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TO TRAIN THETRIAGEURS

Dr Wan Afah Wan Jaaar

Emergency and Trauma Department

Hospital Sultanah Nur Zahirah !uala Terengganu

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OUTLINE

1. Triage and triageurs

2. Roles of triageurs

3. The challenges

4. The training

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TRIAGE

trierto pick or to sort

the sorting of patients for treatment in situations of

at least modest resource scarcity, according to an

assessment of the patients medical condition and theapplication of an established sorting system.

KV Iserson & JC Moskop

Annals of Emergency Medicine(2007)

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WHO ARE THE TRIAGEURS?

Medical assistants

Nurses

Doctors

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ROLE OF THE TRIAGEURS

1. Prioritisation continuous process

2. Lifting and patient movements

3. Initial first aid management

4. Recognition and appropriate management ofviolent and aggressive behaviour

5. Public relation skills

6. Handling of medicolegal issues

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CHALLENGES

1. Different levels of triageurs

2. Different types of triage

3. Decision making

4. Triageurs out of reach

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TRAINING THE TRIAGEURS

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1. Strengthen the current training

Course

duration

Emergency

posting

Triage

syllabus

Practical

sessionDiploma

Separa

Perubatan

3 years 6 months

Lecture

Discussion

During

posting

Nursing 3-4 years 2 weeks

Post basic

EMTS

6 months 6 months

Medical

degree

5-6 years 2-4 months Lecture

Discussion

Nil 2 weeks

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1. Strengthen the current training

2. In department training

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1. Strengthen the current training

2. In department training

3. Online education program

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1. Strengthen the current training

2. In department training

3. Online education program

4. Liason officer

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1. Strengthen the current training

2. In department training

3. Online education program

4. Liason officer

5. Triage workbook

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1. Strengthen the current training

2. In department training

3. Online education program

4. Liason officer

5. Triage workbook Introduction

Definitions

Purpose and function of a

triage system

The Malaysian TriageCategory 2011

Communication issues at

triage

Triage basics

Mental Health Triage

Pain assessment at triage Pediatric triage

Obstetric triage

OSCC

Medico-legal issues at triage

Case scenarios

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SUMMARY

A systematic and continuous triage education

program are essentials to help nurses,

paramedics, and doctors provide better

assistance to people presenting to emergency

departments and prompt immediateresuscitation of those in needs

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REFERENCES

Ministry of Health Malaysia.Technical Specification:Performance Indicators For Medical Programme (Key

Performance Indicator & National indicator Approach); 2012

Medical Development Division, Ministry of Health Malaysia.

Emergency Medicine and Trauma Services Policy; 2012

Iserson KV & Moskop JC. Triage in medicine, Part I: Concept,History, and Types. Annals of Emergency Medicine. March

2007; Volume 49, No. 3

Guidelines for Triage Education and Practice.Monash Institue

of Health Services Research; July 2001

CREDITS: Doctors, medical assistant, staff nurses at ETD HSNZ

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THANK YOU