SYMPTOM AND SUPPLEMENTAL INFORMATION are divided into two separate lists, but combined in the manuals.

Compiled from Telephone Triage Protocols for Adult and School Age Populations with Women's Health and Infant/Child Protocols by Sheila Wheeler, RN, MS

The protocols are organized primarily by site and then symptoms, alphabetically.  This approach is designed to approximate the way in which patients might present symptoms, thus facilitating the process of matching the problem with the correct protocol for the nurse. 

Site and Symptom-Based Titles

Abdomen Problem:

 1 (Upper & Generalized): Pain w or w/o Trauma;
 2 (Lower): Pain w & w/o Trauma

Abuse: Sexual and Physical

Back Problem (Upper & Lower):

 Pain w or w/o Trauma

Behavioral Problems:

 Discipline: Temper Tantrums
 Eating Problems: Food  Allergies
 Elimination Problems: Bedwetting (Enuresis); Soiling
  (Encopresis); Toilet Training
 Sleeping Problems: Bedtime Resistance; Early Morning Riser
         Night Terrors; Nightmares

Bioterrorism Information: Chemical and Biological
Bites  (Skin Problem 1):

 1 (Human/Animal): Human; Cat; Dog; Bat; Horse; Squirrel;
  Skunk; Raccoon;  Fox
 2 Snake; Jellyfish; Sea Urchin; Stingray
 3 Bee Stings, Yellow Jacket, Hornet, Wasp; Spiders; Scorpions;
  Fleas; Ticks

Bowel Problem: 

 1 Diarrhea (Severe/Moderate/Mild); Incontinence; Bloody  Stools
 2 Constipation; Stool Color Change

Breast Problem:

 1 Female (Non Pregnant, Non Post Partum): Pain w or w/o Trauma;
   Discharge; Lump; Lesions
 2 Male: Pain w or w/o Trauma; Discharge; Lump; Lesions

Breast feeding Problem:

 Pain w or w/o Fever; Sore Nipples; Painful Breasts

Burn (Skin Problem 2):

 1 Thermal; Chemical; Electrical
 2 Radiation (Sunburn)

Chest Pain:

 Pressure/Pain; w or w/o Trauma

Childbirth Instruction
Cold Exposure:

 Hypothermia; Frostbite

Confusion:

 Sudden; Chronic

CPR Instruction

Dizziness/Fainting:

 W or w/o Trauma

Ear:

 1 Pain w Trauma; FB; Hearing Loss; Ringing; Earlobe Trauma;
 2 Pain w/o Trauma; Discharge; Congestion; Earlobe Swelling

Emotional Problem:

 1 Suicide in Progress; Threat; Ideation
 2 Panic; Depression; Anxiety; Agitation; Aggression;
  Withdrawal; Hallucination

Extremities:

 (Upper): Pain w or w/o Trauma; Swelling; Lacerations;
     Fractures
 (Lower): 1  Pain w Trauma; Swelling; Lacerations; Fractures
 (Lower): 2  Pain w/o Trauma; Swelling; Weakness; Limp

Eye:

 1 Pain w Trauma; Burn; FB; Vision Changes; Blood In
 2  Pain w/o Trauma; Photophobia; Blood In; Discharge;
      Swelling; Vision Changes

Face/Jaw:

 Pain w or w/o Trauma; Swelling; Weakness

Fever:

 High; Moderate; Mild

Head Problem:

 1 Pain; Laceration; Level of Consciousness Change w Trauma
 2 Pain; Level of Consciousness Change w/o Trauma

Heat Exposure:

 Heat Stroke; Heat Exhaustion; Heat Cramps

Heimlich Instructions

Joint Problem (Upper & Lower):

 Pain w or w/o Trauma; Swelling
 (Shoulder, Elbow, Wrist, Hip, Knee, Ankle, Foot); Limp

Lip/Mouth; Teeth/Gums; Tongue:

 Pain w or w/o Trauma; Swelling; Laceration; Lesions

Neck Problem:

 Pain w or w/o Trauma; Swelling; Lump

Newborn Concerns:

 Behavior; Care; Bathing; Circumcision; Cord; Dressing; Skin
 Eyes; Elimination: Meconium Stools; Breast fed; Bottle-Fed);
 Urine Output Feeding Questions; Genitals;
 Head: Bruises; Fontanelle; Lumps; Molding
 Mouth; Nose: Coughing; Nasal Discharge; Sneezing;
 Skin/Rashes: Cradle Cap; Diaper Rash; Eczema; Erythema
  Toxicum; Heat Rash, Milia; Newborn Acne; Skin/Birthmarks

Nose/Sinus Problem:

 Pain w or w/o Trauma; FB; Bleeding; Discharge; Congestion

Pain Assessment
Penile/Scrotal/Testicle Problem:

 Trauma; FB; Pain; Discharge; Lumps; Lesions;

Postpartum Problem:

 Leg Pain; Painful Urination; Incisional Pain;
  Fever; Bleeding; SOB; Diarrhea; N/V; Abd. Pain

Pregnancy Problems:

 1 Labor; Abdominal Pain; Vaginal Discharge; Vaginal Bleeding
 2 Trauma; Headache; Chest Pain; Fetal Movement; N/V;
  Swelling; Burning on Urination; Itching

Rectal Problem:

 Pain w or w/o Trauma; FB; Bleeding; Itching;
  Discharge; Lesion

Respiratory Problem:

 1 Breathing Problem/Cough: Respiratory
  Distress; Choking; SOB; Stridor; w or w/o Trauma;
 2 Throat: Choking; FB/Trauma; Pain; Burn: Chemical/Thermal

Seizures:

 W or w/o Trauma

Shock:

 Distributive; Cardiogenic; Hypovolemic

Skin Problem:

 1 Bites: See Bites (Skin Problem 1)
 2 Burn: See Burn (Skin Problem 2)
 3 Discoloration: Bruise; Yellow; All Color Changes
 4 Laceration/Wound: Amputations; Major and Minor Lacerations;
  Abrasions; Puncture Wounds
 5 Lesion/Lump/Swelling: W or w/o Trauma
 6 Rash: w or w/o Itching

Substance Abuse:

 Drug/Alcohol

Urinary Problem:

 Pain w or w/o Trauma; Frequency; Urgency;
  Discharge; Change in Output/Color; Bloody Urine

Vaginal Bleeding (Non Pregnant):

 Abnormal Bleeding: Painful, Irregular, Excessive;
     Absence of Menses

Vaginal Problem (Non Pregnant):

 FB; Trauma; Discharge; Pain; Lesion; Itching;
     STD Exposure

Vomiting/Nausea:

 Excessive; Bloody/Fecal; Food/Toxin; Dehydration

Women's Health:

 Menopause Issues and Concerns and Frequently Asked

             Questions;

Birth Control Issues and Concerns and

             Frequently Asked Questions