Key Symptom List for Non-Clinician Pre-Triage: A Risky Practice

Posted by Sheila Wheeler on Sep 21, 2017 in | Comments Off on Key Symptom List for Non-Clinician Pre-Triage: A Risky Practice Key List of Symptoms of Non-Clinicians to Pre-Triage? I am often asked about a recommended “list of key symptoms for clerical staff to use to pre-triage patients”. I do not have such a list, nor do I recommend this risky policy. If your facility implements such a task delegation policy, I recommend that nurses meet with the hospital counsel in regard to this matter, as well as getting the policy...
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Telehealth: Essentials for Expert Clinical Practice (2021)

Posted by Sheila Wheeler on Dec 23, 2016 in | 0 comments Structure, Process, Outcomes for 5-Level Telephone Triage  Available  on Amazon in Spring of 2021 Essentials for Expert Clinical  Practice is a revision of The Fine Art of Telephone Triage (1993) the original “how to” course in telephone triage. Structure – Process – Outcome = Quality and Safety This comprehensive Training Program combines two (training and Standards) of four System...
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Clinical Call Center of the Future:

Posted by Sheila Wheeler on Feb 13, 2014 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems | 2 comments In a recent article in Healthcare Call Center Times entitled “Thoughts from a Telephone Triage Pioneer”, Sheila Wheeler shared her vision of the future of telehealth with a list of features for the clinical call center of the future. New Title Telephone Triage Nurse becomes Clinical Triagist Integrated Clinical Call Centers The 24/7 “Command Call Center” becomes the new...
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Emergency Department Telephone Triage

Posted by Sheila Wheeler on Dec 6, 2013 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems, FAQ-Protocol | 0 comments Are Current Policies Safe? Recent research found a link between Oregon patients on Medicaid and increased ED visits, with possible implications for theAffordable Care Act (ACA).   For several decades, the issue of ED overutilization has been identified as a problem.  Historically, ED visits may be preceded by a telephone triage call to the ED for assessment and disposition — which most EDs...
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Decision making by Telephone Triage Nurses

Posted by Sheila Wheeler on Nov 26, 2013 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems, FAQ-Protocol | 1 comment Pattern Recognition and Estimation of Symptom Urgency Recent research on decisionmaking has implications for clinical decision making in telephone triage, CDSS, clinical call center policies, and industry regulations — worker fatigue, understaffing, over scheduling. Thinking Critically about Critical Thinking “In the beginner’s mind there are many possibilities. In the expert’s mind...
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