Actually, the triage protocol is the change that needs to be implemented in the hospitals, so that the effectiveness of their operations can be facilitated (Crinson, 1999). The triage protocol will be responsible for the identification of specific or a range of treatments and any related conditions required for the effective functioning of the protocol and shortening the waiting time in A&E departments (Cutts, 1999). It is worth mentioning that the new protocol is developed with such sophistication that is demanding for fresher courses of the nurses and emergency officers who will be responsible for using it. The competency of the responsible officers will be validated through both the assessment and the quality of their judgments in relation to the need of some patients for using the system (Davies, 1994a). The protocol is defined in such a manner that its implementation depends on the definition of the treatment to be offered; this is because it contains both inclusion and exclusion criteria, which appropriately informs the triage nurses about the exact time to request X-Rays to avoid subjecting patients to excessive radiation. Constant review of the protocol will be conducted quarterly to ensure its appropriateness.
2. Outline the rationale for selecting the change
The triage protocol suggested for implementation will help provide rapid health care services for patients in critical conditions within the emergency rooms in hospitals. Request of X-rays by triage nurses through the protocol reduces the waiting time by about 18 minutes, which leads to satisfaction of both the patients and the hospital staff (Crinson, 1999). This process entails the involvement of triage nurses, who must possess the ability to make quick decisions. In addition, triage nurses must have a high level of listening and communication skills and extensive knowledge of warning signs and symptoms. It is important to note that these field nurses must have vast experience in emergency medicine to be able to become triage nurses (Ward, 1999).
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