RN PHONE TRIAGE SKILLS CHECKLIST One program to handle all talent management needs from acquisition to development Personal Information This field is hidden when viewing the formOverall ScoreName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) This field is hidden when viewing the formDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyPointersDemonstrates a clear understanding of EMTALA and HIPAA requirements.(Required) 1 2 3 4 Obtains appropriate symptom-driven chief complaints(Required) 1 2 3 4 Determines and documents the acuity level using a specific triage acuity scale(Required) 1 2 3 4 Utilizes the nursing process for all patients including nursing diagnosis, assessment, plan, implementation, and evaluation(Required) 1 2 3 4 Consistently apply Principles of Triage(Required) 1 2 3 4 Perform and document the Rapid Triage Assessment on arriving patients (Identifying and facilitating placement of patients who meet Immediate Bedding Criteria)(Required) 1 2 3 4 Verbalize and appropriate consider the Bedding Criteria(Required) 1 2 3 4 Obviously ill or injured (or nurse is able to quickly and confidently determine accurate disposition)(Required) 1 2 3 4 Open bed (available or able to obtain)(Required) 1 2 3 4 Available care provider (considering acuity of patient load)(Required) 1 2 3 4 Perform and document the Comprehensive Triage Assessment (if Immediate Bedding Criteria not met)(Required) 1 2 3 4 Demonstrate the ability to prioritize patients(Required) 1 2 3 4 Determine and document patient disposition(Required) 1 2 3 4 Implement “any open bed policy” appropriately(Required) 1 2 3 4 Initiate dual triage per department guidelines(Required) 1 2 3 4 Complete ED triage documentation accurately: capture essentials of triage assessment(Required) 1 2 3 4 Reassess patients in waiting areas according to acuity scale objectives and/or reassessment policy (Nursing practice reflects department policy)(Required) 1 2 3 4 Demonstrate an understanding of the rationale for considering the “worst-case scenario” on every patient(Required) 1 2 3 4 Initiate appropriate nursing interventions and/or diagnostics (by Advanced Triage Protocols according to hospital policy and standards)(Required) 1 2 3 4 Initiate appropriate Advanced Triage Protocols according to hospital policy and standards(Required) 1 2 3 4 Participate in peer review(Required) 1 2 3 4 Participate in triage chart audits(Required) 1 2 3 4 EMRAllscripts(Required) 1 2 3 4 Epic(Required) 1 2 3 4 Meditech(Required) 1 2 3 4 McKesson(Required) 1 2 3 4 Homecare Home base(Required) 1 2 3 4 Cerner(Required) 1 2 3 4 AGE APPROPRIATE CARENewborn/Neonatal (birth – 30 days)(Required) 1 2 3 4 Infant (30 days-1 year)(Required) 1 2 3 4 Toddler (1-3 years)(Required) 1 2 3 4 Preschool (3-5 years)(Required) 1 2 3 4 School Age Children (5-12 years)(Required) 1 2 3 4 Adolescent (12-17 years)(Required) 1 2 3 4 Young Adults (18-44 years)(Required) 1 2 3 4 Middle Adults (45-64 years)(Required) 1 2 3 4 Older Adults (>65 years)(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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