THE ROLE OF PARAMEDICS IN TRIAGE

Triaža je postopek, v katerem razvrstimo paciente glede na potrebo po začetku zdravstvene obravnave. Izvaja se v različnih okoljih in pod različnimi pogoji, gre pa za razvrščanje pacientov, glede na nujnost obravnave. Tako poznamo triažo ob množičnih nesrečah, naravnih katastrofah, na terenu in v institucijah v okviru bolnišničnih oddelkov in ambulant. Namen diplomskega dela je predstaviti vlogo medicinske sestre pri triaži pacientov v ambulanti nujne medicinske pomoči in na terenu ter z raziskavo ugotoviti značilnosti triaže v praksi. Uporabili smo kvantitativno metodologijo z deskriptivno metodo dela. Za raziskovalni instrument smo si izbrali anketni vprašalnik. V raziskavi je sodelovalo 40 reševalcev zaposlenih v Centru za nujno medicinsko pomoč in reševalne prevoze Zdravstvenega doma Dr. Adolfa Drolca Maribor. Rezultati raziskave so pokazali, da je stopnja prizadetosti pacienta najpogostejši faktor, ki vpliva na odločitev triažnega delavca glede prednostne obravnave pacienta. Triažo v ambulanti nujne medicinske pomoči najpogosteje opravlja diplomirana medicinska sestra/diplomiran zdravstvenik. Medtem, ko triažo pri množičnih nesrečah pa opravlja tisti, ki najprej pride na kraj dogodka. Vodja intervencije je po navadi zdravnik, medtem ko pa je izvajalec primarne triaže reševalec. V raziskavi smo ugotovili, da je Mariborska enota nujne medicinske pomoči zadovoljivo pripravljena na množične nesreče. Za dobro triažiranje potrebujejo reševalci obširno strokovno znanje, sposobnost opazovanja, ocenitve situacije in delovne izkušnje. V nujni medicinski pomoči ni pomembno samo znanje o nekem problemu, pač pa hiter in učinkovit prenos tega znanja v praksoTriage is the process of determining the priority of patients’ treatment based on the severity of their condition. It is performed in different environments and under different conditions and it is a classification of patients according to the urgency of treatment. So we know the triage of mass disasters, natural disasters, on the field and in the institutions within the hospital departments and ambulant. The purpose of the diploma work is to present the role of nurses in the triage of patients in the outpatient ambulant of emergency medical department and on the field and with a survey determine the characteristics of triage in practice. We used quantitative methodology with descriptive method of work. For research instrument we chose questionnaire. The study involved 40 emergency staff at the Center for emergency medicine of Health Center Maribor. The results showed that the degree of disability of the patient is the most common factor that has influences on the decision of triage worker. Triage in emergency ambulant most often performs nurse or paramedic. While, the triage at the mass disasters is performed by those, who is the first at the scene. Head of intervention is usually a doctor, while the contractor of the primary triage is paramedic. In this study we found out that the unit of Maribor emergency medicine is satisfactorily prepared for massive disasters. For good triage paramedics need extensive knowledge, ability of observation, reviews the situation and work experience. In the emergency medicine is not only important to know about a problem, but fast and efficient transfer of knowledge into practice