1. ASSESSMENT WITH TRIAGE Pat Glass, R.N. Jessamine County Schools District School Nurse Health Coordinator

2. TRIAGE Triage – “sorting” Triage Categories Emergent Urgent Non-urgent (Pages 495-497 NASN book)

3. TRIAGE • Process: Assessment Intervention Evaluation Disposition

4. TRIAGE • Documentation must include: Assessment Triage Category Intervention Response to intervention Disposition (make sure that info is communicated to private physician &/or ER staff)

5. TRIAGE • Follow-up Communicate with family, private doctor, EMS staff, &/or ER staff in order to document the outcome for the student’s records.

6. Types of Emergencies • Pages 498 – 515 is an excellent review of numerous types of emergencies along with the assessment and interventions recommended for those types of emergencies.

7. TRIAGE • Chapter 23 – 25 in NASN book covers a wide variety of urgent and non-urgent health problems and conditions that you will encounter on a frequent basis in the school nurse’s office.

8. MASS CASUALTY/DISASTERS • Have a PLAN!!!!!! 1. Who in the building is trained in CPR & First Aid? 2. How quickly can you access help from the other schools? 3. Do your nurses have “ER to-go kits”? 4. Where are you going to put bodies? 5. Do you have an area designated for parents to pick up their children? Classroom lists, ER cards, Sign out process

9. DISASTER/MASS CASUALTY PLANNING • Sign out process – how to insure that student has been assessed before leaving • “HOLD IN PLACE” situation: Students that have medical needs, such as medication, tube feedings, O2 therapy, dietary needs, catheterizations, etc. Is the teacher or IA in the classroom trained well enough to handle the medical needs if no medical person can get to that classroom for several hours?

10. RESOURCES • Disaster Preparedness Guidelines for School Nurses, (NASN publication) • Pages 209-233 School Nursing: A Comprehensive Text • CDC website