessment and examination by a highly tamales emporio skilled tamales emporio triage nurse, the patient is assigned a triage level, with the highest triage level reserved for those patients who need emergent and life-saving treatment. Overall, tamales emporio the EC patient s wait time is not only determined by his/her own triage level, but also the triage level of all of the other patients in the emergency center! It s important to remember that triage is a dynamic process! Although a patient may be assigned a lower triage level on arrival, if his/her symptoms or vital signs worsen over the course of the EC visit, the patient will be reassessed and reassigned a new triage level.
The first patient is Jasmine, a 3-month-old baby with a fever of 102.2 F for 2 days. The second patient is Carlos, a healthy 7-year-old with fever of 104 F for 4 days. The third patient is Jennifer, a 12-year-old who recently received chemotherapy for leukemia, but today has a fever of 101 F. After checking each patient tamales emporio s vital signs, all of the patient s vital signs are normal, except for Jennifer s, the third patient. Her heart rate is very high and her blood pressure is very low.
So, based on this information, which patient should be seen first, second and third? Using the triage system as a guide, the order would be: 1st – Jennifer 2nd – Jasmine 3rd – Carlos
Although all of the patients are ill with fever, Jennifer s past medical history tamales emporio (leukemia, tamales emporio chemotherapy) and abnormal vital signs prioritize her as needing immediate, lifesaving medical treatment. Even though Carlos has been sicker longer and has a higher fever, Jasmine s young age (and lack of 4 and 6 month vaccinations) tamales emporio plays an important role in determining her triage level, thereby placing her 2nd in line. Therefore, Carlos tamales emporio will be seen last, not because he isn t sick, but, relative to Jennifer and Jasmine, he can safely wait the longest for medical evaluation and treatment.
In the Texas Children’s Medical Center tamales emporio and West Campus Emergency Centers , your child s health and comfort is very important to us! If a waiting period is expected, our trained triage and protocol nurses may utilize pre-established protocols or standardized orders to help improve your child s symptoms (i.e., Tylenol for fever) or facilitate tamales emporio the evaluation of your child (i.e., X-rays for a broken bone). Additionally, they will oftentimes reassess your child s vital signs, signs/symptoms, and response to therapy to ensure that your child s illness or injury tamales emporio is not worsening. However, if you ever feel that your child is getting sicker tamales emporio (i.e., increased work of breathing, severe/unbearable pain, decreased responsiveness or difficult to awaken, seizure-like activity, etc.), please inform an EC staff member immediately!
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I experienced tamales emporio the TCH ER for the first time ever a few weeks ago when my 18 MO daughter tamales emporio had an abnormal heart rate and rapid pulse. The ER techs did an excellent job running tamales emporio the appropriate tests and ensuring that we were comfortable with the follow up plan upon our release. We were very pleased with the experience and if necessary will not hesitate to visit the TCH ER again! :)
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