Stage 1: Triage – Registration – Examination Procedures:
A patient who comes to our emergency department as an outpatient first applies to the triage and registration unit. The triage unit is the unit that decides on the urgency of the patient who comes to the emergency department all over the world. For an effective service delivery in the emergency department, the triage area is positioned at the entrance of the emergency department together with the registration procedures, close to the patient waiting room, considering patient privacy. The triage procedure is carried out by healthcare personnel who have received triage training, under the supervision of a physician, in accordance with the triage color coding as soon as possible. The healthcare personnel who have received triage training record the patient's complaint and vital signs (fever, pulse, blood pressure, blood sugar measurement) in the triage area of the patient observation form, and provide and direct the patient after triage in accordance with the red, yellow, green areas in order of priority. Simultaneously with the triage procedures, the patient registration unit information processing personnel; performs the first registration of the patients with their T.R. identity numbers, regardless of their social security.
COLOR LEVEL | SITUATION | EXAMINATION AREA | DIAGNOSIS |
1. LEVEL - RED | VERY URGENT | RED ZONE
RESUSCITATION
MONITORED OBSERVATION | CARDIAC ARREST, SEIZURE, ANAPHYLAXIA, COMA, LOSS OF CONSCIOUSNESS, MULTISYSTEM TRAUMA, SHOCK, SEVERE RESPIRATORY DISORDER, CARDIAC CHEST PAIN, SEVERE HEAD TRAUMA, OPEN CHEST / ABDOMINAL TRAUMA, POISONING ACCOMPANYING NEUROLOGICAL FINDINGS, UNCONTROLLED BLEEDING, OPEN FRACTURES, MAJOR BURNS, ACUTE ASTHMA ATTACK. |
2. LEVEL -YELLOW | URGENT | YELLOW AREA
SURGICAL - INTERNAL AREA | DRUG POISONING, EYE INJURIES CAUSING VISION LOSS, PREGNANT PATIENTS WITH ACTIVE BLEEDING, ALCOHOL INTOXICATION, DRUG INTAKE, URINARY RETENTION, RENAL COLIC, LACERATION, CLOSED FRACTURES, ABDOMINAL PAIN, NON-CARDIAC CHEST PAIN, BLEEDING WITH STABLE VITAL SIGNS, SEVERE PAIN |
3. LEVEL - GREEN | LOW OR NOT URGENT | GREEN SPACE
GREEN INSPECTION | CYSTITIS, SORE THROAT, ABSCESS, MINOR BURNS, MINOR BITES (human, animal, insect..), MINOR TRAUMA, VAGINAL DISCHARGE, CONSTIPATION, EARACHE, ROUTINE PHYSICAL EXAMINATION, SUTURE REMOVAL, MINOR INJURIES, DRESSING, COLD-FLU, COLD, RASH, ITCHING, WEAKNESS |
Stage 2: Treatment and Observation Procedures;
After the triage procedures, our patients are examined in two areas as the Emergency Internal Medicine Department and the Emergency Surgery Department. After the examination, the necessary tests are requested.
3. Consultation Procedures:
After the patients are evaluated by the emergency physicians, the emergency physician may request consultation (advisory service for the patient) from the relevant branches if necessary. After the evaluation, he/she informs the emergency physician of his/her recommendations, if any, verbally and in writing. Or, he/she may request some additional tests regarding the patient.
4. Admission, Discharge and Referral Procedures:
After the examination, test, consultation and emergency treatment procedures of the patients are completed, 3 results appear.
1- Patients can be discharged by recommending the relevant polyclinic control.
2- Patients are admitted to the relevant department service or intensive care.
3- Patients are referred if there is no room in our hospital or if there is a situation that requires a procedure that cannot be performed in our hospital. Referral procedures are carried out by relevant branch doctors or emergency room doctors by contacting the 112 command center.