Australian Medical Triage

Consistency of Triage in Victorias
Emergency Departments
Guidelines for Triage Education

and Practice
July 2001
ISBN 0 7326 3006 1

All rights reserved. Apart from any use as permitted under the Copyright Act 1968, no
part of this publication may be reproduced without prior written permission.
For information on the availability of the publications check the Department of Human
Services web site (http://www.dhs.vic.gov.au/pdpd/edcg) or write to Monash Institute
of Health Services Research, Locked Bag 29, Monash Medical Centre, Clayton, Victoria,
3168, Australia.
Consistency of Triage in Victorias Emergecny Departments
Foreword
The Consistency of Triage in Victorias Emergency Departments Project was funded by
the Victorian Department of Human Services and conducted by the Monash Institute of
Health Services Research during 2000-2001.
The project was overseen by a steering committee with representation from the
Department of Human Services, the Australasian College for Emergency Medicine, the
Emergency Nurses Association, the Australian Nursing Federation and Victorian
hospitals and universities. The members of the steering committee were:
Ms. Janice Brown, ARMC
Mr. Greg Benton, Wangaratta Base Hospital
Ms. Sue Daly, DHS
Dr. Stuart Dilley, ACEM (Victorian Faculty)
Ms. Julie Friendship, Bendigo Health Services
Ms. Sarah Goding, DHS
Ms. Christine Hill, Western Hospital
Ms. Mira Ilic, Box Hill Hospital

Dr. Tony Kambourakis, Southern Health
Mr. Bill McGuiness, Latrobe University
Ms. Pat Standen, ENA (Victoria Inc)
Ms. Carmel Stewart, RMIT
Ms. Ann-Marie Scully, ANF
Dr. Simon Young, RCH
The project team comprised of:

Sandra LeVasseur, RN, MGer, BSc
Amanda Charles, RN, BAppSci, CCU Cert, Emerg Cert
Julie Considine, RN, RM, BN, Emerg Cert, Grad Dip Nsg, MN
Debra Berry, RN, CNS, GD Nursing (Emergency)
Toni Orchard, RN, CNS, GC (Emergency Nursing)
Moira Woiwod, RN, CNS, GD Critical Care (Emergency)
Dr Elmer Villanueva MSc, MD, BSc
Dr Craig Castle MBBS, FACEM
Mr Mark Sugarman, Director Braintree Webs P/L
The report detailing the project has been presented in five separate documents being:
The Literature Review;
The Triage Consistency Report;
The Education and Quality Report;
The Guidelines for Triage Education and Practice; and
The Summary Report.
This education package is the fourth in the series and is designed for training nurses in
the role of triage and ensuring consistency of triage both within and across hospitals.
Further information regarding this project can be obtained from:
Sandra LeVasseur,
Director, Centre for Nursing Research,
Monash Institute of Health Services Research, Telephone: +61 3 9594 7518
Monash Medical Centre,
Email: [email protected]
[email protected]
Clayton Road, Clayton, 3168
Website:
www.dhs.vic.gov.au/pdpd/edcg
Guidelines for Triage Education and Practice
Contents
INDEX OF TABLES
ACKNOWLEDGEMENTS
TERMINOLOGY
INTRODUCTION
1.1
Guide for use
1.2
Contents
OBJECTIVES
10
PRINCIPLES OF TRIAGE
10
AUSTRALASIAN TRIAGE SCALE
11
TRIAGE DECISIONS
12
PRIMARY TRIAGE DECISIONS
13
OBJECTIVE DATA COLLECTION
14
7.1
Primary survey
14
7.2
Physiological data
14
7.2.1 Airway
15
7.2.2 Breathing
16
7.2.3 Circulation
17
7.2.4 Disability - conscious state
19
7.2.5 Disability - pain
21
7.2.6 Disability - neurovascular status
22
7.2.7 Mental health emergencies
23
7.2.8 Ophthalmic emergencies
25
7.2.9 Risk factors for serious illness or injury
26
SUBJECTIVE DATA COLLECTION AND COMMUNICATION
29
8.1
Subjective data collection
29
8.2
Provision of information
30
8.2.1 The triage process
30
8.2.2 Patient flow
30
8.2.3 Potential management plans
30
8.2.4 Specific ED conventions
30
Waiting times - what not to say
31
SECONDARY TRIAGE DECISIONS
32
8.3
Consistency of Triage in Victorias Emergency Departments
9.1
Referral to other health care providers
33
9.2
Ongoing assessment and care of patients in the triage / waiting area
33
10 ORGANIZATIONAL AND COMMUNITY RESOURCES
33
11 DOCUMENTATION
34
11.1 Re-triage
34
11.2 Referral to other health care providers
34
12 RISK MANAGEMENT
35
12.1 Aggression management
35
12.2 Patient retrieval
35
12.3 Safety of persons in the waiting area
35
12.4 Environmental Hazards
36
REFERENCES
37
APPENDIX 1: CONTRIBUTORS
39
APPENDIX 2A: APD DEVELOPED FOR THE AUSTRALASIAN

(NATIONAL) TRIAGE SCALE
40
APPENDIX 2B: PPD DEVELOPED FOR THE AUSTRALASIAN

(NATIONAL) TRIAGE SCALE
44
APPENDIX 3: ENA POSITION STATEMENT: TRIAGE
48
APPENDIX 4: ENA POSITION STATEMENT: EDUCATIONAL

PREPARATION OF TRIAGE NURSES
50
APPENDIX 5: PRACTICE TRIAGE SCENARIOS
58
APPENDIX 6: ANSWERS TO PRACTICE TRIAGE SCENARIOS
86
Index of Tables
Table 4.1.
National Triage Scale categories.......................................................... 11
Table 4.2.
Australasian Triage Scale categories.................................................... 11
Table 7.1.
Physiological discriminators for airway .............................................. 15
Table 7.2.
Physiological discriminators for breathing .......................................... 16
Table 7.3.
Physiological discriminators for circulation......................................... 17
Table 7.4.
Physiological discriminators for disability........................................... 19
Table 7.5.
Glasgow Coma Scale with age specific considerations......................... 20
Table 7.6.
Physiological discriminators for disability - pain................................. 21
Table 7.7.
Physiological discriminators for disability neurovascular status ....... 22
Table 7.8.
Physiological discriminators for mental health emergencies................ 23
Table 7.9.
Physiological discriminators for ophthalmic emergencies ................... 25
Table 7.10.
Risk factors for serious illness or injury ............................................... 26
Appendix 6: Answers to Practice Triage Scenarios
Acknowledgements
The authors wish to acknowledge efforts of the following people in the development of these
guidelines:
Emergency Nurses Association of Victoria, Incorporated (ENA)
Members of the ENA Triage Working Party:
Natalie Barty
Julie Considine
Dianne Crellin
Marie Gerdtz
Joy Heffernan
Kerry Hood
Deidre McDougall
Leanne McKendry
Toni Orchard
Pat Standen
Victorian Department of Human Services

Members of the Steering Committee; Consistency of Triage in Emergency Departments
Project:
Ms. Janice Brown, ARMC

Mr. Greg Benton, Wangaratta Base Hospital
Ms. Sue Daly, DHS
Dr. Stuart Dilley, ACEM (Victorian Faculty)
Ms. Julie Friendship, Bendigo Health Services
Ms. Sarah Goding, DHS
Ms. Christine Hill, Western Hospital
Ms. Mira Ilic, Box Hill Hospital

Dr. Tony Kambourakis, Southern Health
Mr. Bill McGuiness, Latrobe University
Ms. Pat Standen, ENA (Victoria Inc)
Ms. Carmel Stewart, RMIT
Ms. Ann-Marie Scully, ANF
Dr. Simon Young, RCH
Mr Marc Broadbent, Project Officer, Barwon Health Mental Health

Ms Dianne Crellin, Clinical Nurse Educator, Emergency Department, Royal Childrens
Hospital
Mr Russell Firmin, Acting Director Mental Health Program, South Eastern Sydney Area
Health Service
Ms Pat Standen, President, Emergency Nurses Association of Victoria (Incorporated)
Triage forum attendees and other contributors (see Appendix 1)
Terminology
ACEM
Australasian College for Emergency Medicine
APD
Adult Physiological Discriminators
AMI
Acute myocardial infarction
ATS
Australasian Triage Scale (formerly the National Triage Scale)
BLS
Basic life support
BP
Blood pressure
COAD
Chronic obstructive airways disease
CT
Computer tomography
CVA
Cerebrovascular accident
DHS
Department of Human Services (Victoria)
ECG
Electrocardiograph
ED
Emergency department
ENA
Emergency Nurses Association of Victoria (Incorporated)
GCS
Glasgow Coma Scale
HR
Heart rate
Hx
History
NIDDM
Non-insulin dependent diabetes
NTS
National Triage Scale for Australasian Emergency Departments
PPD
Paediatric Physiological Discriminators
PHx
Past history
POP
Plaster of Paris
RICE
Rest, ice, compression, elevation
RR
Respiratory rate
SaO2
Oxygen saturation
SBP
Systolic blood pressure
SOB
Shortness of breath
Triage Category
One of the five ATS categories
Tx
Treatment
Vital Signs
Respiratory rate, heart rate and blood pressure, may or may not
include temperature
Introduction
The guidelines and physiological discriminators (see Appendices 2a & 2b) presented in this
document are a part of the Consistency of Triage in Victorias Emergency Departments Project
(2001), funded by the Victorian Department of Human Services. The development of these
guidelines are, with permission, based on the Position Statements: Triage and Educational
Preparation of Triage Nurses written by the Emergency Nurses Association of Victoria (Inc.)
(ENA) Triage Working Party (see Appendices 3 & 4). The guidelines and physiological
discriminators were developed in consultation with ENA and clinical nurse educators, lecturers,
nurse unit managers and clinicians from a wide variety of Emergency Departments (EDs) across
Victoria.
The Emergency Nurses Association of Victoria (Inc.) has recommended that all triage nurses
undertake educational preparation prior to undertaking the triage role 1. These guidelines are
written with the assumption that triage nurses meet the criteria as documented in ENA Position
Statement: Triage2.
1.1 Guide for use

The guidelines are intended to provide minimum standards for triage education and practice.
They are to be used as guidelines only and are in no way intended to replace the clinical
judgement of triage nurses. The aim of these guidelines is to provide a consistent approach to
triage education in Victoria and therefore promote consistency of triage practice, including
application of the Australasian Triage Scale (ATS). It is the intention that these guidelines be
used for unit based triage education and they should be seen as an adjunct to triage education at
postgraduate level.
How these guidelines are used will be dependent on the resources and organisational structure of
the ED in which you are working. They may compliment material that is already available in the
ED or be the main reference material for triage education. It is suggested that these guidelines are
supported by other education strategies such as inservice education, supernumerary triage
practice and discussion of the Guideline objectives and triage scenarios with the person
responsible for triage education in your ED. The broader use of these guidelines may include the
development of competencies, self test questions, take home exams or formal assessment of triage
category allocation. This again, will be dependent on the ED in which you work.
The Consistency of Triage in Victorias Emergency Departments Project also undertook the
development of an audit tool that can be used to evaluate the effectiveness of the education
package and the consistency of triage within each ED. It is the intention that these guidelines are
used in conjunction with the triage audit tool. Further details regarding the triage audit tool and
its use is contained in Report 3 Education and Quality Report.
1.2 Contents
The guidelines developed and presented throughout this document provide an overview of
triage, the ATS, triage decisions including data collection and communication skills,
documentation and risk management. The ENA position statements have been provided as
supportive information in the appendices and Report 1 Literature Review may be used as
additional reading, if desired.
Once having read the content and / or undertaken unit based triage education, the triage nurse
can test his or her learning by completing the scenarios provided in Appendix 4. The answers are
provided in Appendix 5.
Objectives
These objectives directly reflect those objectives cited by the ENA Position Statement:
Educational Preparation of Triage Nurses1. Following reading of these guidelines, completion of
the practice scenarios and a period of supervised triage practice, the triage nurse should be able
to:
i. Define the role of the triage nurse;
ii. Demonstrate an understanding of the principles of triage;
iii. Demonstrate an understanding of the Australasian Triage Scale (ATS) (formerly the
National Triage Scale);
iv. Perform an accurate triage assessment and allocate a triage category based on that
assessment;
v. Demonstrate an ability to prioritise patients on the basis of clinical presentation and allocate
presenting patients to an appropriate area of the ED;
vi. Initiate appropriate nursing interventions;
vii. Demonstrate an understanding of institutional and community resources;
viii. Identify avoidable hazards that may threaten anothers well being; and
ix. Utilise the problem solving approach when dealing with emergency situations.
Principles of triage
The term triage originates from the French word trier which means to sort, pick out, classify
or choose3. The triage principle of prioritising care to large groups of people has been adapted
from its military origin for use in the civilian context of initial emergency department care 3-5.
Triage is the formal process of immediate assessment of all patients who present to the ED3,6-8. It
is an essential function in the ED as many patients may present simultaneously9. An effective
triage system aims to ensure that patients seeking emergency care receive appropriate attention,
in a suitable location, with the requisite degree of urgency and that emergency care is initiated
in response to clinical need rather than order of arrival9-11. Triage aims to promote the safety of
patients by ensuring that timing of care and resource allocation is requisite to the degree of illness
or injury 6,12. An effective triage system classifies patients into groups according to acuity of
illness or injury and aims to ensure that the patients with life threatening illness or injury receive
immediate intervention and greatest resource allocation1,2,6,10,13.
In Australia, triage is predominantly a nursing assessment that begins when the patient presents
to the Emergency Department. Triage is the point at which emergency care begins 11. Triage is an
ongoing process involving continuous assessment and reassessment 1.
10
Australasian Triage Scale
The National Triage Scale (NTS) is a five category triage scale derived from the Ipswich and Box
Hill Triage Scales. The NTS was formulated in 1993 by the Australasian College for Emergency
Medicine (ACEM) with the aim to standardise the nomenclature and descriptors of triage
categories for use in Emergency Departments in Australia12,14.
The five triage categories used in the NTS are displayed in Table 4.1.
Table 4.1.
National Triage Scale categories
Numeric Code
Category
Treatment Acuity
Colour Code
Resuscitation
Immediate
Red
Emergency
Minutes (< 10 mins)
Orange
Urgent
Half hour
Green
Semi-urgent
One hour
Blue
Non-urgent
Two hours
White
The Australasian Triage Scale (ATS) was formulated in 2000 by ACEM and is a result of revision
of the NTS9. The five triage categories used in the ATS are displayed in Table 4.2.
Table 4.2.
ATS
Category
Australasian Triage Scale categories

Description of Category
Response
Immediately life-threatening
Immediate
Imminently life-threatening or
Assessment and treatment within 10

minutes
important time-critical treatment or

very severe pain
3
Potentially life-threatening or
Assessment and treatment start within 30

minutes
situational urgency or
human practice mandates the relief of severe discomfort
or distress within 30 minutes
4
Potentially life-serious or
Assessment and treatment start within 60

minutes
situational urgency or
significant complexity or severity or
human practice mandates the relief of severe discomfort
or distress within 60 minutes
5
Less urgent or
clinico-administrative problems
Assessment and treatment start within

120 minutes
The ATS directly relates triage category with various patient outcome measures (inpatient length
of stay, ICU admission, mortality rate) and resource consumption (staff time, cost)15.
11
Triage decisions
Triage decisions are complex clinical decisions often made under conditions of uncertainty with
limited or obscure information, minimal time and with little margin for error16,17. Triage nurses
must also be able to discriminate useful cues from large amounts of information in order to
perform triage safely16,18. It is the responsibility of the triage nurse to rapidly identify and
respond to actual life-threatening states and to also make a judgement as to the potential for lifethreatening states to occur 18.
Triage decisions are made in response to the patients presenting signs or symptoms and no
attempt to formulate a medical diagnosis is made11. The allocation of a triage category is made on
the basis of necessity for time-critical intervention to improve patient outcome, potential threat to
life or need to relieve suffering11. The decisions made by a triage nurse are a pivotal factor in the
initiation of emergency care. Therefore the accuracy of triage decisions is a major influence on the
health outcomes of patients3,16,19. As all of these characteristics make triage decision-making
inherently difficult, it may be argued that triage nurses require advanced clinical decision making
expertise20.
Triage decisions can be divided into primary and secondary triage decisions. Primary triage
decisions relate to the triage assessment, allocation of a triage category and patient deposition
whilst secondary triage decisions relate to the initiation of nursing interventions in order to
expedite emergency care and promote patient comfort19,21.
12
Primary triage decisions
The allocation of a triage category is based on the nature of the patients presenting problem and
the need for medical intervention as determined by the triage nurse12,14 . The time to treatment
described for each triage category refers to the maximum time the patient should wait for medical
assessment and treatment 9,15 .
Triage decisions and triage category allocation should be based on the patients individual need
for care and should not be affected by ED workloads, performance criteria, financial incentives or
organisational systems6,9 . All patients should be allocated a triage category according to their
objective clinical urgency. The presence of specific organisational systems, for example, nurse
initiated interventions, team responses and fast track systems should not affect triage category
allocation9.
There are three well-recognised outcomes of primary triage decisions. These are expected
triage decisions, over triage decisions and under triage decisions22-25.
An expected triage decision is the allocation of a triage category that is appropriate to the
patients presenting problem. The patient will be seen by a doctor within a suitable time
frame and should have a positive health outcome22-25.
An over triage decision is the allocation of a triage category of a higher acuity than
indicated by the patients physiological status and risk factors. This results in the patients
waiting time until medical intervention being shorter. Although this is not detrimental to
the patient in question, the effect of inappropriate allocation of resources has the potential
to adversely affect other patients in the ED 22-25.
An under triage decision is the allocation of a triage category of a lower acuity than
indicated by the patients physiological status and risk factors. This prolongs the patients
waiting time until medical intervention and there is potential for patients to deteriorate
whilst waiting or be subjected to prolonged pain or suffering. These factors increase the
risk of an adverse patient outcome 22-25 .
Primary triage decisions should be based on both objective and subjective data as follows:
Objective data:
Subjective data:
Primary survey; and
Chief complaint;
Physiological data.
Precipitating event / onset of symptoms;

Mechanism of injury;
Time of onset of symptoms / event; and
Relevant past history1
13
Objective data collection
7.1 Primary survey

The primary survey should form the basis of all primary triage decisions. If a breach of the
primary survey is detected, the triage assessment should be terminated and the triage nurse
initiate immediate interventions. For example, basic life support in the event of respiratory /
cardiac arrest or the application of pressure in the event of haemorrhage 1. Order of triage should
not be restricted to order of arrival but should be based on across the room assessment of
patients waiting to be triaged1.
7.2 Physiological data

Airway, breathing, and circulation are the prerequisites of life and their dysfunction are the common
denominators of death
McQuillan et al. 1998 p31626.
Research supports the use of physiological criteria as a basis for clinical decisions. Many studies
report that the majority of patients exhibit physiological abnormalities in the hours preceding
cardiac arrest and that patient outcomes can be related to physiological criteria27-35. Research has
also demonstrated that triage nurses frequently use indicators of patient safety (normal clinical
characteristics) when making triage decisions 11.
The primary triage decision should reflect the physiological status of the patient and the
collection of physiological data for all patients should follow the primary survey approach11. The
physiological discriminators developed from the literature, work previously undertaken by the
ENA Working Party and consensus with Victorian triage nurses who attended the projects
forums will be used to discuss, in detail, how physiological data relates to each of the triage
categories. For convenience, these physiological discriminators (adult & paediatric) can also be
found in appendices 2a & 2b at the end of the text.
The aim of the physiological discriminators is not to replace the clinical judgement of the triage
nurse but to provide a consistent, research-based approach to triage education. For the ease of
description, the physiological discriminators in these guidelines are arbitrarily divided into cells
relating to each element of the primary survey with a triage category. It should be remembered
that these divisions are artificial. As with elements of patient assessment, each discriminator
should be considered as part of a larger clinical picture and not considered in isolation.
The physiological discriminators described in these guidelines are not intended to be used in a
stepwise fashion to make triage decisions. It is intended that they provide novice triage nurses
with a tool against which to reflect on their primary triage decisions. For example, a novice triage
nurse carries out his or her triage assessment and allocates a triage category. He or she may then
refer to the physiological discriminators to critique that decision. These discriminators may also
assist novice triage nurses in justifying their triage decision to others.
14
7.2.1 Airway
Table 7.1 displays the physiological discriminators for airway, both adult and paediatric, for each
triage category. Any adult patient with an obstructed or partially obstructed airway should be
allocated Category 1. These patients have failed their primary survey and require definitive
airway management. In adults, stridor is evident when greater than 75% of the airway lumen has
been obstructed, however in children stridor can occur as a consequence of minimal oedema,
swelling or obstruction36,37 .
Table 7.1.
Physiological discriminators for airway
Triage Category
Adult
Paediatric
Category 1
Obstructed
Obstructed
Partially obstructed airway
Partially obstructed airway with severe

respiratory distress
Patent airway
Patent
Partially obstructed airway with moderate

Patent
Partially obstructed airway with mild

Category 2
Category 3
Patent airway
Category 4
Patent airway
Patent airway
Category 5
Patent airway
Patent airway
15
7.2.2 Breathing
Table 7.2 displays the physiological discriminators for breathing, both adult and paediatric, for
each triage category. Observation of respiratory function is reported to be an influential factor in
many triage decisions 11. The characteristic of normal respiration has been reported as
influential in as many as 62% of triage episodes and respiratory distress was found by one
study to be the most frequently reported abnormality of respiration11.
Table 7.2.
Physiological discriminators for breathing
Triage Category
Adult
Paediatric
Category 1
Absent respiration or hypoventilation
Absent respiration or hypoventilation
Severe respiratory distress, e.g.
Severe respiratory distress, e.g.
Category 2
Category 3
Category 4
Category 5
severe use accessory muscles
severe use accessory muscles
unable to speak
severe retraction
central cyanosis
acute cyanosis
altered conscious state
Moderate respiratory distress, e.g.
Moderate respiratory distress, e.g.
moderate use accessory muscles
moderate use accessory muscles
speaking in words
moderate retraction
skin pale / peripheral cyanosis
skin pale
Mild respiratory distress, e.g.
Mild respiratory distress, e.g.
mild use accessory muscles
mild use accessory muscles
speaking in sentences
mild retraction
skin pink
skin pink
No respiratory distress, e.g.
no use accessory muscles
speaking in full sentences
no retraction
no retraction
Respiratory dysfunction is known to be a clinical antecedent to adverse events31,38-40 . New onset

dyspnoea and tachypnoea are well documented to be significant indicators of impending adverse
events 29. Admission to hospital with pulmonary problems has been demonstrated to have a
higher than average incidence of mortality and morbidity and inadequate oxygenation has been
identified as one of the recurrent factors in preventable deaths 33,41,42 .
Given that respiratory dysfunction is a predictor of poor outcome, it is important that respiratory
dysfunction is identified during the triage assessment. Finite values for respiratory rate have not
been stated in the physiological discriminators as there is some variation in the literature and
most of this literature pertains to adult patients. However, most of the respiratory rates cited do
have similarities:
RR > 30 breaths per minute 32,40;
RR < 10 or > 30 breaths per minute 29;
RR > 30 breaths per minute 27.
16
7.2.3 Circulation
Table 7.3 displays the physiological discriminators for circulation, both adult and paediatric, for
each triage category. Haemodynamic compromise, particularly hypotension has been
documented as an indicator of poor outcome 43,44 . Therefore it is important that haemodynamic
compromise if present is detected during the triage assessment. As it may or may not be possible
to measure blood pressure at triage, other indicators of haemodynamic status should be
considered, for example:
Peripheral pulses;
Skin status;
Conscious state;
Alterations in heart rate.
Table 7.3.
Physiological discriminators for circulation
Triage Category
Adult
Paediatric
Category 1
Absent circulation
Significant bradycardia e.g. HR < 60 in

infants
Severe haemodynamic compromise, e.g.
Category 2
Category 3
Category 4
Category 5
Absent circulation
Severe haemodynamic compromise, e.g.

-
absent peripheral pulses
skin pale, cold, moist
significant alteration in HR
Uncontrolled haemorrhage
skin pale, cold, moist, mottled
significant tachycardia
capillary refill > 4 secs
Moderate haemodynamic compromise, e.g.
Moderate haemodynamic compromise, e.g.
absent radial pulse but palpable

brachial pulse
weak / thready brachial pulse
skin pale, cool
skin pale, cool, moist
moderate tachycardia
moderate alteration in HR
capillary refill 2-4 secs
Mild haemodynamic compromise, e.g.
> 6 signs of dehydration
Mild haemodynamic compromise, e.g.
palpable peripheral pulses
skin pale, cool, dry
skin pale, warm
mild alteration in HR
mild tachycardia
No haemodynamic compromise, e.g.
3 - 6 signs of dehydration
skin pink, warm, dry
< 3 signs of dehydration
No signs of dehydration
17
Again finite values for heart rate and blood pressure have not been stated in the physiological
discriminators due to variation in the literature. Again most of the values for heart rate and blood
pressure do share similarities:
HR < 70 or > 110 beats per minute35;
HR < 50 or > 130 beats per minute27.
SBP < 90 mmHg32,38;

SBP < 70 mmHg or > 110 mmHg35;
mean BP < 70 mmHg or > 130 mmHg29;
SBP < 90 mmHg or > 200 mmHg27.
7.2.3.1
Paediatric dehydration
One of the most common paediatric presentations related to haemodynamic status is dehydration
and this may be the result of a wide range of illnesses. There are many signs and symptoms of
dehydration, however the information provided by these signs and symptoms is of more value if
considered collectively rather than in isolation. Examples of signs and symptoms of dehydration
that have been tested by research are:
Decreased level of consciousness;
Capillary refill < 2 seconds;
Dry oral mucosa;
Sunken eyes;
Decreased tissue turgor;
Absent tears;
Deep respirations;
Thready / weak pulse;
Tachycardia;
Decreased urine output45.
Research has found that the presence of any three or more signs had a sensitivity of 87% and
specificity of 82% for detecting a deficit of 5% or more and the presence of any two or more of
these signs indicating a deficit of at least 5%45.
18
7.2.4 Disability - conscious state

Table 7.4 displays the physiological discriminators for disability conscious state, both adult and
paediatric, for each triage category. Alteration in conscious state (confusional states, agitation,
restlessness, lethargy) has been documented to be a clinical indicator of poor outcome and
adverse event 28,31,40,44. Neurological observations are also reported to be influential in up to 25%
of triage episodes and level of activity was one of the most common factors cited by triage nurses
as influential in paediatric triage 11.
Table 7.4.
Physiological discriminators for disability
Triage Category
Adult
Paediatric
Category 1
GCS < 8
GCS < 8
Category 2
GCS 9 - 12
GCS 9 - 12
Severe decrease in activity, e.g.
Category 3
Category 4
GCS 13
decreased muscle tone
Moderate decrease in activity, e.g.
or no acute change to usual GCS
lethargic
eye contact when disturbed
Normal GCS
-
Normal GCS
GCS 13
Category 5
no eye contact
Normal GCS
Mild decrease in activity, e.g.

-
quiet but eye contact
interacts with parents
Normal GCS
-
No alteration to activity, e.g.

-
playing
smiling
The Glasgow Coma Scale (GCS) was developed as a standardised scoring system for the
neurological assessment of patients with head injury46. A GCS of less than 9 is considered a
severe head injury, GCS of 9 to 13 is considered moderate and GCS of 14 to 15 is considered a
mild head injury46. Severe head injury (GCS < 9) accounts for approximately 10% of patients with
head injury and carries a mortality rate of up to 40%, with most deaths occurring in the first 48
hours. Moderate head injury (GCS 9 13) accounts for approximately 10% of patients with head
injuries and whilst mortality is estimated to be less than 20%, long term disability may be as high
as 50%. Approximately 70 80% of patients with head injuries fall into the mild classification
(GCS >13). Of this group of patients, it is estimated that 38% of patients will have findings on CT
and 8% will require neurosurgical intervention46.
19
Although the Glasgow Coma Scale has never been validated for use in children, there are
modified versions of the GCS with age specific considerations. The Glasgow Coma Scale and its
age specific modifications are displayed in Table 7.547,48.
Table 7.5.
Glasgow Coma Scale with age specific considerations
Category/Score
Adult
Child
Infant
Spontaneous
Spontaneous
Spontaneous
To speech
To speech
To speech
To pain
To pain
To pain
No response
No response
No response
Orientated
Orientated
Coos and babbles
Confused conversation
Confused
Irritable cry
Inappropriate words
Inappropriate words
Cries to pain
Incomprehensible sounds
Incomprehensible sounds
Moans to pain
No response
No response
No response
Obeys commands
Obeys commands
Normal, spontaneous
movement
Localises to pain
Localises to pain
Withdraws to touch
Withdrawal to pain
Withdrawal to pain
Withdrawal to pain
Flexion to pain
Flexion to pain
Flexion to pain
Extension to pain
Extension to pain
Extension to pain
No response
No response
No response
Eye Opening
Verbal Response
Motor Response
20
7.2.5 Disability - pain

Table 7.6 displays the physiological discriminators for disability - pain, both adult and paediatric,
for each triage category. Severity of a patients pain was identified by one study as an influential
factor in 63% of triage episodes 11.
Table 7.6.
Physiological discriminators for disability - pain
Triage Category
Adult
Paediatric
Category 1
Category 2
Category 3
Category 4
Category 5
Severe pain, eg.
Severe pain, eg.
patient reports severe pain
skin pale, cool
skin pale, cool
severe alteration in vital signs
severe alteration in vital signs
requests analgesia
requests analgesia
Moderate pain, eg.
Moderate pain, eg.
patient reports moderate pain
patient reports moderate pain
skin pale, warm
skin pale, warm
moderate alteration in vital signs
moderate alteration in vital signs
requests analgesia
requests analgesia
Mild pain, eg.
Mild pain, eg.
patient reports mild pain
skin pale / pink, warm
mild alteration in vital signs
requests analgesia
requests analgesia
Mild pain, eg.
Mild pain, eg.
no alteration in vital signs
declines analgesia
declines analgesia
Assessment of pain at triage should take into account both subjective and objective data. Pain is a
subjective experience and patients should not have to justify their pain to health care providers. If
the patient says their pain is 10 out of 10 then the onus is on the triage nurse to believe the
patient. The purpose of the triage assessment is to ascertain how long that patient can wait with
that degree of pain, not to ascertain whether or not the patients pain is in fact 10 out of 10. It is
also part of the triage role to initiate simple interventions that will relieve pain such as
application of an ice pack, or splinting or elevation of a limb. It is beyond the scope of these
guidelines to provide detailed education regarding assessment and management of pain - this
should be sought from more appropriate sources.
21
7.2.6
Disability - neurovascular status
Table 7.7 displays the physiological discriminators for disability neurovascular status, both
adult and paediatric, for each triage category.
Table 7.7.
Physiological discriminators for disability neurovascular status
Triage Category
Adult
Paediatric
Category 1
Category 2
Category 3
Category 4
Category 5
22
Severe neurovascular compromise, eg.
Severe neurovascular compromise, eg.
pulseless
pulseless
cold
cold
nil sensation
nil sensation
nil movement
nil movement
decreased capillary refill
Moderate neurovascular compromise, eg.
Moderate neurovascular compromise, eg.
pulse present
pulse present
cool
cool
decreased sensation
decreased sensation
decreased movement
decreased movement
Mild neurovascular compromise, eg.
Mild neurovascular compromise, eg.
pulse present
pulse present
warm
warm
decreased / normal sensation
decreased / normal sensation
decreased / normal movement
decreased / normal movement
normal capillary refill
No neurovascular compromise
No neurovascular compromise
7.2.7 Mental health emergencies

Table 7.8 displays the physiological discriminators for mental health emergencies, both adult and
paediatric, for each triage category.
Table 7.8.
Physiological discriminators for mental health emergencies
Triage Category
Adult
Paediatric
Category 1
Category 2
Category 3
Definite danger to life (self or others), eg.
Definite danger to life (self or others), eg.
violent behaviour
violent behaviour
possession of weapon
possession of weapon
self destructive behaviour in ED
self destructive behaviour in ED
Probable risk of danger to self or others
Probable risk of danger to self or others
attempt / threat of self harm
threat to harm others
threat to harm others
Severe behavioural disturbance, eg.
Severe behavioural disturbance, eg.
extreme agitation / restlessness
extreme agitation / restlessness
physically / verbally aggressive
physically / verbally aggressive
confused / unable to cooperate
confused / unable to cooperate
requires restraint
requires restraint
Possible danger to self or others, eg.

-
suicidal ideation
Possible danger to self or others, eg.

-
suicidal ideation
Severe distress
Severe distress
Moderate behavioural disturbance, eg.
Moderate behavioural disturbance, eg.
agitated / restless
agitated / restless
intrusive behaviour
intrusive behaviour
bizarre / disordered behaviour
bizarre / disordered behaviour
withdrawn
withdrawn
ambivalence re Tx
ambivalence re Tx
Psychotic symptoms, eg.
hallucinations
hallucinations
delusions
delusions
paranoid ideas
paranoid ideas
Affective disturbance, eg.
symptoms of depression
anxiety
anxiety
elevated / irritable mood
elevated / irritable mood
23
Table 7.8.
Mental health emergencies (continued)
Triage Category
Adult
Paediatric
Category 4
Category 5
Moderate distress, eg.
no agitation / restlessness
irritable not aggressive
cooperative
cooperative
gives coherent history
Symptoms of anxiety or depression without

suicidal ideation
No danger to self or others
No behavioural disturbance
No acute distress, eg.
Symptoms of anxiety or depression without

suicidal ideation
cooperative
cooperative
communicative
communicative
compliant with instructions
known patients with chronic symptoms
known patients with chronic symptoms
request for medication
minor adverse effect of medication
minor adverse effect of medication
financial / social / accommodation /

relationship problem
financial / social / accommodation /

These criteria are from the Mental Health Triage Guidelines written by Dr Tobin, Dr Chen and Dr
Scott (1999) of the South Eastern Sydney Area Health Service48. The Mental Health Triage
Guidelines were developed as part of a project that aimed to improve the quality of care
provided to people who present to general EDs with mental health problems and were designed
to reflect the observed and reported indicators available to the triage nurse 48.
The Mental Health Triage Guidelines developed by Tobin et al. were piloted in early 1999 over
five sites. One hundred triage nurses were educated regarding the use of the guidelines and data
was collected over 476 mental health presentations 48. Following implementation of these
guidelines the triage of patients to Category 3 (42% vs 40%) and Category 4 (36%) remained
unchanged. However there was a small increase in the number of patients triaged to Category 1
(0% vs 3%) and Category 2 (8% vs 14%) and a decrease in the number of patients triaged to
Category 5 (14% vs 8%)48. 26 triage nurses volunteered to complete 16 patient scenarios allowing
the guidelines to be tested for reproducibility and reliability. The mean level of agreement was
84% (range 73% - 100%).
24
7.2.8 Ophthalmic emergencies

Table 7.9 displays the physiological discriminators for ophthalmic emergencies, both adult and
paediatric, for each triage category.
Table 7.9.
Physiological discriminators for ophthalmic emergencies
Triage Category
Adult
Paediatric
Penetrating eye injury
Penetrating eye injury (actual or potential)
Chemical injury
Loss of vision
Sudden loss of vision with or without injury
Sudden onset severe eye pain
Chemical injury
Sudden abnormal vision with or without

injury
Sudden abnormal vision with or without

injury
Moderate eye pain, for example;
Moderate eye pain, for example;
Category 1
Category 2
Category 3
Category 4
Category 5
Severe eye pain
blunt eye injury
blunt eye injury
flash burns
flash burns
foreign body
foreign body
Normal vision
Normal vision
Mild eye pain, for example;
Mild eye pain, for example;
flash burns
flash burns
foreign body
foreign body
Normal vision
Normal vision
No eye pain
No eye pain
foreign body
foreign body
red eye
red eye
The most urgent ophthalmic emergencies are those that threaten the function of the affected
eye(s). Typically the most common presentations of this nature are chemical injuries, penetrating
injuries, severe eye pain and sudden loss of vision49. It is important in the case of a chemical
injury to ascertain the nature of the chemical (acid or alkali) and what first aid (if any) has taken
place. Common alkalis are sodium hydroxide and ammonia, which are generally found in
cleaning agents, and substances found in mortars, concrete and fertilisers. Alkalis rapidly
penetrate the corneal tissue and as they continue to penetrate may ultimately result in damage to
the iris, ciliary body and lens. Acids are less penetrating and damage usually occurs during and
soon after exposure49.
Large penetrating injuries are usually obvious at triage however small penetrating injuries may
be missed49. Typical objects are metal from industrial activities like griding, glass, and garden
debris from activities like lawn mowing and whipper-snippering50. This highlights the
importance of history taking if a penetrating eye injury is suspected.
25
7.2.9 Risk factors for serious illness or injury

There are specific risk factors in both adult and paediatric patients that place them at greater risk
of serious illness or injury. These risk factors should be considered in the light of history of events
and physiological data. It should be remembered that a patient may be at significant risk of
illness or injury and can be physiologically normal at triage. The presence of multiple risk factors,
particularly if directly relevant to the patients presenting problem should be considered
seriously and presence of one or more risk factors may result in allocation of triage category of
higher acuity. Table 7.10 displays the risk factors for serious illness or injury for both adult and
paediatric presentations.
Table 7.10.
Risk factors for serious illness or injury
Adult
Paediatric
26
Age > 65
Mechanism of injury e.g.
Age < 1 month and

-
febrile
acute change to feeding pattern
acute change to sleeping pattern
Mechanism of injury e.g.
penetrating injury
penetrating injury
fall > 5m
fall > 2 X height
MCA > 60 kph
MCA > 60 kph
MBA / cyclist > 30 kph
MBA / cyclist
pedestrian
pedestrian
ejection / rollover
ejection / rollover
prolonged extrication (> 30 minutes)
prolonged extrication (> 30 minutes)
death of same car occupant
death of same car occupant
explosion51
explosion51
Co morbidities, e.g.
Co morbidities, e.g.
respiratory disease
Hx prematurity
cardiovascular disease
respiratory disease
renal disease
carcinoma
renal disease
diabetes
carcinoma
substance abuse
diabetes
immuno-compromised
substance abuse
complex medical problems
immuno-compromised
congenital disease
Table 7.10.
Risk factors for serious illness or injury (continued)
Adult
Paediatric
Historical variables, e.g. events preceding

presentation to ED
Historical variables, for example, events preceding

presentation to ED, eg.
apnoeic episode
apnoeic / cyanotic episode
seizure activity
seizure activity
intermittent altered conscious state
decreased intake
collapse
decreased output
red current jelly stool
bile stained vomiting
Parental concern
Victims of violence, eg.
Cardiac risk factors, eg.

-
smoker
diabetes
family Hx
cholesterol
BP
Obesity
Hx AMI / ischaemic heart disease
Other vascular disease
58-60

-
domestic violence
child at risk
sexual assault
sexual assault
neglect
neglect
Other, eg.
Other, eg.
rash
rash
actual / potential effects of drugs / alcohol
actual / potential effects of drugs / alcohol
chemical exposure
chemical exposure
envenomation
envenomation
immersion
immersion
alteration in body temperature
7.2.9.1
Age
Age greater than 65 years has been associated with increased incidence of adverse events and
increased morbidity and mortality following an adverse event 44,52-54. Extremes of age, for
example, over 80 years old and neonates may also be considered a risk factor for serious illness or
injury. These age groups have physiological differences that place them at increased risk of
serious illness and injury. They have decreased physiological reserve, altered physiological
responses to illness or injury and may present to the ED with non-specific signs and
symptoms 37,55-57.
27
7.2.9.2
Mechanism of injury
Whilst the direct relationship of mechanism of injury to patient outcome remains under debate,
there are specific mechanisms of injury documented in the literature as placing patients at this
risk of life threatening injury. The criteria used in these guidelines are derived from the
Prehospital Major Trauma Criteria contained in the Review of Trauma and Emergency Services
1999: Final Report51.
7.2.9.3
Comorbidities
The presence of systemic disease affecting the function of one or more body systems increases the
risk of serious illness or injury.
7.2.9.4
Historical variables
The notion of historical variables allows for patients who may present with completely normal
physiology at triage but the history of events prior to presentation increases the index of
suspicion of serious illness or injury. For example, an infant may present with a history of
apnoeic episodes or seizure activity at home. When the infant is assessed at triage he or she may
have a completely normal primary survey but the history of events may warrant a triage category
of higher acuity than is indicated by the infants physiological status.
7.2.9.5
Cardiac risk factors
Cardiac risk factors should be considered in those patients who present with an ambiguous
history of chest pain or other symptoms58-60.
7.2.9.6
Other
This category allows for all of the things that do not fit anywhere else.
The actual and potential effects of drugs and alcohol are a risk factor for serious illness and
injury. Alcohol was a contributing factor in 16% of trauma related deaths in Victoria (July 1989 1995)61. The most common causes of deaths in which alcohol was a factor were transport related
(40%), suicide (25%), poisoning or overdose (22%), falls (4%) and drowning (2%)61. Deaths due to
falls whilst under the influence of alcohol were most common in the over 60 years age group and
17% of adults killed in house fires had elevated blood alcohol levels61. Patients may also present
following ingestion of drugs or alcohol and have a normal primary survey, however the type and
amount of drugs / alcohol may make it reasonable to predict physiological deterioration and
allocate at triage category of higher acuity than is indicated by the patients physiological status
on arrival.
Alteration in body temperature has been cited as one factor related to patient outcome,
specifically temperature < 35.50C or > 38.50C and hypothermia in trauma patients (temperature <
350C) are cited to be a predictor of increased mortality35,62 .
Rash is included to alert the triage nurse to the possibility of serious illness such as anaphylaxis
or meningococcal disease however these types of presentations will usually have concurrent
primary survey abnormalities. Historical variables indicative of exposure to chemicals or high
likelihood of envenomation may also warrant allocation of a triage category of higher acuity than
is indicated by the patients physiological status. Again these patients may exhibit concurrent
primary survey abnormalities.
28
Subjective data collection and communication
8.1 Subjective data collection

The triage nurse is the first person that a patient encounters when presenting for emergency care.
Given this, the triage nurse should be highly skilled in interpersonal and communication skills.
The triage nurse has a responsibility to be polite, professional and reassuring whilst eliciting the
information he or she requires making a triage decision.
The collection of subjective data should occur simultaneously with the collection of objective
data. Examples of subjective data collected during the triage assessment include:
Chief complaint;
Precipitating event / onset of symptoms;
Mechanism of injury;
Risk factors for serious illness or injury;
Time of onset of symptoms / precipitating event;
Relevant past history.
The collection of subjective data should be performed in a timely and efficient manner. The triage
nurse should however be aware that in general, when patients (and others) present to the ED
they are experiencing a certain level of crisis. This level of crisis may not always correspond with
that expected for the severity of presenting complaint. The triage nurse must be cognisant of the
fact that patients (and others) may have heightened sensibilities when they present to the ED and
may misinterpret what is intended as effective, efficient questioning as rude or dismissive.
In the ideal world, the triage assessment would occur in a quiet non-threatening environment
that is free from interruptions. In reality, there may be a queue of ambulant patients stretching to
the door, the telephone ringing and multiple ambulances arriving at once. Making the best of a
less than ideal environment may include:
Addressing the patient by name (this may be particularly easy if they present with a doctors
letter or with their Medicare or hospital card already available);
Excusing your self if you need to answer the telephone or attend to another patient, for
example Im sorry Mrs Smith, Ill just need to attend to this gentleman / ambulance /
telephone call. Please take a seat over there, I wont be long and re-establishing contact when
you return, for example Im sorry, now you were telling me about ..;
Altering your communication style to suit the patient from whom you are trying to elicit
information, for example, kneeling down if talking to a child;
Adjusting the type of interview questions, for example, the use of multiple closed questions to
rapidly establish information, for example do you have pain right now?;
Ask one question at a time and avoid questions that contain long lists, for example do you
have chest pain, shortness or breath, nausea or dizziness? Even though it may take a little
longer to ask the questions, it will help to gather more accurate information;
Avoid why questions, for example, why didnt you come to hospital sooner?; why have
you come today when youve had this for three days? These questions may be interpreted as
accusatory. If there is a need for patient education, advice should be constructive and not
condescending, for example, next time you have chest pain you should come to the hospital
straight away - it is really important because ..;
29
If patients are having difficulty giving you the information that you want, provide simple
alternatives. For example, ask the patient is the pain sharp like a knife, burning like fire or
heavy like something sitting on you? or when you said there was a lot of bleeding, was
there a spoonful, a cupful or a bucketful?
8.2 Provision of information

The role of the triage nurse includes liaison with members of the public (patients and others) and
other health care professionals 2. All people seeking emergency care are entitled to information
regarding:
The triage process;
Patient flow through the ED;
Potential management plans;
Specific ED conventions 1.
This information may be given verbally by the triage nurse or may be in written form such as
brochures, posters or signage.
8.2.1 The triage process
Patients (and their families) should have access to information regarding the triage process. This
information should include a simple explanation of the principles of triage, the triage categories,
how the patient has been categorised and their intended waiting time 1. The reason for delays in
waiting times, for example, arrival of multiple seriously ill or injured patients, medical and / or
nursing workload issues should also be explained to patients.
8.2.2 Patient flow
Patients (and their families) should receive an explanation of what they may expect whilst in the
ED1. An example may be when it is your turn one of the nurses will come out and call you into
a cubicle. You will be asked to change into a gown and then a nurse will assess you. The nurse
may start some of your investigations, for example, ECG or blood tests and will care for you until
the doctor is able to see you.
8.2.3 Potential management plans
Patients (and their families) should be given information regarding potential management as
appropriate, for example your injury is likely to need an operation to repair it so you will not be
able to eat or drink until the doctor has seen you1.
8.2.4 Specific ED conventions
Patients (and their families) should be made aware of conventions that are specific to your ED,
for example, regulations regarding visitors (if any), food and drink etc1.
30
8.3 Waiting times - what not to say

The role of the triage nurse is to be helpful to those who present for emergency care or seeking
information. There are common questions that you may be asked at triage and the way in which
you answer them can impact greatly on the patient (or others):
How long is the wait?
If you take this question on face value and tell this patient about 2 hours you may have
negated the whole triage process, particularly if the patient has a presenting problem that is
actually or potentially life threatening. There is also the danger that the patient will
respond politely with Thanks very much, Ill go to my own doctor and leave the ED
without you ever knowing what the problem actually was and / or without being assessed.
A more appropriate response would be it depends on the nature of your problem, how
can I help you today? At least if this patient has crushing central chest pain, or has fallen a
great height off a roof you will know about it.
If this question is coming from a patient who has already been triaged and for whom you
are caring for in the waiting room, be cautious in how you answer this question. Firstly,
you should elicit why they are asking - is it because their symptoms are worse? Does this
patient warrant re-triage and medial assessment or intervention because they have
deteriorated?
Secondly, if you say, for example, thirty minutes and then your ED receives one or two
patients with life threatening illness or injury, waiting times will often become prolonged
as a consequence and the patient (or others) may perceive that you have lied. It may be
better to say something like at the moment there are three people in front of you. If all is
well, this should mean that you should be seen in around minutes. However, patients in
the ED are not seen in order of arrival, they are seen according to the seriousness of the
problem. This means that if a patient was to arrive now and they were not breathing, we
would see that patient first and this may make your waiting time longer. Unfortunately I
can not predict how many patients will arrive.
Ive been waiting hours - when will I see the doctor?
There is no simple solution to placating patients who are experiencing prolonged waiting
times for whatever reason. Whilst it is reasonable to offer patients (and others) an
explanation for their prolonged waiting time, some explanations will be more likely to
offend than others.
Weve had a lot of emergencies today may be met with a response such as but I am an
emergency. It may be more appropriate to give patients (and others) a frame of reference,
for example, there has been a really bad car accident and we have just received 2 patients
with life threatening injuries or we are treating a patient who is not breathing and whose
heart has stopped. This is taking up a lot of our doctors and nurses.
Whenever a patient (or others) is asking about the waiting time and it is a particularly busy
shift, often there is not much you can do to make a difference to the time until a doctor sees
the patient. However, there are things that you can do.
You may need to tell the patient (and others) that there are still numerous patients to be
seen before them but you may want to ask them can I do something for you while you are
waiting? Simple things like providing a drink or blanket may be all the patient requires to
increase their comfort while they wait. Depending on the organisation for which you work,
you may be able to consider some nurse-initiated interventions that will expedite patient
care (see Secondary triage decisions).
31
Secondary triage decisions
Nursing interventions initiated by the triage nurse must be regarded as a secondary triage role,
and in all but life or limb threatening circumstances; should take place following the primary triage
decision1. Secondary assessment and interventions often occur once the patient is in their allocated
cubicle but under some circumstances these may occur at triage or in the waiting room.
The initiation of nursing interventions by the triage nurse, particularly whilst the patient is
waiting to see a doctor, have potential to impact on the health outcomes of patients 19. The
initiation of nursing interventions is an important aspect of the role of the triage nurse and again
relies on the clinical decisions made by triage nurses19. Secondary triage decisions may be made
independently by the triage nurse, in conjunction with guidelines or protocols or after obtaining
a doctors order19.
The aim of initiation of nursing interventions at triage is to:
Provide basic life support as required;
Expedite definitive management within the emergency department;
Promote patient comfort; and
Maximise patient satisfaction with emergency care 1.
Nurse initiated interventions at triage must:
Only be conducted with the patient or carers permission;
Ensure an appropriate level of privacy for the patient;
Not delay medical assessment;
Be clearly explained to the patient;
Be documented;
Be in accordance with organisational guidelines for nurse initiated practice 1.
Examples of nurse initiated interventions to expedite care at triage may include:
Administration of analgesia;
Facilitating referral to related services;
Administration of antipyretics;
IV cannulation;
Administration of oral rehydration;
Ordering of X-rays for patients with

isolated limb injury;
Administration of oxygen therapy;

Blood glucose measurement;
Collection of blood for pathology studies;
First aid (BLS, splinting, RICE, eye
irrigation);
Plaster of Paris checks;

Urinalysis;
Weight;
Wound management1.
All nurse-initiated interventions should be in accordance with organisational guidelines and

policies1.
Triage decisions should be based on the patients individual need for care and all patients should
be allocated a triage category according to their objective clinical urgency6. The presence of
specific organisational systems, including the initiation of interventions by the triage nurse
should not affect triage category allocation9.
32

In Australia, every person has the right to present to an ED. Although appropriate referral to
other health care providers is part of the role of the triage nurse, referral away from the ED
should be undertaken cautiously on the part of the triage nurse and voluntarily on the part of the
patient.
Research has shown that as many as three quarters (74.9%) of triage nurses frequently (several
times per shift, daily or weekly) and independently refer non urgent patients (Category 5) to a
general practitioner21. As triage nurses are required to both justify and be accountable for their
clinical decisions, the decision to refer a patient away from the ED places the triage nurse and the
organisation for which he or she works at significant medicolegal risk 19,21. There are questions
regarding the adequacy and medico legal acceptability of examinations conducted in the triage
environment and no specific standards by which the triage nurse can practice21. The
consequences of poor decisions are potentially magnified if the triage nurse refers a patient away
from the ED and can range from a delay in treatment to the death of a patient21.
If the patient is to be referred to another health care provider, they should always be provided
with the rationale for the referral. It is also the responsibility of the triage nurse to provide first
aid prior to referral, for example, application of a sling or simple dressing. Referral away from the
ED should also include consultation with the health care provider to whom the patient is being
referred to ensure that they are able to provide appropriate investigations or interventions. At
this point in time there are no legal requirements regarding referral away from the ED21. The
triage nurse may transfer the responsibility of making this decision to the patient but this does
not absolve the triage nurse or the organisation from risk. If the patient suffered an adverse
health outcome, there is still potential for the ED and the triage nurse to be held accountable for
an act of omission. Given the potential risks involved in referral away from the ED, this practice
should only be undertaken in accordance with specific ED guidelines.
9.2 Ongoing assessment and care of patients in the triage / waiting area
The ongoing assessment and care of patients triaged to the triage / waiting area is the
responsibility of the triage nurse. All patients who have exceeded the waiting time as deemed
appropriate by their triage category and who remain in the waiting area should have a
documented reassessment by the triage nurse.
The triage nurse has a responsibility to inform all patients triaged to the waiting area to report
back to the triage nurse if they feel unwell, have pain or require assistance whilst they wait. This
is particularly important if you know that waiting times will be prolonged. The triage nurse also
has a responsibility to take a proactive role and approach those patients who appear to have
increased symptoms whilst in the waiting room or patients who have had particularly prolonged
waiting times.
10 Organizational and community resources

The triage nurse should be aware of resources both within the organisation and the community
in which he or she works. It is also the responsibility of the triage nurse to refer appropriately to
these resources. Examples of resources available are listed in the ENA Position Statement:
Educational Preparation of Triage Nurses provided in Appendix 3.
33
11 Documentation
Every triage episode should be documented. Documentation of the triage assessment should
reflect, if not justify, the triage category selected by the triage nurse. ACEM state that
documentation of the triage assessment should include at least the following:
Date and time of triage assessment;
Name of the triage nurse;
Chief complaint / presenting problem;
Limited relevant history;
Relevant assessment findings;
Triage category;
Assessment and treatment area allocated;
Diagnostic, first aid or treatment initiated at triage9.
11.1 Re-triage
A process of re-triage should be undertaken if a patients condition changes whilst they are
waiting or if additional information that impacts of the patients clinical condition becomes
available. Both the initial triage category and the re-triage category should be recorded as should
the time and reason for re-triage9. There will be different organisation specific processes for the
documentation of patients requiring re-triage. It is the responsibility of the triage nurse to seek
out this information prior to independent practice in the triage role.

As mentioned previously, the triage nurse has a responsibility to be familiar with the specific
organisational documentation requirements regarding triage away from the ED.
34
12 Risk management
There is a dual responsibility between the triage nurse and the organisation to ensure a safe
triage environment for staff, patients and others 1. The importance of safety as a priority in
emergency situations is clearly documented and safety of rescuers, victims and bystanders is
given precedence over assessment of airway, breathing and circulation63. These principles are
readily applied to the triage context and the safety of the triage nurse, presenting patient and
those present in the waiting room are of paramount importance.
12.1 Aggression management

One of the most obvious safety issues for the triage nurse is the management of the violent or
aggressive person. The triage nurse should be able to recognise and manage appropriately
aggressive and / or violent behaviour. This includes:
Access to training and education in aggression / conflict management;
Knowledge of emergency and security procedures, for example, access and egress points at
triage, duress alarms, security personnel, locking doors, code black, police assistance;
Identification of potential weapons both on persons and in the triage area, for example,
objects that could be thrown1.
12.2 Patient retrieval

On occasion, the triage nurse is required to retrieve patients from outside the confines of the
waiting area, but within the confines of the ED, most commonly from the ambulance bay or car
park areas. The triage nurse should be able to facilitate retrieval of patients, from appropriate
areas, without personal risk. This includes:
Knowledge of the geographical boundaries of responsibility and knowledge of emergency
procedures if the patient is beyond geographical boundaries, for example, ambulance
assistance;
Assessment of risk, for example, personal safety, lifting and patient movement issues;
Identification and mobilisation of required resources, for example security personnel, ED
personnel, lifting devices, wheelchair, patient trolley;
Adequate equipment, for example gloves, protective clothing, bag - valve- mask device1.
12.3 Safety of persons in the waiting area

As the triage nurse is responsible for the care of patients (and others) in the waiting area, it is also
the responsibility of the triage nurse to ensure a safe environment for those in the waiting area.
This includes:
Prevention of falls, for example, removal of obstacles, access to wheelchairs;
Rapid identification of deterioration of patients, for example, adequate visibility of waiting
area;
Initiation of appropriate patient interventions, for example, location of emergency buzzer,
bag-valve-mask device, code blue, bandages, splints;
See aggression management1.
35
12.4 Environmental Hazards

The triage nurse may encounter environmental hazards that require specific precautions. These
include:
Identification and appropriate interventions for the management of blood and body fluids,
for example, access to gloves, hand washing facilities, protective eye wear, protective
clothing, management of body fluid spills;
Identification and appropriate interventions for the management of chemical, biological
and radiological hazards, for example, access to protective clothing, knowledge of
decontamination procedures 1.
36
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36. Hamilton-Farrell M, Hanson G. General care of the ventilated patient in the intensive care unit. In: Moxham J, Goldstone J,
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2000: 1631 - 1645.
47. Henderson D, Brownstein D. Pediatric Emergency Nursing Manual. New York: Springer Publishing Company, 1994.
48. Tobin D, Chen L, Scott E. Development and Implementation of Mental Health Triage Guidelines for Emergency
Departments: South Eastern Sydney Area Health Service, 1999.
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Bailliere Tindall, 2000: 429-446.
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52. Brennan TA, Hebert LE, Laird NM, et al. Hospital characteristics associated with adverse events and substandard care.
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Medical Journal of Australia 1995;163(9):458-71.
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population: prospective study of factors associated with outcome. Resuscitation 1984;12(2):77-95.
55. Advanced Life Support Group, ed. Advanced Paediatric Life Support: The Practical Approach. Second Edition ed. London:
BMJ Publishing Group, 1997.
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57. Ritchie P. Trauma in the Elderly. In: Cameron p, Jelinek G, Kelly A, Murray L, Heyworth J, eds. Textbook of Adult
Emergency Medicine. Edinburgh: Churchill Livingstone, 2000: 100 - 103.
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59. Ginifer C. Ischaemic Heart Disease: Acute. In: Cameron p, Jelinek G, Kelly A, Murray L, Heyworth J, eds. Textbook of Adult
Emergency Medicine. Edinburgh: Churchill Livingstone, 2000: 139 - 148.
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Angina. Canberra: Australian Government Publishing Service, 1996.
61. Stathakis V, Scott G. Coronial data: a comprehensive overview. Hazard 1999;38:1-16.
62. Skinner T. Hypothermia and severe trauma. Trauma Grapevine 1998;1(14):1-4.
63. Australian Resuscitation Council. Policy Statement: Priorities in an emergency. 1996.
38
Appendix 1: Contributors
Appendix 1: Contributors
The authors wish to acknowledge efforts of the contributors and triage forum attendees in the
development of these guidelines:
Jacqui Allen (Angliss Health Service)

Natalie Barty (ARMC)
Greg Benton (Wangaratta Base Hospital)
Heather Blazko (Goulburn Valley Health Service)
Marc Broadbent (Barwon Health)
Janice Brown (ARMC)
Kylie Chalmers (Werribee Mercy)
Sally Christie (RWH)
Vanessa Clothier (Dandenong Hospital)
Carolyn Cochrane (ARMC)
Sue Cowling (St Vincents Hospital)
Dianne Crellin (RCH)
Leanne Dellar (Mildura Base Hospital)
Nathan Farrow (The Alfred)
James Fitzgerald (Bendigo Health)
Karen Flett (The Alfred)
Anne Galletti (LRH)
Marie Gerdtz (ENA Triage Working Party)
Anne-Louise Gill (Box Hill Hospital)
Kirsty Gough (Angliss Health Service)
Denise Green (Western Hospital)
Roger Gregory (Wangaratta Base Hospital)
Janet Hicks (Mildura Base Hospital)
Christine Hill (Western Hospital)
Carol Holman (Warrnambool Base Hospital)
Kerry Hood (Dandenong Hospital)
Branka Horvat (Maroondah Hospital)
Annabel Howe (The Northern Hospital)
Mira Ilic (Box Hill Hospital)
Jane Jenkins (RCH)
Merilyn Kahout (Williamstown Hospital)
Robyn Kelly (Echuca Hospital)
Dana Kiley (Southern Health)
Lois Kovacek (Williamstown Hospital)
Amanda King (The Alfred)
Tanya Kuiper (Goulburn Valley Health Service)

Helen Lang (Ballarat Health)
Catherine Lennon (St Vincents Hospital)
Trish Mant (Barwon Health)
Julieanne Martin (Monash University)
Mary McCarthy (Mercy for Women)
Yvette McClure (Mildura Base Hospital)
Marg McLeod (Barwon Health)
Phillipa Moore (RMH)
Matt Parker (Bendigo Health)
Alison Parker (Werribee Mercy)
Di Patterson (Frankston Hospital)
Jenny Pridgeon (LRH)
Marg Radmore (LRH)
Katharina Redford (Warrnambool Base Hospital)
Bernice Redley (MMC)
Kate Roberts (Wangaratta Base Hospital)
Margo Scholes (Bendigo Health)
Tracey Sillekins (Ballarat Health)
Darren Smith (Barwon Health)
Jonathan Sparrow (Maroondah Hospital)
Sandra Spendlove (Angliss Health Service)
Pat Standen (ENA Triage Working Party)
Colleen Stevens (Mercy for Women)
Carmel Stewart (RMIT)
Monika Taylor (University of Melbourne)
Sherrie Taylor (Maroondah Hospital)
Robyn Tchermeroff (Bendigo Health)
Kerrie Telford (RWH)
Judy Watts (Williamstown Hospital)
Gerard Walsh (RVEEH)
Terry Welch (Goulburn Valley Health Service)
Liz White (Williamstown Hospital)
Elizabeth Virtue (RMH)
Jane Young (RCH)
39
Appendix 2a: Adult Physiological Discriminators
Appendix 2a: APD developed for the Australasian (National) Triage Scale
These physiological discriminators have been based on the Adult Discriminators for National Triage Scale Categories in the Emergency Nurses Association of
Victoria (2000) Position Statement: Educational Preparation of Triage Nurses p. 7-8 (see appendix 3). The signs and symptoms listed are examples only. Patients
may or may not necessarily display all of the signs or symptoms listed or exhibit alternative signs or symptoms to those listed.
Cat 1
Airway
Breathing
Circulation
Obstructed
Partially Obstructed
Absent respiration or
hypoventilation
Cat 3
Cat 4
Cat 5
Patent
Patent
Patent
Patent
Respiration present
Respiration present
Respiration present
Respiration present
Severe respiratory distress,

eg.
Moderate respiratory
distress, eg.
Mild respiratory distress, eg.
No respiratory distress, eg.
No respiratory distress, eg.
severe use accessory

muscles
moderate use accessory

muscles
minimal use accessory

muscles
no use of accessory
muscles
no use of accessory
muscles
speaking in short sentences -
unable to speak
speaking in words
skin pink
central cyanosis
skin pale / peripheral

cyanosis
Absent circulation
Circulation present
Circulation present
Circulation present
Circulation present
Severe haemodynamic
compromise, eg.
Moderate haemodynamic
compromise, eg.
Mild haemodynamic
compromise, eg.
No haemodynamic
compromise, eg.
No haemodynamic
compromise, eg.
skin pale, cold, moist
absent radial pulse but

palpable brachial
skin pale, cool, dry
skin pale / pink, warm, dry
skin pale, cool, moist
mild alteration in HR
moderate alteration in HR
40
Cat 2
significant alteration in HR
Adult Physiological Discriminators for the Australasian (National) Triage Scale (continued)
Cat 1
Disability
GCS < 8
Cat 2
Cat 4
Cat 5
GCS 9 - 12
GCS > 13
Normal GCS or no acute to

usual GCS
Severe pain, eg.
Moderate pain, eg.
Mild pain, eg.
No or mild pain, eg.
skin, pale, cool
patient reports moderate

pain
skin, pink, warm
skin, pink, warm
skin, pale, warm
moderate alteration in vital

signs
requests analgesia
declines analgesia
requests analgesia
No neurovascular
compromise
Cat 3
severe alteration in vital

signs
requests analgesia
Severe neurovascular
compromise, eg.
Moderate neurovascular
compromise, eg.
Mild neurovascular
compromise, eg.
pulseless
pulse present
pulse present
cold
cool
warm
nil sensation
sensation
normal / sensation
nil movement
movement
normal / movement
capillary refill
capillary refill
41
Normal GCS or no acute to

usual GCS
Cat 1
Mental Health
Emergencies
Cat 2
Definite danger to life

(self or others), eg.
violent behaviour
Probable danger to life (self

or others), eg.
possession of a weapon
threat of harm to others
self destruction
Severe behavioural
disturbance, eg.
- used with permission from South Eastern Sydney Area

Health Service;
Tobin D, Chen, L, Scott, E.

1999. Development and
Implementation of Mental Health
Triage Guidelines for
Emergency Departments. South
Eastern Sydney Area Health
Service.
42
Cat 3
extreme agitation /
restlessness
physically / verbally
aggressive
confused / unable to
cooperate
Requires restraint
Cat 4
Cat 5
Possible danger to life, eg.
suicidal ideation
Severe distress
Moderate behavioural
disturbance, eg.
cooperative
cooperative
communicative
agitated / restless
intrusive behaviour
bizarre / disordered
behaviour
symptoms of anxiety or
depression without suicidal
ideation
known patients with chronic

symptoms
withdrawn
ambivalence re Tx
minor adverse effect of

medication
hallucinations
financial / social /
accommodation /
delusions
paranoid ideas
anxiety
elevated or irritable mood
Cat 1
Cat 2
Ophthalmic
Emergencies
Cat 3
Chemical injury
Sudden loss of vision with

or without injury
Sudden onset severe eye
pain
Cat 4
Sudden abnormal vision

with or without injury
Moderate eye pain, eg.
blunt eye injury
flash burns
foreign body
Cat 5
Normal vision
Normal vision
Mild eye pain, eg.
No eye pain
blunt eye injury
flash burns
foreign body

should be considered in the light of history of events and physiological data
multiple risk factors = increased risk of serious injury
presence of one or more risk factors may result in allocation of triage category of higher acuity
Mechanism of injury, eg.
Co morbidities, eg.
Age > 65 years
Cardiac risk factors, eg.
Other, eg.
penetrating injury
respiratory disease
Historical variables, eg.
smoker / obesity
rash
fall > 5m
diabetes / +ve family Hx
MCA > 60 kph
renal disease
events preceding presentation to ED

apnoeic episode
seizure activity
actual / potential effects of drugs

/ alcohol
chemical exposure
envenomation
immersion
carcinoma
pedestrian
diabetes
ejection / rollover
substance abuse
prolonged extrication (> 30

minutes)
immuno-compromised
death same car occupant
explosion
cholesterol / BP
known coronary artery disease
other vascular disease, eg. PVD
intermittent altered conscious

state
collapse
domestic violence
sexual assault
neglect
43
Appendix 2b: Paediatric Physiological Discriminators
Appendix 2b: PPD developed for the Australasian (National) Triage Scale
The discriminators are examples and have been based on the Adult Discriminators for National Triage Scale Categories in the Emergency Nurses Association of Victoria (2000) Position
Statement: Educational Preparation of Triage Nurses p. 7-8 (see appendix 3).
Cat 1
Cat 2
Cat 3
Obstructed
Patent
Patent
Partially obstructed with

severe respiratory distress

moderate respiratory distress

mild respiratory distress
Absent respiration or
hypoventilation
Respiration present
Severe respiratory distress,

eg.
Moderate respiratory distress,

eg.
severe use accessory

muscles
severe retraction
Circulation
Cat 4
Cat 5
Patent
Patent
Respiration present
Respiration present
Respiration present
Mild respiratory distress,

eg.
No respiratory distress
moderate use accessory

muscles
mild use accessory

muscles
no retraction
no retraction
moderate retraction
mild retraction
acute cyanosis
skin pale
skin pink
Absent circulation
Circulation present
Circulation present
Circulation present
Circulation present
s/s dehydration
Significant bradycardia, eg.
LOC / activity
cap refill < 2 sec
Severe haemodynamic
compromise, eg.
Moderate haemodynamic
compromise, eg.
Mild haemodynamic
compromise, eg.
No haemodynamic
compromise, eg.
No haemodynamic
compromise, eg.
weak / thready brachial pulse
skin pale, cold, moist,

mottled
skin pale, cool,
skin pale, warm
moderate tachycardia
mild tachycardia
significant tachycardia
capillary refill 2-4 secs
capillary refill > 4 secs
> 6 s/s dehydration
3 - 6 s/s dehydration
< 3 s/s dehydration
No s/s dehydration
Airway
Breathing
dry oral mucosa

sunken eyes
tissue turgor
absent tears
deep respirations
thready / weak pulse
HR < 60 in an infant
tachycardia
urine output
44
Paediatric Physiological Discriminators for the Australasian (National) Triage Scale (continued)
Cat 1
Disability
GCS < 8
Cat 2
GCS 9 12
Cat 3
Cat 5
GCS > 13
Severe decrease in activity,

eg.
Moderate decrease in
activity, eg.
Normal GCS or no acute

change to usual GCS
Normal GCS or no acute

change to usual GCS
No alteration to activity, eg.
no eye contact,
lethargic
Mild decrease in activity,

eg.
Playing
quiet but eye contact
smiling
interacts with parents
No or mild pain, eg.
decreased muscle tone
Cat 4
eye contact when disturbed
Severe pain, eg.
Moderate pain, eg.
Mild pain, eg.
patient / parents report

severe pain

moderate pain
patient / parents report mild pain

mild pain
skin, pale, cool
skin, pale, warm
skin, pink, warm
skin, pink, warm
alteration in vital signs
alteration in vital signs
requests analgesia
requests analgesia
requests analgesia
declines analgesia
Severe neurovascular
compromise, eg.
Moderate neurovascular
compromise, eg.
Mild neurovascular
compromise, eg.
No neurovascular
compromise
pulseless
pulse present
pulse present
cold
cool
normal / sensation
nil sensation
sensation
normal / movement
nil movement
movement
capillary refill
capillary refill
45
Cat 1
Mental Health
Emergencies
Cat 2
Definite danger to life

(self or others), eg.
violent behaviour
Probable danger to life (self

or others), eg.
possession of a weapon
threat of harm to others
self destruction
Severe behavioural
disturbance, eg.
- used with permission from South Eastern Sydney Area

Health Service;
Tobin D, Chen, L, Scott, E.

1999. Development and
Implementation of Mental Health
Triage Guidelines for
Emergency Departments. South
Eastern Sydney Area Health
Service
46
Cat 3
extreme agitation /
restlessness
physically / verbally
aggressive
confused / unable to
cooperate
Requires restraint
Cat 4
Cat 5
Possible danger to life, eg.
suicidal ideation
Severe distress
Moderate behavioural
disturbance, eg.
cooperative
cooperative
communicative
agitated / restless
intrusive behaviour
bizarre / disordered
behaviour
symptoms of anxiety or
depression without suicidal
ideation
known patients with chronic

symptoms
withdrawn
ambivalence re Tx
minor adverse effect of

medication
hallucinations
financial / social /
accommodation /
delusions
paranoid ideas
anxiety
elevated or irritable mood
Cat 1
Cat 2
Ophthalmic
Emergencies
Cat 3
Chemical injury
Sudden loss of vision with

or without injury
Sudden onset severe eye
pain
Cat 4
Sudden abnormal vision

with or without injury
Moderate eye pain, eg.
blunt eye injury
flash burns
foreign body
Cat 5
Normal vision
Normal vision
Mild eye pain, eg.
No eye pain
blunt eye injury
flash burns
foreign body

should be considered in the light of history of events and physiological data
multiple risk factors = increased risk of serious injury
presence of one or more risk factors may result in allocation of triage category of higher acuity
Mechanism of injury, e.g.
Co morbidities, eg.
Age < 1 month and
penetrating injury
Hx prematurity
febrile
fall > 2 X height
respiratory disease
acute change to feeding pattern
MCA > 60 kph
acute change to sleeping pattern
renal disease
pedestrian
carcinoma
Victims of violence, e.g.
ejection / rollover
diabetes
child at risk
prolonged extrication (> 30

minutes)
substance abuse
sexual assault
immuno-compromised
neglect
death same car occupant
congenital disease
explosion
complex medical Hx
47
Historical variables, for example,

events preceding presentation to
ED
apnoeic / cyanotic episode
seizure activity
decreased intake
decreased output
red current jelly stool
bile stained vomiting
Parental concern
Other, e.g.
rash,
actual / potential effects of drugs
/ alcohol
chemical exposure
envenomation
immersion
Appendix 3: ENA Position Statement: Triage

Introduction
The triage nurse is the first contact for all people entering the Emergency Department: triage is
the point at which emergency care begins. It is the intention of this position statement to promote
national triage consistency including the application of the National Triage Scale, standards of
care at triage and educational preparation of triage nurses.
This position statement is designed for use within organisations that have an accredited
Emergency Department. The Emergency Nurses Association of Victoria (Inc) will act as a
consultative body regarding issues surrounding triage practice.
It is the view of the Emergency Nurses Association of Victoria (Inc) that all triage decisions be
based on the clinical condition of individual patients. Adjustment of triage practice to
accommodate departmental workloads or funding mechanisms negates an effective triage
system.
Characteristics of the Triage Nurse

Clinical decisions made by triage nurses represent complex cognitive processes. Triage nurses must be able
to think critically in an environment where available data may be minimal or ambiguous and within a
limited time frame.
ENA recommends that the triage nurse:
i. Is competent and able to function independently in all aspects of emergency nursing prior to
undertaking the triage role;
ii. Performs to the minimum standards (Emergency Nursing) as identified by ENA;
iii. Performs to the minimum standards (Triage) as identified by ENA;
iv. Demonstrates accountability for his / her triage decisions; and
v. Has completed at least one year of post registration practice in emergency nursing.
Role of the Triage Nurse

Triage is an autonomous nursing role and is essential to the efficient delivery of emergency care. This role
is underpinned by the triage nurse's communication skills.
ENA recommends that triage is performed by a Registered Nurse (Division 1). The role of the
triage nurse is to:
i. Allocate a NTS category based on patient assessment;
ii. Initiate appropriate nursing interventions to expedite patient care:
first aid,
appropriate referral to other health care professionals,
initiation of organisational guidelines, e.g. x-ray, administration of analgesia; and
iii. Liaise with members of the public (patients and others) and other healthcare professionals.
48
Minimum Practice Standards

Clinical decisions made by triage nurses must be informed by knowledge of a wide range of illness and
injury patterns and current research literature.
ENA recommends that the triage nurse will:
i. As first priority, assess all patients who present for emergency care and allocate a NTS
category;
ii. Initiate nursing interventions in conjunction with organisational guidelines;
iii. Ensure reassessment and ongoing management of patients who remain in the waiting room
within a suitable time frame as determined by their NTS category;
iv. Provide patient and public education where necessary:
health promotion and education,
injury prevention,
community resource information;
v. Demonstrate accountability for practice through accurate and ongoing documentation and
use of clinical information systems; and
vi. Participate in processes of audit and evaluation of triage practice.
Minimum Environmental Standards

There is a dual responsibility between the organisation and the triage nurse to ensure a safe triage
environment.
ENA recommends that the triage environment provide safety for both the patient and the triage
nurse. As such the triage nurse should:
i. Be immediately accessible and well sign posted;
ii. Have an area for patient examination;
iii. Allow patient privacy;
iv. Be able to visualise the entrance and waiting area;
v. Have access to emergency equipment:
bag-valve-mask device
medical emergency assistance system
vi. Practice universal precautions by having access to:
handwashing facilities, provision of eye wear, gloves, and gowns
vii. Ensure the safety of the triage nurse;
have access to duress alarms and security personnel.
49
Appendix 4: ENA Position Statement: Educational Preparation of Triage Nurses
Appendix 4: ENA Position Statement: Educational Preparation of

Triage Nurses
Introduction
Emergency nurses must be prepared for the triage role via structured, unit based education programmes
informed by nationally established triage standards.
ENA recommends that all triage nurses undertake educational preparation prior to undertaking
the triage role. Institutional guidelines should also be acknowledged.
This position statement is to be read in conjunction with the Emergency Nurses Association of
Victoria (Inc) Position Statement: Triage.
Objectives
Following completion of an educational programme, the triage nurse should be able to:
i. Define the role of the triage nurse, (as noted in Position Statement: Triage) and demonstrate
an understanding of the principles of triage;
ii. Demonstrate an understanding of the NTS;
iii. Perform an accurate triage assessment and allocate a NTS category based on that
assessment;
iv. Demonstrate an ability to prioritise patients on the basis of clinical presentation and allocate
presenting patients to an appropriate area of the ED;
v. Initiate appropriate nursing interventions;
vi. Demonstrate an understanding of institutional and community resources;
vii. Identify avoidable hazards that may threaten anothers well being;
viii. Utilise the problem solving approach when dealing with emergency situations.
50
(i) Principles of triage:

Formal process of immediate assessment of all patients who present to the ED;
Classifies patients into groups according to severity of illness or injury;
Effective triage systems aim to promote patient safety by:
accurate initial assessment and prioritising of patients according to illness or injury
severity,
ensuring immediate intervention and greatest resource allocation to patients with life
threatening illness or injury;
In Australia, triage is predominantly a nursing assessment that begins when the patient
presents to the ED;
Triage is an ongoing process involving continuous assessment and reassessment;
The triage process should rapidly identify life threatening states and also the potential for
these states to occur; and
Triage decisions are a primary factor in the initiation of emergency care and therefore may
have a profound effect on the health outcomes of patients who present for emergency care.
(ii) National Triage Scale:
Is a five category triage scale derived from the Ipswich and Box Hill Triage Scales;
Was formulated in 1993 by the ACEM with the aim to standardise the nomenclature and
descriptors of triage categories for use in Emergency Departments in Australia
(Australasian College for Emergency Medicine 1993);
The five triage categories used in the NTS are:
Numeric Code
Category
Treatment Acuity
Colour Code
Resuscitation
Immediate
Red
Emergency
Minutes (< 10 mins)
Orange
Urgent
Half hour
Green
Semi-urgent
One hour
Blue
Non-urgent
Two hours
White
51
At the present time, selection and allocation of a triage category is based on the nature of the
patients presenting problem and the need for medical intervention (Australasian College for
Emergency Medicine, 1993) as determined by the triage nurse;
Triage decisions should be based on the patients individual need for care (Commonwealth
department of Health and Family Services and Australasian College for Emergency Medicine,
1997) and should not be affected by Emergency Department workloads, performance criteria
or financial incentives;
At the present time the NTS is evaluated via the use of admission rates for each triage
category (Australasian College for Emergency Medicine, 1993b);
There are also indicator thresholds for each triage category. These are the percentage of
patients who receive medical intervention within the time frame stated for their triage
category, some Emergency Department funding is dependent on the number of patients seen
within their required time frame.
(iii) Triage assessment (including NTS category allocation and ED area allocation):
Should be based on the primary survey:
Immediate interventions should be initiated for any breech of the primary survey:
BLS in the event of respiratory / cardiac arrest,
application of pressure in the event of haemorrhage.
The triage assessment consists of subjective and objective data:
Subjective data:
chief complaint,
precipitating event / onset of symptoms,
mechanism of injury,
time of onset of symptoms / precipitating event,
relevant past history;
Objective data:
primary survey,
see (iv) adult discriminators for NTS categories.
Secondary assessment and interventions usually occur once the patient is in their allocated
cubicle but under some circumstances these may occur at triage (or in the waiting room). See (v)
initiation of nursing interventions.
Order of triage should not be restricted to order of arrival but should be based on across the
room assessment of patients waiting to be triaged.
52
(iv) Adult Discriminators for National Triage Scale Categories

Cat 1
Airway
Obstructed
Cat 2
Cat 3
Cat 4
Cat 5
Patent
Patent
Patent
Patent
Mechanism of
injury
Mechanism of
injury
Mechanism of
injury
Mechanism of
Injury
No mechanism of
injury
Neurological deficit
Neurological deficit
Abnormal primary
survey
Normal primary
survey
High suspicion of
injury
Low suspicion of
injury
No neurological
deficit
No neurological
deficit
Absent respiration
Respiration present
Respiration present
Respiration present
Severe respiratory
distress
Moderate
Mild respiratory
distress
Nil respiratory
distress
unable to
speak
speaking in
words
speaking in full
sentences
centrally
cyanosed
peripheral
cyanosis
speaking in
short
sentences
skin pink
nil accessory
muscle use
severe use
accessory
muscles
minimal use
accessory
muscles
normal RR
Partially Obstructed
Cervical Spine
Breathing
Circulation
Disability
moderate use
accessory
muscles
Absent circulation
Circulation present
Circulation present
Circulation present
Skin pale, moist,

cool
Skin pale, cool,

moist
Skin pink/pale ,
warm, dry
HR normal
Uncontrolled
haemorrhage
Palpable brachial
pulse
Palpable radial
pulse
Semi controlled
haemorrhage
Controlled
haemorrhage
GCS 9-12
GCS > 13
GCS < 8
Severe pain > / 10

Severe
neurovascular
compromise
pulseless
cold
nil sensation
decreased
capillary refill
Moderate pain >

6
/10
No respiratory
distress
No cardiovascular
insult
Skin pink, warm,

dry
Nil history of
haemorrhage
Normal GCS
3-
Moderate
neurovascular
compromise
pulse present
cool
decreased
sensation
normal /
decreased
capillary refill
Normal GCS
Mild pain < / 10
No pain < 3/ 10
Nil neurovascular
compromise
Nil neurovascular
compromise
pulse present
normal
sensation
normal
capillary refill
53
(iv) Adult Discriminators for National Triage Scale Categories

Cat 1
Cat 2
Cat 3
Mechanism of
Injury
Mechanism of
injury and:
Mechanism of
injury and;
Fall > 3m
Death of same car

occupant
Normal primary
survey
Normal primary
survey
Normal GCS
MCA > 60 kph

MBA / cyclist
pedestrian
Cat 4
Cat 5
Long standing
mental health
disorder
Long standing non

acute mental health
disorder
Support person
present (family,
community mental
health nurse etc.)
No support person
present
Abnormal GCS
ejection / rollover
Psychiatric
Emergencies
Violent, aggressive
patient
(from Pollard, C.
1998. Mental
Health Triage &
Assessment for
Emergency
Medicine)
Suicidal patient
Ophthalmologic
Emergencies
Danger to self /
others
Penetrating eye
injury object
insitu
Penetrating eye
injury
? penetrating eye
injury
Loss of vision
following injury
54
Psychotic patient
Likely to become
aggressive
Danger to self and
others
Situational crisis
Chemical injury
irrigated at scene /
not irrigated with
pain
Placement within
the Emergency
Department
Distressed patient
Resuscitation area
Resuscitation area
or monitored area
Blunt eye injury

Flash burns
Chemical injury,
irrigated at scene,
no pain
Foreign body with

mild pain
Normal vision
Foreign body with

moderate pain
Abnormal vision
following injury
Monitored area or
General cubicle
General cubicle
General cubicle,
waiting room or
primary care area
(v) Initiate appropriate interventions aimed at expediting care:

The delivery of nursing care at triage must be regarded as the secondary triage role, and in all but
life or limb threatening circumstances, it should take place following the primary triage decision
(to allocate a triage code according to the National Triage Scale).
The aim of nursing care provided at triage is to:
1. Provide basic life support as required;
2. Expedite definitive management within the emergency department;
3. Prevent further injury / illness;
4. Maximise patient satisfaction through timely communication, evaluation and nurse initiate
interventions:
4.1 Communication
All people seeking emergency care require information regarding:
The triage process including how they have been classified;

Patient flow through the emergency department (eg: when it is your turn you will be
called into a cubicle, change into a gown, be assessed by a nurse, then see a doctor);
Information regarding potential management as appropriate (eg: tendon laceration
likely need for operation so will need to fast until patient is seen by a doctor);
Regulations regarding visitors (if any).
4.2 Evaluation
All people who exceed their treatment acuity in the waiting area must have a
documented reassessment by the triage nurse.
Anyone who is observed to have deteriorated in the waiting area requires immediate
reassessment and intervention. This includes people experiencing any of the
following: airway problems eg; stridor, breathing problems eg; dyspnoea/
tachypnoea, circulation problems eg; tachycardia/bradycardia, or an alteration of
conscious state, or who is experiencing severe or increasing pain.
4.3. Interventions
Nurse initiated interventions at triage must:
Only be conducted with the patient or carers permission

Ensure an appropriate level of privacy for the patient
Not delay medical assessment
Be clearly explained to the patient
Be documented
Be in accordance with institutional guidelines for nurse initiated practice.
Examples of nurse initiated interventions to expedite care at triage
First aid (BLS, splinting, RICE, eye irrigation)

Urinalysis
Facilitating referral to related services (in accordance with hospital guidelines)
Weight
Simple analgesia
Oxygen therapy
X-ray (in accordance with hospital guidelines)
POP checks (in accordance with hospital guidelines)
55
(vi) Demonstrate an understanding of institutional and community resources:

Aboriginal Services
Aged and Disability Services
Alcohol and Drug Related Services
Al Anon - alcohol and drug counselling for young people
Alcohol and Drug Counselling care and support
Families of drug and alcohol abusers counselling service
Hepatitis C help line
Lifeline - counselling for substance abuse
Methadone programme
Narcotics anonymous help line
24 hr counselling: crisis line for drug and alcohol withdrawal
Child Abuse & Neglect

Childrens Home & Family Services
Child protection Crisis line
Child Protection Services
Gatehouse Centre (Royal childrens Hospital)
Child and Adolescent Psychiatric Service
Parents anon
Specialist Childrens Services
Community Health Centres

Disease Help / Support groups
Asthma Epilepsy
Cancer
Cerebral Palsy
Other
Emergency Accommodation
Language Link Telephone Interpreting Service
Psychiatric Services
Help lines
Child protection Crisis Line

Drug and Alcohol 24 hr crisis line
Hepatitis C
Life line
Narcotics anonymous
Parents anon
Sexual assault
Vietnam veterans
Pregnancy Support / Family Planning
56
Family Planning Victoria

Fertility control Clinic
Pregnancy Support 24 hr telephone counselling
Sexual Assault
CASA
Community Policing Squad
Rape Crisis Centre
Sexually Transmitted Diseases
Action centre advice on STDs and HIV

Hepatitis C help line
HIV centres
HIV support groups
Support groups
Alcoholics anonymous
Narcotics anonymous
Victims Assistance Program

(vii) Identify avoidable hazards:
Aspects should include:
Patient Safety:
Prevention of falls;
Provision of appropriate equipment;
Rapid identification of deterioration of patients;
Identify threatening behaviour by other patients, relatives, etc;
Identify potential weapons:
on persons,
in triage area ie. objects that could be thrown.
Triage Nurse:
Recognise and manage violent and aggressive behaviour appropriately;
Training and education in aggression / conflict management;
Demonstrate knowledge of security procedures:
code black, duress alarms, security personnel, locking doors, police;
Lifting and patient movement:
appropriate equipment available.
Environmental:
Identify toxic substances, hazardous chemicals, blood;
Provision of eye wear, gloves, gowns, hand washing facilities;
Identify obstacles to rapid patient movement:
Wheelchairs, trolleys blocking doorways etc.
57
Appendix 5. Practice Triage Scenarios
Appendix 5: Practice Triage Scenarios
Adult Scenario 1
Twenty-three year old female presents with one-day history of PV bleeding. She is able to walk to
the triage desk unassisted. She states she is eight weeks pregnant and has had spotting since
this morning. She described her PV loss as a few bright spots.
Her respiratory rate is 16 with no use of accessory muscles and her oxygen saturation is
98%
Her heart rate is 78 and her skin is pink, warm and dry
Her blood pressure is 120/80
She has changed her pad once today
Her GCS is 15
She does not complain of any pain
She has no relevant past medical history.
What triage category would you allocate to this patient?
58
Adult Scenario 2
Eighty-two year old female presents with her daughter following a collapse at home. She is
unable to walk and requires assistance to get out of the car. She is brought to the triage desk in a
wheelchair. The patients daughter tells you that her mother has been feeling unwell for 2 days
and was nauseated with vomiting today. She collapsed in the lounge room as she got up from a
chair and was unconscious for 1 - 2 minutes.
97%
Her heart rate is 148 (irregular), and her skin is pale, cool and moist
Her GCS is 13 (eyes open to speech, confused to place and time)
She has no complaints of pain but states she feels dizzy
Her temperature is 37.4
She has a history of ischaemic heart disease, non-insulin dependent diabetes and congestive
cardiac failure. Her daughter has brought her medications with her and she takes Daonil,
Digoxin, Warfarin, Frusemide and Slow K potassium supplement. She has had all of her usual
medications today.
59
Adult Scenario 3
Seventy-eight year old female presents with her daughter who reports a three-day history of
increasing shortness of breath, fevers and lethargy. The patient is able to walk to the triage desk
unassisted.
Her respiratory rate is 28 with mild use of accessory muscles, she is able to speak in full
sentences and her oxygen saturation on room air is 92%
Her heart rate is 120 (irregular) and her skin is pink, hot and dry
Her GCS is 14 (confused to time and place)
She is complaining of right sided back pain 6/10 that is present only on deep inspiration
and coughing
She describes a productive cough with green sputum. She has a past history of non-insulin
dependent diabetes for which she takes Daonil.
60
Adult Scenario 4
Thirty-five year old female presents by ambulance with one-day history of increasing respiratory
distress. On arrival she is sitting upright on the ambulance trolley with nebulised Salbutamol in
progress.
Her respiratory rate is 36 with severe use of accessory muscles, she is unable to speak and
her oxygen saturation is 88%
Her heart rate is 135 (regular) and her skin is pale, cold and moist
Her GCS is 14 (eye opening to speech)
She has a past history of asthma.
61
Adult Scenario 5
Fifty-year-old male presents with a workmate with a laceration for his right hand. He is able to
walk to the triage desk unassisted. He was using an electric saw and has a 4cm laceration to his
right index finger.
His respiratory rate is 22 with no use of accessory muscles and his oxygen saturation is 99%
His heart rate is 68 (regular), and his skin is pale, warm and dry
His blood pressure is 135/85
His GCS is 15
He is complaining of pain in his finger 3/10
He is unable to move his right index finger and complains of altered sensation to the finger
tip
His laceration is not bleeding
His temperature is 36.5
He has no relevant past medical history.
62
Adult Scenario 6
Thirty-year-old female presents with a one-day history of vomiting, diarrhoea and abdominal
pain. She is able to walk to the triage desk unassisted and she states that her symptoms were of
sudden onset.
98%
Her heart rate is 88 and her skin is pale, warm and dry
Her GCS is 15
She is complaining of generalised abdominal pain 4/10
She states that she has not vomited for 4 hours but continues to have diarrhoea. She is tolerating
small amounts of oral fluid. She has a past history of asthma for which she uses a Ventolin puffer.
63
Adult Scenario 7
Sixty-eight year old male presents by ambulance following collapse at the shopping centre. On
arrival he is in a semi-recumbent position on the ambulance trolley. His wife tells you that he
became pale, complained of feeling dizzy and then fell to the ground. His wife states that he was
unconscious for a few seconds.
His respiratory rate is 16 with no use of accessory muscles, he is able to speak in full
sentences and his oxygen saturation on room air is 96%
His heart rate is 56 (irregular) and his skin is pale, warm and dry
His GCS is 13 (eyes open to speech and confused to time and place)
He has no complaints of pain
He tells you that he did not have any chest pain or headache prior to his collapse. He has a past
history of COAD and a cardiac complaint. His medications are Digoxin, Frusemide, Potassium
supplements and the occasional Anginine.
64
Adult Scenario 8
Fifty-three year old male presents by ambulance with sudden onset of crushing central chest pain
3 hours ago. He got pain whilst he was chopping down a tree in his garden. On arrival he is in a
semi-recumbent position on the ambulance trolley.
His heart rate is 68 (regular), and his skin is pale, cool and moist
His GCS is 15
He is complaining of crushing central chest pain 9/10 with no radiation
65
Adult Scenario 9
Forty-eight year old male presents alone complaining of a red and watery right eye. He is able to
walk to the triage desk unassisted. He states that he was stripping wallpaper yesterday and spent
most of the day working in plaster dust.
His heart rate is 72 and his skin is pink, warm and dry
His eye is red and slightly watery, he has normal vision
His GCS is 15
He is not complaining of any pain
66
Adult Scenario 10
Forty-five year old female presents with a friend complaining of a frontal headache. She is unable
to walk to the triage desk and arrives in a wheelchair being pushed by her friend. She tells you
that the headache has been of gradual onset for the last twelve hours and complains of associated
vomiting and visual disturbance. She states that her headache is typical of her usual migraines.
She has had two Panadiene Forte three hours ago.
97%
Her heart rate is 102 (regular), and her skin is pale, cool and dry
Her GCS is 15
She is complaining of a frontal headache 5/10 with no radiation
She has a history of migraine and depression for which she takes antidepressants.
67
Adult Scenario 11
Twenty-one year old female presents by ambulance following a motorcar accident. She was the
driver of a car that struck the rear of a parked truck at 80 kph. On arrival she is in a supine
position on a spinal board on the ambulance trolley. She has a haematoma to the left side of her
forehead and an obvious seatbelt mark across her chest and abdomen. She has a cervical collar
insitu and oxygen at 10 L/minute via a Hudson mask.
Her respiratory rate is 32 with no use of accessory muscles, and her oxygen saturation is
94%
Her heart rate is 142 (regular) and her skin is pale, cold and moist
Her GCS is 7 (eye opening to pain, no verbal response, withdrawal to pain)
She has no relevant medical past history.
68
Adult Scenario 12
Seventy- year old female presents with her daughter who reports a three-day history of
increasing confusion and urinary incontinence. The patient is able to walk to the triage desk
unassisted.
Her respiratory rate is 18 with no use of accessory muscles, she is able to speak in full
Her heart rate is 84 (regular) and her skin is pink, warm and dry
Her GCS is 14 (confused to time and place)
She is not complaining of any pain
She has a past history of rheumatoid arthritis for which she takes Voltaren.
69
Adult Scenario 13
Twenty-six year old male presents with his wife complaining of sudden onset of abdominal pain.
He is able to walk slowly to the triage desk but requires assistance from his wife. He has had pain
for 12 hours but it has become much worse in the last 2 hours. He has vomited once and had two
episodes of diarrhoea. He has not eaten today.
His heart rate is 98 (regular), and his skin is pale, cool and dry
His GCS is 15
He is complaining of right sided abdominal pain 6/10 with no radiation
70
Adult Scenario 14
Fifty-seven year old female presents with a friend following an injury to her right wrist. She is
able to walk to the triage desk unassisted and has a sling on her right arm. She states she injured
her wrist when she tripped on uneven ground in her front yard. Her friend witnessed the fall and
she had no loss of consciousness.
98%
Her heart rate is 78 and her skin is pale, warm and dry
Her GCS is 15
She is complaining of a painful right wrist 3/10
Her right wrist is deformed and the neurovascular status of the right hand is normal
She has a past history of a left CVA two years ago resulting in a mild right hemiparesis and right
facial droop. Her only medication is Aspirin.
71
Paediatric Scenario 1
Four-year-old male presents with his parents with a laceration to his top lip. He is able to walk to
the triage desk holding onto his mothers hand. His mother tells you he collided with another
child at playgroup. The childcare worker witnessed the event and there was no loss of
consciousness.
His respiratory rate is 20 with no use of accessory muscles, he is speaking in sentences and
his oxygen saturation is 98%
His laceration is 2 - 3 cm in length with swelling around the laceration, it has a slow trickle
of blood and the edges are jagged
He is alert but clinging to his mothers leg and he is crying but consolable by his mother
He complains of pain in his top lip and cries when you place a dressing over the laceration
He has a past medical history of recurrent tonsillitis.
72
Nine-year-old female presents with her mother with a painful left forearm. Her mother states she
was roller-blading in the backyard when she fell. The patient is able to walk to the triage desk
unassisted and is holding her left arm.
Her respiratory rate is 16 with no use of accessory muscles, she is able to speak in full
Her heart rate is 90 (regular) and her skin is pink, warm and dry
Her GCS is 15
She is complaining of a painful left forearm and indicates that her pain equates to 6/10 on a
pain scale
Her arm is slightly deformed with decreased range of movement, and the neurovascular
status of her left hand is normal
She has no relevant past medical history.
73
Four-year-old male presents with his parents with a one-day history of increasing respiratory
distress. His father carries him to the triage desk. His parent state that he has had a dry barking
cough for two days and was coughing most of the night.
He has an audible stridor
His respiratory rate is 68 with severe use of accessory muscles, he is unable to speak and
his oxygen saturation is 96%
His heart rate is 178 (regular) and his skin is pale, cold and moist
His tongue and mucous membranes are moist
He is drowsy but responsive to verbal stimuli
He has no relevant medical past history.
74
Eighteen-month-old male presents with his father with a laceration to the back of his head. He is
able to walk to the triage desk holding his fathers hand. His father states that he was hit in the
head when an older sibling threw a toy at him. The patients father witnessed the incident and
there was no loss of consciousness.
His laceration is 2 cm in length, is not bleeding and the edges are well approximated
He is alert and chasing his older sibling around the waiting room
He is not complaining of any pain
75
Eight-month-old male presents with his parents with a one-day history of febrile illness and
cough. His mother carries him to the triage desk. He has a moist sounding cough and a runny
nose.
His respiratory rate is 24 with no use of accessory muscles, he is making baby talk noises
and his oxygen saturation is 98%
He is alert but cries when you approach him
He has no past medical history.
76
Four-year-old female presents with her parents following a one-day history of febrile illness and
witnessed generalised (tonic - clonic) seizure. Her mother carries her to the triage desk. Her
mother states has had fevers all day and had a fit about thirty minutes ago. Her mother
states that the seizure lasted two - three minutes and resolved spontaneously. The patient was
unresponsive during the seizure but did not change colour and did not injure herself.
Her respiratory rate is 22 with no use of accessory muscles, she cries when you approach
her and her oxygen saturation is 99%
Her heart rate is 132 (regular), and her skin is pink, hot and dry
Her tongue and mucous membranes are moist
She opens her eyes to speech and is irritable but consolable by her mother
Her mother states she has complained of a sore throat last night and has been complaining
of a sore head since her fit
She has a past medical history of febrile convulsions.
77
Two-year-old male presents with his parents following a fall from the kitchen table. His mother
carries him to triage desk. His parents state that he had climbed up onto the table and was
standing on the table when he fell landing on a wooden floor. His mother witnessed the fall and
states there was loss of consciousness for a few minutes. He has been unable to walk and has
vomited three times since the fall.
His respiratory rate is 28 with no use of accessory muscles, he is not speaking but cries
intermittently and his oxygen saturation is 96%
His heart rate is 140 (regular), and his skin is pale, cool and moist
He is responsive to painful stimuli
He is unable to verbalise where is pain is but is holding his head and crying inconsolably
He has a palpable haematoma to the right side of his head
78
Three-year-old male presents with his parents with a three-day history of vomiting and
diarrhoea. His mother carries him to the triage desk. His mother states he still has diarrhoea but
is tolerating small amounts of oral fluid. His mother states that he has not vomited today. His
mother is unable to tell you about the number of wet nappies as he has had 8 episodes of watery
diarrhoea today.
His respiratory rate is 28 with no use of accessory muscles, he cries when you approach
him and his oxygen saturation is 99%
His heart rate is 124 (regular), and his skin is pale, warm and dry
His tongue and mucous membranes are dry
He is crying intermittently but is consolable by her mother and is asking for a drink
He opens his eyes to speech
His mother states that he is complaining of abdominal pain
79
Six-month-old male presents with his parents with a one-day history of febrile illness and cough.
His mother carries him to the triage desk. He has a moist sounding cough and a runny nose.
His respiratory rate is 24 with no use of accessory muscles, he is making baby talk noises
and his oxygen saturation is 98%
He is alert but cries when you approach him
80
Thirteen-month-old female presents with her parents with a one-day history of diarrhoea. Her
mother carries her to the triage desk. Her mother states that she thinks that the number of wet
nappies is close to normal but is not sure, as the child has had 7 episodes of diarrhoea today. Her
mother states that over the last day she has had approximately three-quarters of her usual
amount of fluid and has been unsettled.
99%
Her heart rate is 92 and her skin is pink, warm and dry
She is alert and cries when you approach her
She has no relevant past history.
81
Three-year-old male presents with his aunt with a painful left ear. He is able to walk to the triage
desk unassisted. His aunt states that the patient is staying with her whilst his parents are away
for the weekend and that he was unable to sleep last night because of an earache in his left ear.
His aunt requests that someone check him out.
He is alert
She states his ear is not painful now and he has not had anything for the earache
82
Ten-year-old male presents by ambulance with respiratory distress, accompanied by a

schoolteacher. He states that his asthma became bad while he was playing school sports. He is
sitting upright on the ambulance trolley with a nebulised Salbutamol in progress.
His respiratory rate is 48 with moderate use of accessory muscles, he is speaking in short
phrases and his oxygen saturation is 92%
His heart rate is 130 (regular), and his skin is pink, warm and dry
His GCS is 14 (eyes open to speech)
He has no complaints of pain
He has a history of asthma for which he occasionally uses a Ventolin puffer.
83
Twenty-month-old female presents by ambulance with a generalised (tonic - clonic) seizure. She
has a one-day history of a febrile illness. On arrival she is still fitting and is in a lateral position on
the ambulance trolley with oxygen at 8 L/minute via a Hudson mask.
Her respiratory rate is unable to be measured and her oxygen saturation is 90%
Her heart rate is 154 (regular) and her skin is pale, warm and dry with cyanosis of the lip
margins
She is unresponsive as she is fitting
She has a past history of a febrile convulsion 6 months ago.
84
Six-year-old female presents with her mother with a three-day history of febrile illness,
respiratory distress and wheeze. Her mother carries her to the triage desk. Her mother states that
she has asthma and has had increasing use of her Ventolin puffer over the last few days but with
poor effect. Today she has been using her Ventolin puffer with a spacer two hourly.
Her respiratory rate is 28 with mild use of accessory muscles, she is able to speak in full
Her heart rate is 110 (regular) and her skin is pale, warm and dry
Her GCS is 15
Her mother state she has had no complaints of pain
Her only past medical history is asthma for which she uses a Ventolin puffer.
85
Appendix 6. Answers to Practice Triage Scenarios
Appendix 6: Answers to Practice Triage Scenarios
Adult Scenario 1:
ATS Category 5
Airway
Patent - no airway compromise
Breathing
RR 16, no use accessory muscles, SaO2 96%
Circulation
No haemodynamic compromise
HR 78, skin pink, warm and dry, BP
Disability
120
/80, has used one pad today
GCS 15
No pain
Risk Factors
Nil
Adult Scenario 2:
ATS Category 2
Airway
Breathing
Circulation
Moderate haemodynamic compromise

HR 148, skin pale, cool, moist, BP 90/55,
Disability
GCS 13
No pain
Risk Factors
Age 82 yrs
Hx collapse with unconsciousness
PHx cardiovascular disease, NIDDM
Adult Scenario 3:
ATS Category 3
Airway
Breathing
Mild respiratory distress

c/o SOB, RR 28, mild use accessory muscles, speaking in sentences, SaO2 92%
Circulation
Mild haemodynamic compromise

HR 120, skin pink, hot and dry, BP 145/80
Disability
GCS 14
c/o R) back pain 6/10
Risk Factors
Age 78 yrs
T - 38.5
PHx NIDDM
86
Adult Scenario 4:
ATS Category 1
Airway
Breathing
Severe respiratory distress

RR 36, severe use accessory muscles, unable to speak, SaO2 88% on O2
Circulation

HR 135, skin pale, cold and moist, BP
Disability
140
/ 85,
GCS 14
No pain
Risk Factors
PHx asthma
Adult Scenario 5:
ATS Category 4
Airway
Breathing
Circulation
HR 68, skin pale, warm and dry, BP
Disability
135
/85,
GCS 15
c/o finger pain 3/10
No neurovascular compromise but altered movement and sensation to finger
Risk Factors
Nil
Adult Scenario 6:
ATS Category 4
Airway
Breathing
RR 16, no use accessory muscles, SaO2 99% 8
Circulation
fluids
Disability
110
/85, continued diarrhoea but tolerating oral
GCS 15
c/o abdominal pain 4/10
Risk Factors
Nil
87
Adult Scenario 7:
ATS Category 3
Airway
Breathing
RR 16, no use accessory muscles, speaking in full sentences, SaO 2 96%
Circulation

Disability
140
/85,
GCS 13
No pain
Risk Factors
Age 68yrs
Hx collapse with unconsciousness
PHx respiratory disease, cardiovascular disease
Adult Scenario 8:
ATS Category 2
Airway
Breathing
RR 18, no use accessory muscles, SaO 2 99%
Circulation
Disability
135
/75,
GCS 15
c/o crushing central chest pain 9 /10
Risk Factors
53 year old male

Sudden onset chest pain on exertion - unrelieved for 3 hours
Adult Scenario 9:
ATS Category 5
Airway
Breathing
Circulation
Disability
GCS 15
No pain
Ophthalmic
R) eye red and watery

Normal vision
No pain
Risk Factors
88
Nil
130
/70,
Adult Scenario 10:
ATS Category 3
Airway
Breathing
Circulation

HR 102, skin pale, cool and dry, BP
Disability
125
/80
GCS 15
c/o frontal headache 5/10
Risk Factors
Frontal headache
associated vomiting and visual disturbance
unrelieved by Panadiene Forte
Adult Scenario 11:
Airway
ATS Category 1
No verbal response
GCS 7
Breathing
Moderate - severe respiratory distress

RR 32, no use accessory muscles, SaO 2 94% on 10 L/min O2
Circulation
Severe haemodynamic compromise

HR 142, skin pale, cold and moist, BP
Disability
100
/60
GCS 7
Unable to assess pain
Risk Factors
Mechanism of injury - high impact MCA

Haematoma to forehead, seatbelt mark to chest and abdomen
Adult Scenario 12:
ATS Category 4
Airway
Breathing
Circulation
Disability
115
/80
GCS 14 - increasing confusion for three days

No pain
Risk Factors
78 years old
89
Adult Scenario 13:
ATS Category 3
Airway
Breathing
Circulation

HR 98, skin pale, cool and dry, BP
Disability
100
/75
GCS 15
c/o abdominal pain 6 / 10
Risk Factors
Nil
Adult Scenario 14:
ATS Category 4
Airway
Breathing
Circulation
Disability
GCS 15
c/o wrist pain 3/10
no neurovascular compromise
Risk Factors
90
Nil
145
/85
Paediatric Scenario 1:
ATS Category 4
Airway
Breathing
Circulation
HR 86, skin pink, warm and dry, 2-3 cm laceration, slow trickle of blood
Disability
GCS 15
Normal activity - clinging to mothers leg, alert, consolable by mother
c/o lip pain, cries when dressing applied
Risk Factors
Nil
ATS Category 3
Airway
Breathing
Circulation
HR 90, skin pink, warm and dry
Disability
GCS 15
c/o painful L) forearm 6/10
No neurovascular compromise but decreased movement
Risk Factors
Nil
ATS Category 1
Airway
Partial obstruction - audible stridor
Breathing

RR 68, severe use accessory muscles, unable to speak , SaO 2 96%
Circulation

HR 178, skin pale, cold, moist
Disability
GCS < 14
Decreased activity - drowsy, responsive to verbal stimuli
Risk Factors
Nil
91
ATS Category 5
Airway
Breathing
Circulation
HR 96, skin pink, warm and dry, 2cm laceration, not bleeding
Disability
GCS 15
Normal activity - alert, chasing older sibling
No pain
Risk Factors
Nil
ATS Category 4
Airway
Breathing
RR 24, no use accessory muscles, making baby talk noises, SaO 2 98%
Circulation
HR 112, skin pink, warm and dry, moist tongue & mucous membranes
Disability
GCS 15
Normal activity - alert, cries when approached
Risk Factors
Nil
ATS Category 3
Airway
Breathing
Circulation

HR 132, skin pink, hot and dry, moist tongue & mucous membranes
Disability
GCS 13
Eyes open to speech, irritable but consolable
Normal activity - alert, cries when approached
c/o sore head
Risk Factors
92
Hx generalised seizure
ATS Category 2
Airway
Breathing
RR 28, no use accessory muscles, cries intermittently, SaO 2 96%
Circulation

HR 140, skin pale, cool, moist, moist tongue & mucous membranes
Disability
GCS 13
Inconsolable
? pain- is holding head, palpable haematoma to R) side of head
Risk Factors
Mechanism of injury - fall from standing on table, landed on wooden floor

Hx loss of consciousness, unable to walk and vomiting since injury
ATS Category 3
Airway
Breathing

RR 28, no use accessory muscles, cries, SaO 2 99%
Circulation

HR 124, skin pale, warm and dry, ongoing diarrhoea but no vomiting,
tolerating small amounts of oral fluid, dry tongue & mucous membranes
Disability
GCS 14
Normal activity - asking for a drink
Cries when approached but consolable by mother
Risk Factors
Nil
ATS Category 4
Airway
Breathing
RR 24, no use accessory muscles, baby talking, SaO 2 98%
Circulation
HR 112, skin pink, warm and dry, moist tongue and mucous membranes
Disability
GCS 15
Normal activity - carried by mother, alert, cries when approached
Risk Factors
Nil
93
ATS Category 4
Airway
Breathing
Circulation
HR 92, skin pink, warm and dry, moist tongue and mucous membranes,
reduced oral intake, ongoing diarrhoea
Disability
GCS 15
Normal activity - carried by mother, alert, cries when approached
Risk Factors
Nil
ATS Category 5
Airway
Breathing
RR 16, no use accessory muscles, speaking, SaO 2 98%
Circulation
Disability
GCS 15
Normal activity - alert
No pain
Risk Factors
Nil
ATS Category 2
Airway
Breathing
Moderate respiratory distress

RR 48, moderate use accessory muscles, speaking in short phrases, SaO 2
92% on O2
Circulation

Disability
GCS 14
No pain
Risk Factors
94
Nil
ATS Category 1
Airway
Fitting - unable to maintain airway
Breathing

Fitting - no respiratory effort, SaO 2 90% on O2, cyanosed lip margins
Circulation

HR 154, skin pale, warm and dry, moist tongue and mucous membranes
Disability
GCS 3
Risk Factors
Uncontrolled fitting
ATS Category 3
Airway
Breathing

RR 28, mild use accessory muscles, speaking in full sentences, SaO 2 99%
Circulation

HR 110, skin pale, warm and dry
Disability
GCS 15
No pain
Risk Factors
Asthma - increased Ventolin use with poor effect, today using Ventolin 2
hourly and still short of breath on arrival to ED
95

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Consistency of Triage in Victorias

Guidelines for Triage Education

ISBN 0 7326 3006 1

Consistency of Triage in Victorias Emergecny Departments

Ms. Mira Ilic, Box Hill Hospital

The project team comprised of:

Guidelines for Triage Education and Practice

Guide for use

AUSTRALASIAN TRIAGE SCALE

PRIMARY TRIAGE DECISIONS

OBJECTIVE DATA COLLECTION

7.2.4 Disability - conscious state

7.2.5 Disability - pain

7.2.6 Disability - neurovascular status

7.2.7 Mental health emergencies

7.2.8 Ophthalmic emergencies

7.2.9 Risk factors for serious illness or injury

SUBJECTIVE DATA COLLECTION AND COMMUNICATION

Subjective data collection

8.2.1 The triage process

8.2.2 Patient flow

8.2.3 Potential management plans

8.2.4 Specific ED conventions

Waiting times - what not to say

SECONDARY TRIAGE DECISIONS

Consistency of Triage in Victorias Emergency Departments

Referral to other health care providers

Ongoing assessment and care of patients in the triage / waiting area

10 ORGANIZATIONAL AND COMMUNITY RESOURCES

11.2 Referral to other health care providers

12.1 Aggression management

12.2 Patient retrieval

12.3 Safety of persons in the waiting area

12.4 Environmental Hazards

APPENDIX 2A: APD DEVELOPED FOR THE AUSTRALASIAN

APPENDIX 2B: PPD DEVELOPED FOR THE AUSTRALASIAN

APPENDIX 3: ENA POSITION STATEMENT: TRIAGE

APPENDIX 4: ENA POSITION STATEMENT: EDUCATIONAL

APPENDIX 5: PRACTICE TRIAGE SCENARIOS

APPENDIX 6: ANSWERS TO PRACTICE TRIAGE SCENARIOS

Guidelines for Triage Education and Practice

National Triage Scale categories.......................................................... 11

Australasian Triage Scale categories.................................................... 11

Physiological discriminators for airway .............................................. 15

Physiological discriminators for breathing .......................................... 16

Physiological discriminators for circulation......................................... 17

Physiological discriminators for disability........................................... 19

Glasgow Coma Scale with age specific considerations......................... 20

Physiological discriminators for disability - pain................................. 21

Physiological discriminators for disability neurovascular status ....... 22

Physiological discriminators for mental health emergencies................ 23

Physiological discriminators for ophthalmic emergencies ................... 25

Risk factors for serious illness or injury ............................................... 26

Consistency of Triage in Victorias Emergency Departments

Appendix 6: Answers to Practice Triage Scenarios

Victorian Department of Human Services

Ms. Janice Brown, ARMC

Ms. Mira Ilic, Box Hill Hospital

Mr Marc Broadbent, Project Officer, Barwon Health Mental Health

Guidelines for Triage Education and Practice