Date of Graduation
Summer 8-6-2025
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
MSN project
First Advisor
Mohamad El Najm, PhD, MHCM, MSN-Ed, RN
Second Advisor
Ana Viera-Martinez, DNP, APRN-CNS, CNL, RNC-OB, CLE
Abstract
Triage is an integral part of the clinical process which involves assessing patients and determining their level of care in order to get them appropriate, timely treatment. Several countries utilize a standardized triage system with established criteria to aid staff in their decision-making during assessments (Peta et al., 2023). The Nursing and Residential Triage (NaRT) tool, from the Manchester Triage System (MTS), was shown to enhance staff clinical assessment skills and help avoid inappropriate ED transfers during a study among older adults in a residential facility (Markey et al., 2024). For this project, the main issue identified at the residential facility was low triage accuracy among the team leader nurses, which was leading to overuse of the ED. As such, the NaRT tool was selected and modified to fit the needs of this facility, with the aim that this triage algorithm would increase triage accuracy to the benchmark of 90% (Bazyar et al., 2022). After the final draft of the NaRT was created, an orientation session with the nurses was conducted, and in this same meeting the nurses passed the post-test with 100% and provided positive feedback on the tool, demonstrating both staff competency and satisfaction. Additional results on the triage accuracy achieved using the NaRT tool will be acquired by contacting the Clinical Director at a later time. The implementation of the NaRT tool at this site has significant implications, since increasing triage accuracy will also lead to greater resident safety and lower costs to the facility. As the NaRT is a physical tool in its current state, a natural direction for the future would be integration of the tool into the Electronic Health Record (EHR), which would improve workflow and streamline documentation.
Recommended Citation
Choi, Andrew J. RN; Gopal, Neha RN; Padilla, Andres N. RN; and Son, Dana, "Implementation of a Triage System for the Residents at a Residential Facility to Improve Triage Assessment Skills of the Staff as Well as Improve the Level and Timeliness of Care" (2025). Master's Projects and Capstones. 1927.
https://repository.usfca.edu/capstone/1927
Included in
Critical Care Commons, Diagnosis Commons, Emergency Medicine Commons, Geriatric Nursing Commons, Geriatrics Commons, Investigative Techniques Commons, Nursing Administration Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Quality Improvement Commons
