Certified Emergency Nurse exam content: rapid triage acuity systems and emergency department-specific patient management, distinct from the single-patient scope of the Trauma Nursing and Triage deck.
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- What does the acronym ESI stand for in emergency department triage?
- Emergency Severity Index
- How many acuity levels does the ESI triage system use?
- Five
- What does an ESI Level 1 assignment mean?
- The patient requires immediate life-saving intervention
- Under ESI, what triage level is assigned when a patient is not in immediate danger but is in a high-risk clinical situation (e.g., chest pain suggestive of ACS)?
- Level 2
- Under ESI, what triage level is assigned to a patient with new onset confusion, lethargy, or disorientation?
- Level 2
- Under ESI, what triage level is assigned to a patient in severe pain or distress?
- Level 2
- For a stable ED patient (not Level 1 or 2), what factor determines whether they are triaged as ESI Level 3, 4, or 5?
- The number of different hospital resources predicted to be needed
- A stable patient predicted to need two or more hospital resources is assigned which ESI level?
- Level 3
- A stable patient predicted to need exactly one hospital resource is assigned which ESI level?
- Level 4
- A stable patient predicted to need no hospital resources is assigned which ESI level?
- Level 5
- In ESI resource counting, if a provider orders several different lab tests together, how many resources do they count as?
- One resource
- What is the purpose of the ESI 'vital sign danger zone' step?
- It flags whether an ESI Level 3 patient should be uptriaged to Level 2 based on abnormal vital signs
- What is the primary purpose of triage in the emergency department?
- To sort and prioritize patients by the urgency of their need for care
- In triage, what is overtriage?
- Assigning a patient a higher acuity level than their condition actually warrants
- In triage, what is undertriage?
- Assigning a patient a lower acuity level than their condition actually warrants