Harris J, Hendricks J
Accid Emerg Nurs. 1996 Apr;4(2):82-7. doi: 10.1016/s0965-2302(96)90008-9.
Most acute hospitals operate a triage system to evaluate and prioritize the care and needs of clients presenting in the Emergency department. The emergency nurse, therefore, employs a variety of cognitive processes to clinically categorize clients in relation to the most acute need. This ability to clinically assess is a combination of knowledge and intuition grounded in experience and formal education. Therefore, the optimal functioning of the Emergency department is dependent upon not only the protocols and policies of hospitals, but the skills, experience and the confidence of individual triage nurses. This paper will reconsider the role of the triage nurse by addressing a literature deficit related to triage and the triage nurse, as the front line mediator, who is in the prime position of being able to rise the professional profile of the emergency nurse by making visible the care provided by nurses in this department and, most significantly, in the triage waiting room. This care extends beyond pointing to the waiting room clock and a sign which informs clients of the purposes of the emergency care department. This paper will also discuss a range of strategies used by the authors to enhance effective triaging to ensure a quality standard in client care.
大多数急症医院都设有分诊系统，以评估急诊科患者的护理需求并确定优先顺序。因此，急诊护士运用多种认知过程，根据最紧急的需求对患者进行临床分类。这种临床评估能力是基于经验和正规教育的知识与直觉的结合。因此，急诊科的最佳运作不仅取决于医院的协议和政策，还取决于分诊护士个人的技能、经验和信心。本文将通过解决与分诊及分诊护士相关的文献不足问题，重新审视分诊护士的角色。分诊护士作为一线调解人，处于能够提升急诊护士专业形象的首要位置，通过展示该科室护士提供的护理，最重要的是在分诊候诊室提供的护理。这种护理不仅仅是指着候诊室的时钟和一个告知患者急诊科目的的指示牌。本文还将讨论作者为加强有效分诊以确保患者护理质量标准而采用的一系列策略。
