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Adult & Pediatric Telephone Triage Guidelines:Supplemental Info TOC


Each guideline has additional Supplemental Information — basic patient information — typically first aid and home treatment instructions written for 5th to 8th grade literacy level. The content is designed to be read to patients directly — facilitating rapid, accurate, consistent communications that patients easily comprehend and carry out.  This feature enhances patient compliance and satisfaction.

– A –

Abdominal Pain

Abrasion/Scrapes

Abuse (Sexual):

 Preserving Evidence Referral Support Groups Sexual Assault Response Team Exam Information Treatment Reporting/Action Plan

Abuse (Physical):

 Assessment Documentation Reporting Guidelines Elder Abuse Emotional Abuse Emotional Deprivation Neglect Physical Abuse Prevention Risk Factors Spousal Abuse Treatment Reporting/Action Plan

Ace Wrap Teaching,

Acquired Immune Deficiency Syndrome (AIDS)/HIV,

Adhesions,

Alcohol and Substance Abuse: Complications

Definition Prevention Signs & Symptoms Signs of Intoxication Signs of Withdrawal Treatment

Allergic Response: Allergies

Anxiety

Appendicitis

Asthma

Athlete’s Foot

– B – Back Injury Instructions

Back Pain (Low) Syndrome

Behavioral Problems:

 Discipline: Breath Holding Spells, Temper Tantrums Eating Problems: Food Allergies Elimination Problems: Bedwetting (Enuresis), Soiling (Encopresis) Sleeping Problems: Bedtime Resistance, Early Morning Riser, Night Terrors, Nightmares

Bell’s Palsy

Birth Control Pills (BCP)

Bites: Animal, Human, Insect, Rabies, Snake

Black Eye

Bladder Infection

Blocked Tear Ducts

Boil

Bowel Movement Color Change

Breast Tenderness

Breastfeeding:

Abscess Engorgement

Inadequate Milk Supply Lactation Suppression Latch-on Technique Mastitis Plugged Duct Referrals Sore Nipples Thrush Weaning From Breast Breastfeeding Initial Assessment

Bronchitis

Bruise

Burn:

 Assessment & Care Blister Care Chemical Electrical Rule of Nines

– C –

Canker Sore (Apthous Ulcer)

Cast Care

Cellulitis

Chicken Pox

Childhood Rashes

Chlamydia

Circumcision

Cold Exposure

Cold Sore

Concussion

Condyloma

Confusion

Confusion, Conditions Related to

Conjunctivitis

Constipation

Contact Dermatitis

Contact Lens Overwearing Syndrome

Corneal Abrasion

Costochondritis

– D –

Dehydration

Dental Hygiene

Depo Provera Side Effects

Depression

Diarrhea

Discoloration (Skin): Disease Side Effect

Discoloration (Skin): Food Side Effect

Dislocations (Subluxations)

Drug Side Effects:

 Abdominal Pain Breast Swelling Color Change Constipation Depression Diarrhea Dizziness Dystonia Fever Heat Exposure Hematuria Incontinence Nasal Congestion Nipple Discharge Ototoxic Meds Rash Retinotoxicity Urine Color Change Urine Retention Vomiting/Nausea

– E –

Ear Infection

Earwax Instructions

Eczema

Emotional Problem: Support Groups

Epiglottitis

External Ear Infection

– F –

Fainting

Fever Blister

Fifth Disease

Fissures

Food Poisoning

Food Side Effect (Urine Color Change)

Fracture

Fracture, Bruise, treatment for

– G –

Genital Warts/Condyloma

German Measles (Rubella)

Gonorrhea

Grief

– H –

Hand, Foot & Mouth Syndrome

Head Injury Instructions

Hearing Loss

Heat Cramps

Hematoma (Bruise)

Hemorrhoids

Hepatitis: General Information

Herpes

High Risk Pregnancy

 HIV/AIDS

Hives

Hyperglycemia

Hyperventilation Syndrome

Hypotension

Hypothermia

– I –

Impetigo

Infectious Diarrhea (Food Poisoning)

Ingestion/Inhalation

Intrauterine Device (IUD)

Isolation Procedures

– J –

Jaundice

– L –

Laceration and Wound Care

Lactose Intolerance

Leg Cramps/Pain

Lice (Head & Body)

Lip/Mouth/Gum Lesions

Lyme Disease: Prevention, Treatment, Tests


– M –

Meatitis

Menstrual Cramps

Migraine Headache

Motion Sickness

Mouth/Lip Lesions

Mumps

– N –

Nausea/Vomiting

Neck Injury Instructions

Newborn Concerns:

Behavior: Colic; Crying Breasts Care: Bathing, Circumcision, Cord, Dressing, Skin Eyes: Blocked Duct, Crossed Eyes, Discharge Elimination: Meconium Stools, Breastfed, Bottle-Fed; Urine Output Feeding Questions Genitals: Boys, Girls Head: Bruises, Fontanelle, Lumps, Molding Mouth: Pacifier, Thrush Nose: Coughing, Nasal Discharge, Sneezing Rashes: Cradle Cap;,Diaper Rash, Eczema, Erythema Toxicum, Heat Rash, Milia, Acne Skin/Birthmarks: Strawberry Hemangioma, Mongolian Spot, Stork Bite

Norplant

Nosebleed

– O –

OB/GYN Procedures:

 Complications Major Surgery Procedures: Abdominal Procedures: Vaginal

Occult Infections

– P –

Panic Attack

Pelvic Inflammatory Disease (PID)

Petechiae

Pharyngitis

Pinworms

Pleuritis

Pneumonia

Pneumothorax

Poison Oak

Postpartum:

 Activity Constipation Cramps Diet Edema, Leg Family Adjustment Hemorrhoids Incisional Pain Care Night Sweats Perineal Pain/Swelling Rectal Bleeding Sexual Activity/Birth Control Support Groups Vaginal Bleeding Varicose Veins

Post Partum Emotional Problem:

Post Partum Blues Post Partum Depression Referrals

Pregnancy:

 Backache Breast Tenderness Dizziness Fatigue Foot Pain Headache Heartburn Hemorrhoids Insomnia Leg Cramps Morning Sickness Nausea Nosebleed Sexual Intercourse Shortness of Breath Stuffy Nose Swelling (Face; Feet/Legs; Hands) Urinary Frequency Varicose Veins (Legs; Vulva)

Pressure Points

Projectile Vomiting

Pubic Lice

Puncture

Purpura

– R –

Red or 7 Day Measles (Rubeola)

Rehydration Guidelines

Retractions (Intercostal)

Ringing in Ear

Ringworm

Rocky Mountain Spotted Fever

Roseola

Rubella

Rubeola

– S –

Scabies

Scarlet Fever

Sexually Transmitted Disease (STD)

Shingles

Sinus Infection

Smegma

Sore Throat (Pharyngitis)

Spontaneous Conjunctival Hemorrhage

Sprain

Stings, Insect

Stomatitis (Viral)

Strain

Step Pharyngitis

Stye

Substance Abuse:

 Benzodiazepines Community Resources Depressants Hallucinogens How to Tell if Someone is Using Drugs Most Common Reason Sign & Symptoms of Use/Abuse Stimulants Substance Abuse Reference List

Suicide:

 Lethality Scale “No Suicide” Pact Occupations/Lifestyles Season/Day/Place Second-Party Caller Stresses

Suture Removal

Swimmer’s Ear

Syphilis

– T –

Temperature Taking

Temperomandibular Joint (TMJ)

Tetanus

Thermometers: Oral, Rectal

 Ticks, General Information

Tinea (Athlete’s Foot, Ringworm)

Toxic Shock Syndrome (TSS)

Tuberculosis

– U –

Undescended Testicle

Upper Respiratory Infection (URI)

Urethritis

– V –

Vaginal Bleeding

Vaginitis

– W –

Women’s Health

 Birth Control Questions & Concerns

 Menopause Questions & Concerns  

Telephone Triage Guidelines or Protocols: Table of Contents

Adult Telephone Triage Guidelines or Protocols (Age 18+)

Pediatric Telephone Triage Guidelines or Protocols (School Age: 6 -18 Years)

Pediatric Telephone Triage Guidelines or Protocols (Infant-Child: Birth to 6 Years)