Fast Facts for the Triage Nurse, Second Edition

Lynn Sayre Visser, MSN, RN, PHN, CEN, CPEN, FAEN has devoted her 28 year career to emergency nursing, triage education, mentoring others, and writing about topics that impact nursing. Her career has been complemented by experience in prehospital care, ICUs, post-anesthesia care units, and as an organ procurement coordinator. Her passion for quality patient care led her to play instrumental roles in the implementation of a provider in triage, rapid triage assessment, and immediate bedding processes along with formalized triage education in multiple facilities. She is a change-agent and philanthropist and has been published in a variety of arenas. She is the co-author of Fast Facts for the Triage Nurse: An Orientation and Care Guide, Essentials for the Triage Nurse, Rapid Access Guide for Triage and Emergency Nurses, and Rapid Access Guide for Pediatric Emergency Nursing. Her work has been recognized with two American Journal of Nursing Book of the Year awards, the 2019 Emergency Nurses Association (ENA) Media Award, the 2021 ENA Team Award, as well as the 2019 Sigma Theta Tau Edith Moore Copeland Founders Award for excellence in creativity. She holds a Master of Science Degree in Nursing with an emphasis in education and a double Bachelor of Science degree in nursing and exercise physiology.Anna Sivo Montejano, DNP, RN, PHN, CEN, has over three decades of experience in emergency nursing and triage education. She has taught nursing theory and aided the professional development of nurses as a preceptor, mentor, and clinical instructor. She has been a certified emergency nurse for more than 30 years. Her ED contributions include work as a staff nurse, primary preceptor, and assistant nurse manager, as well as in educational development. Dr. Montejano has worked to improve the quality and efficiency of patient care through projects such as the change process of rapid medical screenings and rapid triage assessments; as a project manager for a major ED expansion; and as an advanced cardiac life support instructor. She authored Fast Facts for the Triage Nurse: An Orientation and Care Guide in a Nutshell, which won third place in the 2015 American Journal of Nursing Book of the Year awards in the critical care/emergency category, the Emergency Nursing Association, Media award in 2019, and the Assessment Technologies Institute (ATI) Nurse Educator of the Year. This book has since become available in the United Kingdom under the title Essentials for the Triage Nurse: An Orientation and Care Guide. She has her Doctor of Nursing Practice degree from California State University, Northern Consortium (Fresno and San Jose State University), her Master's Degree in Nursing with a focus on education, and her Bachelor of Science degree.

“One of the things that draws nurses into the specialty of emergency nursing is that we love environments where things happen quickly and we are often drawn to brevity. I cannot think of a better format for emergency nurses to learn about the challenges of triage then a book that presents the facts in such a concise and consolidated fashion. It serves as an excellent resource for all emergency nurses, written by respected names in the emergency world.”

• ReviewersForeword Rebecca S. McNair, RN, CENPreface~A Heartfelt Thank You~AcknowledgmentsPart I SETTING THE STAGE FOR SUCCESS AT TRIAGE1. Orienting to TriageLynn Sayre Visser2. Precepting at TriageLynn Sayre Visser3. Tips for Success at TriageLynn Sayre Visser and Anna Sivo Montejano4. Personal Awareness for the Triage NurseAnna Sivo Montejano5. Triage CompetencyShelley CohenPart II POINT-OF-ENTRY PROCESSES IN TRIAGE NURSING6. The Patient ArrivalAnna Sivo Montejano7. The Patient Experience in Triage NursingLynn Sayre Visser8. Legal Concerns in Triage NursingDeb JeffriesPart III NURSING ESSENTIALS FOR EFFECTIVE TRIAGE9. Triage Acuity ScalesDeb Jeffries10. Triage DocumentationRebecca S. McNair11. Time-Sensitive Medical ConditionsLynn Sayre VisserPart IV CURRENT TRENDS IMPACTING TRIAGE NURSING12. Urgent Care TriageValerie Aarne Grossman13. Electronic Medical Record ConsiderationsDawn Friedly Gray14. Provider in TriageLynn Sayre Visser15. Advanced Triage ProtocolsDawn Friedly GrayPart V “RED FLAG” PATIENT PRESENTATIONS16. Introduction to “Red Flag” PresentationsLynn Sayre Visser17. Respiratory EmergenciesPolly Gerber Zimmermann and Lynn Sayre Visser18. Cardiac EmergenciesPolly Gerber Zimmermann19. Neurological EmergenciesReneé Semonin Holleran20. Abdominal EmergenciesPolly Gerber Zimmermann and Lynn Sayre Visser21. Obstetric and Gynecological EmergenciesLynn Sayre Visser and Polly Gerber Zimmermann22. Behavioral Health EmergenciesAnna Sivo Montejano23. Ocular EmergenciesAnna Sivo Montejano and Lynn Sayre Visser24. Musculoskeletal EmergenciesReneé Semonin Holleran25. Endocrine EmergenciesDawn Friedly Gray26. Environmental EmergenciesAnna Sivo Montejano27. Trauma EmergenciesReneé Semonin Holleran28. Infectious PresentationsAnna Sivo Montejano and Lynn Sayre VisserPart VI SPECIAL CONSIDERATIONS IN TRIAGE NURSING29. Special Populations in TriageAnna Sivo Montejano30. Pediatric TriageDeb Jeffries31. Older Adult TriageAnna Sivo Montejano32. Pain Management at TriageReneé Semonin Holleran33. Patient and Staff SafetyAnna Sivo Montejano34. Case Studies in Triage NursingAnna Sivo Montejano and Lynn Sayre VisserPart VII DISASTER SITUATIONS IN TRIAGE NURSING35. Emergency Management: A Triage Nurse’s Guide for When Disaster StrikesErik Angle36. Active Shooter or Active ViolenceErik AngleAbbreviationsAppendix A: ResourcesAppendix B: Triage Competency Validation FormAppendix C: Sample Triage Education and Competency PlanAppendix D: Sample Triage Retrospective Chart Review Audit FormAppendix E: Disaster Triage TagAdditional ReadingIndex