THE START SORTING SYSTEM AND THE NURSE’S PARTICIPATION IN ITS IMPLEMENTATION

Authors

DOI:

https://doi.org/10.11603/2411-1597.2024.1.14503

Keywords:

medical triage system START, nurse, emergency care, primary examination, limited resource

Abstract

Introduction. This article highlights the problem of organizing the sorting of patients during mass admission to medical institutions and providing emergency medical care. The role of the nurse in conducting triage and providing emergency care at the early hospital stage is within the framework of limited resources. The urgency of working out the response protocol in the event of an emergency.

The aim of the study – to determine the role of the nurse in the triage and provision of emergency care at the early hospital stage within the framework of a limited resource. To establish the relevance of the use of the START medical triage system in the practical activities of a nurse. The relevance of working out the response protocol in the event of an emergency among nurses.

The main part. The medical triage system START (Simple Triage and Rapid Treatment) is an effective tool for organizing and accelerating the process of correct routing of patients in mass cases and crises when resources are limited and medical needs are high. Medical triage criteria also include signs of primary medical examination. As their professional responsibilities expand, nurses can use the ABCD algorithm to assess the patient’s condition. Knowledge of the principles of this medical triage system, the ability to provide emergency medical care, evenly and effectively distribute resources, follow the instructions of the coordinating physician, describe medical documentation, and label the patient’s category have become the duties of nurses due to the increasing frequency of emergencies.

Conclusions. The START (Simple Triage and Rapid Treatment) triage system is used for prompt and efficient selection of victims during emergencies. The role of the nurse in this process is extremely important. First of all, the nurse must have skills in the application of the START triage technique and an understanding of its basics. During triage, the nurse can quickly assess the condition of each victim, determine the category, and assign the appropriate color tag. Provision of emergency medical care in conditions of limited resources, coordination, and reporting for further organization of medical care are key elements in the formation of nursing competence during triage. Using the principles of medical triage can help optimize treatment and save more lives in emergencies.

References

Alshatarat, M., Rayan, A., Eshah, N., & Baqeas, M. (2022). Triage knowledge and practice and associated factors among emergency department nurses. Open Nurs., 8, 173.

Nakaz Ministerstva okhorony zdorovya Ukrayiny Pro zatverdzhennya ta vprovadzhennya medyko-tekhnolohichnykh dokumentiv zi standartyzatsiyi ekstrenoyi medychnoyi dopomohy vid 05.06.2019 r. № 1269 – Order of the Ministry of Health of Ukraine On the approval and implementation of medical and technological documents on the standardization of emergency medical care dated 06/05/2019 No. 1269 [in Ukrainian].

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Butler, K., Anderson, N., & Jull, A. (2023). Evaluating the effects of triage education on triage accuracy within the emergency department: An integrative review. International Emergency Nursing, 70, 101322.

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Published

2024-05-28

How to Cite

Tomkiv, A. A., & Kovalchuk, N. V. (2024). THE START SORTING SYSTEM AND THE NURSE’S PARTICIPATION IN ITS IMPLEMENTATION. Nursing, (1), 6–9. https://doi.org/10.11603/2411-1597.2024.1.14503

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Articles