Name:

ESI TRIAGE COMPENTENCY POST TEST

PLEASE COMPLETE AND RETURN TO YOUR SHIFT MANAGER BY: MARCH 31, 2006

Please read each case and based on the information provided assign a triage acuity rating using ESI. If resources are needed please identify them.

1. Ems arrives with a 76 year old male found on the bathroom floor. The family called 911 when they heard a loud crash in the bathroom. The patient was found in his underwear and the toilet bowl was filled with maroon-colored stool. Vital signs (VS) on arrival: blood pressure (BP) 70/palp, heart rate (HR) 128, respiratory (RR) 40. His family tells you he has a history of atrial fibrillation and takes a little blue pill to thin his blood. ESI Rating _______ Resources needed __________________________________

2. A young male ambulates into triage and tells you that he has been shot. As he rolls up the left leg of his shorts you notice two wounds. He tells you that he heard three shots. He is alert and responding appropriately to questions. Initial VS: T 98.2, HR 78, RR 16, BP 118/80. ESI Rating ________ Resources needed __________________________________

3. You are trying to triage an 18-month old whose mother brought him in for vomiting. The toddler is very active and trying to get off his mothers lap. To distract him the mother hands him a bottle of juice, which he immediately begins to suck on. The child looks well hydrated and is afebrile. ESI Rating ________ Resources needed __________________________________

4. My doctor told me to come to the ED. I had gastric bypass 3 weeks ago and have been doing fine but today I started vomiting and having belly pain. The patient, an obese 33 year-old female rates her pain as 6/10. VS: BP 126/70, HR 76, RR 14, T 98. ESI Rating ________ Resources needed __________________________________

5. EMS arrives in the ED with a 57-year old female with multiple sclerosis. She is bedridden and her family provides care in the home. The visiting nurse sent her to the ED because her Foley catheter came out this morning. No other complaints. Vital signs are within normal range, currently on antibiotics for a UTI. ESI Rating ________ Resources needed __________________________________

6. Why the hell dont you leave me alone? yells a 73 year old disheveled male who was brought to the ED by EMS. He was found sitting on the curb drinking a bottle of Vodka with blood oozing from a 4-cm forehead laceration. He is oriented to person, place, and time and has a Glasgow coma score (GCS) of 14. ESI Rating ________ Resources needed __________________________________

7. I was seen in the ED last night for my fractured wrist. The bone doctor put this cast on and told me to come back if I had any problems. As you can see my hand is really swollen and the cast is cutting into my fingers. The pain is just unbearable. Circulation, sensation, and movement are decreased. ESI Rating ________ Resources needed __________________________________

8. EMS arrives with a 45-year old asthmatic that has had a cold for a week. She started wheezing a few days ago and then developed a cough and a fever of 103. VS: T 101.6, HR 92, RR 24, BP 148/86. SpO2 97%. ESI Rating ________ Resources needed __________________________________