Contents Table of Contents by Body System Introduction: Practicing Telephone Triage Safely Triage Roles and Responsibilities Protocol Structure Using Protocols Safely Medical-Legal Safeguards Tips for Practicing Safe Telephone Triage Documentation Strategies to Help Ensure a Quality Telephone Triage System Protocols Abdominal Pain, Adult Abdominal Pain, Child Abdominal Swelling Abrasions Alcohol Problems Allergic Reaction Altered Mental Status (AMS) Ankle Injury Ankle Problems Anxiety Appetite Loss, Adult Appetite Loss, Child Arthritis Problems Avian Influenza ("Bird Flu") Exposure Back/Neck Injury Back Pain Bad Breath Bedbug Exposure or Concerns Bed-Wetting Bee Stings Bites, Animal/Human Bites, Insect Bites, Marine Animal Bites, Snake Bites, Tick Bleeding, Severe Blood/Body Fluid Exposure Bone, Joint, and Tissue Injury Bottle-Feeding Problems Breastfeeding Problems Breast Problems Breathing Problems Bruising Burns, Chemical Burns, Electrical Burns, Thermal Cancer Treatment Problems Cast/Splint Problems Chest Pain Chest Trauma Chickenpox Child Abuse Choking Circumcision Care Cold Exposure Problems Common Cold Symptoms Confusion Congestion Constipation Contact Lens Problems Contraception, Emergency (EC) Cough COVID-19 (SARS-CoV-2) Croup Dehydration Depression Diabetes Problems Diaper Rash Diarrhea, Adult Diarrhea, Child Dizziness Domestic Abuse Drowning (Near Drowning) Earache, Drainage Ear Injury, Foreign Body Ear Ringing Ebola: Known or Suspected Exposure Elder Abuse Electric Injury Extremity Injury Eye Injury Eye Problems Facial Problems Facial Skin Problems Fainting Falls Fatigue Feeding Tube Problems Fever, Adult Fever, Child Finger and Toe Problems Food Allergy, Known or Suspected Food Poisoning, Suspected Foot Problems Foreign Body, Eye Foreign Body, Inhaled Foreign Body, Nose Foreign Body, Rectum Foreign Body, Skin Foreign Body, Swallowing of Foreign Body, Vagina Frostbite Gas/Belching Gas/Flatulence Genital Lesions Genital Problems, Male Glands, Swollen or Tender Hair Loss Hand/Wrist Problems Hay Fever Problems Headache Head Injury Hearing Loss Heartburn Heart Rate Problems Heat Exposure Problems Hemorrhoids Hepatitis Hiccups Hip Pain/Injury Hives HIV Exposure Hoarseness Hospice Problems Hypertension Hyperventilation Hypotension Immunization, Tetanus Immunization Reactions Impetigo Incontinence, Stool Incontinence, Urine Indigestion Influenza Insomnia Intravenous Therapy Problems Itching Jaundice Jaw Pain Joint Pain/Swelling Knee Pain/Swelling/Injury Laceration Leg Pain/Swelling Lice Long COVID (Post-COVID Conditions, Long-Haul COVID) Menstrual Problems Methicillin-Resistant Staphylococcus aureus (MRSA) Mouth Problems Mumps Muscle Cramps Neck Pain Neurologic Symptoms Newborn Problems Nosebleed Nose Injury Numbness and Tingling Ostomy Problems Overdose Pertussis (Whooping Cough) Piercing/Pocketing Problems Pinkeye Pinworms Poisoning, Suspected Postoperative Problems Postpartum Problems Pregnancy, Cold Symptoms Pregnancy, Fetal Movement Problems Pregnancy, Hypertension Pregnancy, Leaking Vaginal Fluid Pregnancy, Nausea and Vomiting Pregnancy Problems Pregnancy, Suspected Labor Pregnancy, Suspected Labor <36 Weeks Pregnancy, Urination Problems Pregnancy, Vaginal Bleeding Puncture Wound Rash, Adult Rash, Child Rectal Bleeding Rectal Problems Respiratory Syncytial Virus (RSV) Reye Syndrome, Suspected Roseola Rubella (German Measles) Rubeola (Measles) Scabies Scrotal Problems Seizure Seizure, Febrile Sexual Assault Sexually Transmitted Disease (STD) Shingles: Suspected or Exposure Shock, Suspected Shoulder Pain/Injury Sickle Cell Disease Problems Sinus Problems Skin Lesions: Lumps, Bumps, and Sores Sleep Apnea, Adult Sleep Apnea, Infant Sore Throat Speaking Difficulty Spitting Up, Infant Stools, Abnormal Stroke, Suspected Stye Substance Misuse, Use, or Exposure Suicide Attempt/Ideation Sunburn Swallowing Difficulty Sweating, Excessive Swelling Swine Flu (H1N1 Virus) Exposure Tattoo Problems Teething Tongue Problems Toothache Tooth Injury Umbilical Cord Care Urinary Catheter/Nephrostomy Tube Problems Urination, Difficult Urination, Excessive Urination, Painful Urine, Abnormal Color Vaginal Bleeding Vaginal Discharge/Pain/Itching Vision Problems Vomiting, Adult Vomiting, Child Weakness West Nile Virus Wheezing Wound Care: Sutures or Staples Wound Healing and Infection Zika Virus Appendix A: Abbreviations Appendix B: Communicable Diseases Appendix C: Sexually Transmitted Diseases (STD) Appendix D: Temperature Conversion Chart Appendix E: Weight Conversion Chart Appendix F: Teaching Self-Assessment Appendix G: Abdominal Pain: Causes and Characteristics Appendix H: Chest Pain: Causes and Characteristics Appendix I: Headache: Causes and Characteristics Appendix J: Mental Health Challenges in Telephone Triage Appendix K: Emergency Preparedness Appendix L: Telephone Triage Training Outline Appendix M: Guidelines for Scenario Practice Appendix N: Difficult Caller Practice Scenarios Appendix O: Quality Improvement Program Appendix P: Resources Bibliography Index.
Briggs's Telephone Triage Protocols for Nurses