{"id":33071,"date":"2023-10-26T06:08:29","date_gmt":"2023-10-26T06:08:29","guid":{"rendered":"https:\/\/www.process.st\/templates\/triage-assessment-form\/"},"modified":"2024-03-05T14:51:16","modified_gmt":"2024-03-05T14:51:16","slug":"triage-assessment-form","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/triage-assessment-form\/","title":{"rendered":"Triage Assessment Form"},"content":{"rendered":"\n<section id=\"gather-patients-general-information\"> \n <h2>Gather patient's general information<\/h2>\n <div class=\"text-content\">\n   Collect the patient's basic details including name, age, gender, and contact information. This task is crucial as it provides the necessary information to identify the patient and communicate with them if required. It also helps in maintaining accurate records. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Patient's Name <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"number-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Patient's Age <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Patient's Gender <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Male \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Female \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Other \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Contact Number <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Email Address <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"identify-the-reason-for-visit\"> \n <h2>Identify the reason for visit<\/h2>\n <div class=\"text-content\">\n   Discover and understand the main purpose for the patient's visit. This task helps in determining the primary concern of the patient and assists in prioritizing their needs. \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Reason for Visit <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"assess-the-level-of-urgency\"> \n <h2>Assess the level of urgency<\/h2>\n <div class=\"text-content\">\n   Evaluate the urgency of the patient's condition based on the severity of their symptoms and medical history. This task allows for appropriate prioritization of patients, ensuring prompt attention to those in need of immediate care. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Level of Urgency <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Urgent \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      High \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Moderate \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Low \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"determine-patients-medical-history\"> \n <h2>Determine patient's medical history<\/h2>\n <div class=\"text-content\">\n   Acquire a comprehensive understanding of the patient's medical background, including past illnesses, surgeries, and chronic conditions. This task aids in identifying potential risk factors and providing appropriate medical care. \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Medical History <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"check-current-medications-and-allergies\"> \n <h2>Check current medications and allergies<\/h2>\n <div class=\"text-content\">\n   Verify the medications currently taken by the patient and identify any known allergies. This task helps prevent adverse reactions and enables healthcare professionals to make informed decisions regarding treatment options. \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Current Medications <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Allergies <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"measure-vital-signs-including-pulse-temperature-and-blood-pressure\"> \n <h2>Measure vital signs including pulse, temperature and blood pressure<\/h2>\n <div class=\"text-content\">\n   Assess the patient's vital signs to determine their overall health and identify any abnormalities. This task provides crucial information for initial evaluation and subsequent decision-making processes. \n <\/div> \n <div class=\"number-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Pulse Rate (per minute) <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"number-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Temperature (in degrees Fahrenheit) <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"number-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Blood Pressure (in mmHg) <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"perform-physical-examination\"> \n <h2>Perform physical examination<\/h2>\n <div class=\"text-content\">\n   Conduct a thorough physical examination of the patient, including inspection, palpation, percussion, and auscultation. This task aids in identifying physical abnormalities and gathering more information about the patient's condition. \n <\/div> \n <div class=\"multi-select-content form-field-content\"> \n  <div class=\"form-group\"> <label> Physical Examination Checklist <\/label> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Inspect body for abnormalities \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Palpate for tenderness or swelling \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Check reflexes \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Listen to heart sounds \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       5 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Examine respiratory system \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"approval-physical-examination-results\"> \n <h2>Approval: Physical Examination Results<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Perform physical examination<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"identify-symptoms-and-their-severity\"> \n <h2>Identify symptoms and their severity<\/h2> \n<\/section> \n<section id=\"evaluate-mental-health-status\"> \n <h2>Evaluate mental health status<\/h2> \n<\/section> \n<section id=\"decide-on-the-patients-priority-level\"> \n <h2>Decide on the patient's priority level<\/h2> \n<\/section> \n<section id=\"approval-priority-level-decision\"> \n <h2>Approval: Priority Level Decision<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Identify symptoms and their severity<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li>\n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Evaluate mental health status<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li>\n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Decide on the patient's priority level<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"document-findings-on-the-triage-assessment-form\"> \n <h2>Document findings on the Triage Assessment Form<\/h2> \n<\/section> \n<section id=\"share-findings-with-attending-physician\"> \n <h2>Share findings with attending physician<\/h2> \n<\/section> \n<section id=\"approval-physician\"> \n <h2>Approval: Physician<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Share findings with attending physician<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"give-instructions-to-the-patient-based-on-the-assessment\"> \n <h2>Give instructions to the patient based on the assessment<\/h2> \n<\/section> \n<section id=\"record-patients-comprehension-of-the-instructions\"> \n <h2>Record patient's comprehension of the instructions<\/h2> \n<\/section> \n<section id=\"store-the-triage-assessment-form\"> \n <h2>Store the Triage Assessment Form<\/h2> \n<\/section> \n<section id=\"monitor-patients-condition-based-on-the-priority-level\"> \n <h2>Monitor patient's condition based on the priority level<\/h2> \n<\/section> \n<section id=\"reassessment-if-necessary\"> \n <h2>Reassessment if necessary<\/h2> \n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Gather patient's general information Collect the patient's basic details including name, age, gender, and contact information. This task is crucial as it provides the necessary information to identify the patient and communicate with them if required. It also helps in maintaining accurate records. Patient's Name Patient's Age Patient's Gender An option will be selected here [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"\ud83d\udcdd","cover_icon_url":"","tasks_count":"20","template_description":"","template_id":"vvp0Hk36ieEO8qXWHyhK5A","task_0":"Gather patient's general information","task_slug_0":"gather-patients-general-information","task_1":"Identify the reason for visit","task_slug_1":"identify-the-reason-for-visit","task_2":"Assess the level of urgency","task_slug_2":"assess-the-level-of-urgency","task_3":"Determine patient's medical history","task_slug_3":"determine-patients-medical-history","task_4":"Check current medications and allergies","task_slug_4":"check-current-medications-and-allergies","task_5":"Measure vital signs including pulse, temperature and blood 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