The Notes section of Triage Assessment contains several tabs where you may enter supplementary notes, see Note Tab Descriptions table below for important details about each tab.
Important: You may be able to view and/or copy Notes from previous ED visits, see Previous Visits. |
Tab Name | Description |
EMS |
Reports received from Paramedic(s) or other pre-hospital providers who arrived with the patient can be entered here. If applicable, EMS Arrival and Off Load Information can be entered.
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Subj |
Subjective: the patient’s story or background information not included in the Patient’s Stated Complaint field may be entered here (e.g. a patient states they were standing on a tall step ladder and fell).
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Obj | Objective: nurse’s assessment notes not included in the Nurse Assessed Complaint field may be entered here. (e.g. a nurse observes blue discoloration across patient’s abdomen).
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TMT |
Treatments and Interventions initiated at triage may be entered here
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Med Hist |
Medical History: Relevant medical history may be entered here, including No Significant Medical History. Select from the list, or enter free text, and click Enter.
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Meds |
Medications: Patient medications may be entered here, including No Reported Medications at Triage. Select from the list, or enter free text, and click Enter.
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Allergies |
Document patient allergies.
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Note: If allergies are documented, allergy alerts appear, i.e.,: | ||
Allergyappears next to the patient’s name on the Triage Assessment screen. |
An Allergy icon A appear appears (i.e., Triaged Patients Queue, Patient Summary area) |
Action | Instructions |
Selection methods list |
Use the arrow keys on your keyboard to highlight an item, then press Enter to select it.
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Edit a free text or predefined item (by mouse only) |
Note: only the last item in the list can be edited. You can reorder items to edit as needed.
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Reorder selected items (by mouse only) |
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Remove selected items |
By mouse
By keyboard For the last item in the list:
For all other items:
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