The results of the patient screening model by the role of professional nurses and the use of the waiting period emergency severity index Kut Chap Hospital.

Abstract

     This research is an action research to study and develop a patient triage model using the independent role of professional nurses. Emergency Severity Index and the effectiveness of using the model on patient waiting times. Conducted between October 2023 - March 2024. The sample group was professional nurses performing triage duties in the accident and emergency department. Kut Chap Hospital, Kut Chap District, Udon Thani Province, 16 people. Tools include a patient screening model using the role of professional nurses and the use of the waiting period emergency severity index. Patient classification observation form Patient waiting time recording form and a questionnaire on the independent role practice of professional nurses. Data were analyzed using content and quantitative analysis. With frequency, percentage, mean, standard deviation, One sample t-test statistic and Paired t-test statistic at the statistical significance level of 0.05.
     It was found that the model defines patient types into 5 levels: Critical (Immediate) receives immediate care; Severe Illness (Emergency) receives treatment within 10 minutes; Moderate Illness (Urgency) receives treatment within 30 minutes; Mild illness (Semi-Urgency) receive treatment within 60 minutes and general illnesses (Non-Urgency) can wait to receive treatment within 120 minutes. In terms of the effectiveness of using the format, after using the triage format Critical patient waiting times were equal to Australian standards (average 0.02 minutes, <0 minutes). As for the waiting times of patients with severe illness (average 3.13 minutes, ≤10 minutes), moderate illness (average 15.27 minutes, ≤30 minutes), mild illness (average 22.08 minutes, ≤60 minutes), and general illness (average 45.56 minutes, ≤ 120 minutes) is less than the Australian standard with statistical significance at the 0.05 level. And regarding the practice of the independent role of professional nurses, it was found that after using the professional nursing model Able to perform independent roles better Statistically significant at the 0.05 level.