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RCC NUR212 ED Nursing - Triaging Patients with ESI (Emergency Severity Index)

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Which ESI am I?

Frage 1 von 19

1

The ESI is based on clinical presentation, LOC, and the amount of resources needed for the patient.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 2 von 19

1

I am a 17 year old who is extremely angry. My boyfriend, whom I dedicated 3 months of my life, just broke up with me to date Cindy. I look way better than Cindy. I mean I gave 3 whole months to him. Now, I'm all alone. He said I was crazy and I would never get anyone else. What If noone ever wants me. I should just kill myself now. What ESI am I?

Wähle eine der folgenden:

  • 5 - Minor: She will get over it, it was only 3 months for goodness sakes.

  • 3 - Urgent

  • 1 - Resuscitation

  • 2 - Emergent

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Frage 3 von 19

1

I am 6 years old. I have never been to the ER before. I was being twirled on this merry-go-round thing on the playground. Billy, who is in 3rd grade was standing in the middle, merry-go-round surfing. Well, Billy lost his balance and fell. He fell right into me knocking me down. I was on the edge and slipped off, but when I did, my jacket was under Joe's foot so I got twisted under the merry go round. My arm got caught and I heard a loud pop. And it is the worst pain in the world. My arm was just dangling there. I heard my teacher say she was really glad there was no blood because she might have passed out if there was! What ESI am I?

Wähle eine der folgenden:

  • 5 - Minor

  • 3 - Urgent

  • 2 - Emergent

  • 4 - Non-Urgent

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Frage 4 von 19

1

I am a 27 year old female. I have an awful migraine. This time I vomited. Maybe I have a tumor, do you think I have a tumor? What about a brain aneurysm, could it be that?

Wähle eine der folgenden:

  • 3 - urgent

  • 1 - resuscitation

  • 2 - Emergent

  • 4 - Non-urgent

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Frage 5 von 19

1

Hi. My name is John. I was out working in the yard today when I stepped on a rusty nail. I told my son to pick up that board a hundred times. Now look, I am having to spend a beautiful Saturday afternoon in the damn Emergency Room just to get one of those shots you have to get when this happens!

Wähle eine der folgenden:

  • 4 - Non-urgent

  • 2 - Emergent

  • 5 - Minor

  • 3 - Urgent

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Frage 6 von 19

1

I was out working in my yard. My neighbors make such a big deal about me doing my own yard work. Just because I am 89, does not mean I have to sit inside all the time and do nothing. I was trying to pick up this big bag of potting soil when I started having a really bad chest pain. It was like really bad heartburn. That was 45 minutes ago and It is just getting worse. My neighbor insisted he bring me up here. Maybe I pulled a muscle? I probably don't ...... even have ....... to ..... be .......................
Triage: "Mister, Mister!" - "Grab the AED, It doesn't look like he's breathing, I'm going to start chest compressions". "HELP, HELP, we have an emergency in the lobby!"

Wähle eine der folgenden:

  • 3 - urgent

  • 1 - resuscitation

  • 2 - emergent

  • 5 - minor

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Frage 7 von 19

1

I am 12 years old. I was diagnosed with leukemia last year. I was in remission, but recently my blood work came back with too many somethings in it. I had to start chemo again. My hair just started growing back. I guess it will all fall out again. I woke up in the middle of the night shivering. My mom took my temperature and it was 102.1*F. She insisted we come to the ER, just to get it checked out. What ESI am I?

Wähle eine der folgenden:

  • 2 - Emergent

  • 4 - non urgent

  • 3 - Urgent

  • 5 - Minor

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Frage 8 von 19

1

How many resources is this?
PO - Percocet; Splint for a sprained wrist; an X-ray

Wähle eine der folgenden:

  • 3 Resources

  • 2 Resources

  • 1 Resource

  • 0 Resources

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Frage 9 von 19

1

Which one counts as a resource?

Wähle eine oder mehr der folgenden:

  • Calling Dr. Jones your primary doctor to find out what medications you take

  • Calling the pediatric orthopedic surgeon to consult about what surgery would be best for the type of fracture you sustained?

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Frage 10 von 19

1

How many resources?
- Insert IV (nothing running, just in case)
- Laceration Repair
- Meds injected into laceration
- Blood work/labs

Wähle eine der folgenden:

  • 4 resources

  • 3 resources

  • 2 resources

  • 1 resource

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Frage 11 von 19

1

Hewoo. my name is Megan. ha ha. I am 24 years old. I'm allowed to drink, so whyyyyy not, right [hiccup]? I mean, who cares if {hiccup} I do it everyday. I can stop whenever I want, I just don't want to yet. I still live at home, and my parents are always yelling at me and telling me to get a job. Who wants to work? Not me! I mean, I just was minding my own buzzzzyness drivin myself home from the party when a parked car ran right out in front of my car. Can you believe that? Then the stupid police came and called my parents, now I have 3 people telling me what to do. Can the policeman really have me admitted to a psychiatric facility for 72 hours? I'm not crazy, maybe he is crazy.

Wähle eine der folgenden:

  • 5 - Minor

  • 4 - Non-Urgent

  • 3 - Urgent

  • 2 - Emergent

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Frage 12 von 19

1

A cough and a cold would be ESI 1 Minor?

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 13 von 19

1

Which one counts as using a resource?

Wähle eine oder mehr der folgenden:

  • Having stitches put in?

  • Having stitches removed?

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Frage 14 von 19

1

I work in the ED at RRMC. I was inserting a needle into a patient's arm to draw blood for labs when the patient coughed and his arm jerked up and I accidentally stuck myself with the needle. Now I am in my own ED lobby going through triage. What ESI am I?

Wähle eine der folgenden:

  • 1

  • 2

  • 3

  • 4

  • 5

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Frage 15 von 19

1

What things would count as "0" Resources?

Wähle eine oder mehr der folgenden:

  • Pelvic exam

  • EKG

  • Foley

  • Tylenol 3 by mouth

  • Prescription refill

  • Normal saline

  • Asthma treatment

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Frage 16 von 19

1

I am a [gasp] 81 year old [gasp] female. I [gasp] started with a [gasp] fever of 101.2*F [gasp] yesterday. Today [gasp] [gasp] [gasp] I can barely breath.
** She points to her portable O2 meter ** ** You look down to see it is only showing 82% ***
What ESI is it?

Wähle eine der folgenden:

  • 5 Minor

  • 4 non urgent

  • 3 urgent

  • 2 emergent

  • 1 resuscitation

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Frage 17 von 19

1

I was just here last night because I fractured my right wrist, which I am sure you can .... OOOOOOOUCH tell. Oh my goodness this hand hurts so bad! Not even the pain medication the doctor gave me helps. Look at my fingers! They look like sausages and are purply. The cast looks like its gonna pop off if my arm and fingers get any bigger. AAAAAGH! Can you do something, This is the worst pain I have ever had in my life. I am beginning not to be able to feel anything in my fingers, and that is not normal for me.

Wähle eine der folgenden:

  • 1 Reuscitation

  • 2 Emergent

  • 3 Urgent

  • 4 Non urgent

  • 5 Minor

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Frage 18 von 19

1

What issues would be a 2 emergent ESI?

Wähle eine oder mehr der folgenden:

  • Cardiac arrest

  • Sepsis

  • Hypertensive Crisis

  • Possible DVT

  • Signs of a stroke but stable

  • Broken leg

  • Blood glucose level of 45

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Frage 19 von 19

1

Which one is true?

Wähle eine oder mehr der folgenden:

  • If someone comes into the ED and you triage him as a 3, it's ok to change him to a 2 when things start going south.

  • If someone comes in to the ED that you are not sure about, it is ok to triage them as a 3 and later change it to a 4

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