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

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Which ESI am I?

Question 1 of 19

1

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

Select one of the following:

  • True
  • False

Explanation

Question 2 of 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?

Select one of the following:

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

  • 3 - Urgent

  • 1 - Resuscitation

  • 2 - Emergent

Explanation

Question 3 of 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?

Select one of the following:

  • 5 - Minor

  • 3 - Urgent

  • 2 - Emergent

  • 4 - Non-Urgent

Explanation

Question 4 of 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?

Select one of the following:

  • 3 - urgent

  • 1 - resuscitation

  • 2 - Emergent

  • 4 - Non-urgent

Explanation

Question 5 of 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!

Select one of the following:

  • 4 - Non-urgent

  • 2 - Emergent

  • 5 - Minor

  • 3 - Urgent

Explanation

Question 6 of 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!"

Select one of the following:

  • 3 - urgent

  • 1 - resuscitation

  • 2 - emergent

  • 5 - minor

Explanation

Question 7 of 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?

Select one of the following:

  • 2 - Emergent

  • 4 - non urgent

  • 3 - Urgent

  • 5 - Minor

Explanation

Question 8 of 19

1

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

Select one of the following:

  • 3 Resources

  • 2 Resources

  • 1 Resource

  • 0 Resources

Explanation

Question 9 of 19

1

Which one counts as a resource?

Select one or more of the following:

  • 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?

Explanation

Question 10 of 19

1

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

Select one of the following:

  • 4 resources

  • 3 resources

  • 2 resources

  • 1 resource

Explanation

Question 11 of 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.

Select one of the following:

  • 5 - Minor

  • 4 - Non-Urgent

  • 3 - Urgent

  • 2 - Emergent

Explanation

Question 12 of 19

1

A cough and a cold would be ESI 1 Minor?

Select one of the following:

  • True
  • False

Explanation

Question 13 of 19

1

Which one counts as using a resource?

Select one or more of the following:

  • Having stitches put in?

  • Having stitches removed?

Explanation

Question 14 of 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?

Select one of the following:

  • 1

  • 2

  • 3

  • 4

  • 5

Explanation

Question 15 of 19

1

What things would count as "0" Resources?

Select one or more of the following:

  • Pelvic exam

  • EKG

  • Foley

  • Tylenol 3 by mouth

  • Prescription refill

  • Normal saline

  • Asthma treatment

Explanation

Question 16 of 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?

Select one of the following:

  • 5 Minor

  • 4 non urgent

  • 3 urgent

  • 2 emergent

  • 1 resuscitation

Explanation

Question 17 of 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.

Select one of the following:

  • 1 Reuscitation

  • 2 Emergent

  • 3 Urgent

  • 4 Non urgent

  • 5 Minor

Explanation

Question 18 of 19

1

What issues would be a 2 emergent ESI?

Select one or more of the following:

  • Cardiac arrest

  • Sepsis

  • Hypertensive Crisis

  • Possible DVT

  • Signs of a stroke but stable

  • Broken leg

  • Blood glucose level of 45

Explanation

Question 19 of 19

1

Which one is true?

Select one or more of the following:

  • 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

Explanation

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