Which color tag would be placed on a client who needs to be treated first according to the disaster triage tag system?

Disaster triage nursing NCLEX questions!

Índice

  • Disaster Triage Nursing Lecture
  • Disaster Triage Nursing
  • Disaster Triage Color Tags
  • START Method

This quiz is part of a nursing leadership and management review that will test your ability on how to use the color code tagging system and START method for nursing disaster triage management.

The color tagging system and START method helps the medical team group the wounded based on if they need immediate treatment versus if they can have treatment delayed. This will help utilize resources wisely, especially during a disaster situation.

Don’t forget to watch the lecture on nursing disaster triage before taking the quiz.

Which color tag would be placed on a client who needs to be treated first according to the disaster triage tag system?

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1.      You’re working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?

A.     Green

B.     Yellow

C.     Red

D.     Black

The answer is C: Red. The red tag indicates the patient must be seen first because they have life-threatening injuries, but could survive if treated quickly. The patient is still alive but there is a severe alteration in their breathing, circulation, or mental status that requires immediate medical attention.

2.      A catastrophic disaster has occurred 5 miles from the hospital you are working in. The hospital’s disaster plan is activated and the wounded are brought to the hospital. You’re helping triage the survivors. One of the wounded is able to walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor?

A.     Red

B.     Yellow

C.     Green

D.     Black

The answer is C: Green tags are for patients who have MINOR injuries. If the patient can walk around they are tagged as green. Sometimes they are referred to as the “walking wounded”.

3.      Which statement below is INCORRECT about the yellow triage tag color in regards to a disaster situation?

A.     A survivor with this tag color is seen after patients with the green tag color.

B.     A survivor with this tag color can have treatment delayed for an hour or less.

C.     A survivor with this tag color has serious injuries that could eventually lead to the compromise of breathing, circulation, or mental status, especially if treatment is delayed more than an hour or so.

D.     A survivor with this tag color has second priority for treatment of injuries.

The answer is A. This statement is INCORRECT. It should say: A survivor with this tag color is seen after patients with the RED (not green) tag color.

4.      For the next 7 questions, use the START method for adults to help triage the wounded that have been involved in a disaster situation. Each question will give you details on what you have assessed and you will need to use those details to help you assign a color tag to the individual:  The wounded victim is unable to walk, has respiratory rate of 40, capillary refill is 6 seconds, and can’t follow simple commands. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is B: Red.

5.      While triaging the wounded from a disaster, you note that one of the wounded is not breathing, radial pulse is absent, capillary refill >2 seconds, and does not respond to your commands. What color tag is assigned?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is D: Black. The black tag is placed on the wounded that are dying or have expired. The injuries are so severe that death is imminent. There is severe alteration or absence of breathing, circulation, and neuro status.

6.      The wounded victim is unable to walk, has respiratory rate of 12, capillary refill is 8 seconds, and is unresponsive. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is B: Red.

7.      The wounded victim is unable to walk, has respiratory rate of 19, capillary refill of one second, and is able to obey your commands. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is C: Yellow.

8.      The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is B: Red.

9.      The wounded victim is unable to walk, respiratory rate is absent and when airway is repositioned breathing is still absent. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is D: Black.

10.   The wounded victim is able to walk and obey commands. The wounded victim is assigned what tag color?

A.     Green

B.     Red

C.     Yellow

D.     Black

The answer is A: Green.

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Disaster triage nursing review for students about the color-coded tags and the START method!

The goal of this review is to help you understand each of the four tag colors that make up the triage tagging system and how to use the START method to assign tag colors in a disaster situation. For exams, you want to be familiar with the following:

  • Meaning of the four tag colors (ex: the colors, who is seen first and so forth, what injury types are included)
  • How to apply the START method in scenarios you will be given on an exam (ex: a wounded individual is presenting with the following….what color tag is the wounded assigned using the START method?)

Don’t forget to test your knowledge on this content by taking the disaster triage nursing quiz.

Disaster Triage Nursing Lecture

Disaster Triage Nursing

Triage means to group or rank. In the emergency room (ER), patients are triaged based on their presenting signs and symptoms. The patients who have severe symptoms are seen immediately, while patients who don’t will have to wait to be seen.

In this review, we will be concentrating on triage related to a disaster situation. This is where there are many wounded individuals, but the personnel and resources available to treat those wounded are limited. Therefore, personnel and resources should be used wisely, and this is where the disaster color-coded triaging tagging system and START method can be helpful.

There are four colors and a wounded individual will be tagged one color based on their health status. The four colors include:

To help you keep the meaning of the tag colors red, yellow, and green separated, think of a traffic light and what you do at the traffic light when it turns certain colors. The reason I include this is because many students get confused about these three colors on exams. The black tag color is easy to remember because black is most commonly associated with death, which is the meaning of this tag color.

Red Tag: Immediate

What do you do at a traffic light when it turns red? You stop! Therefore, when a patient is tagged red, STOP and get them treatment because they have first priority in receiving care.

  • Seen 1st
  • Injuries are life-threatening but they could possibly survive if they are immediately treated.
  • Severe alteration in breathing, circulation, and neuro/mental status
  • Conditions that would cause a wounded individual to be tagged red (think of conditions or systems of the body that if severely damaged could majorly alter the breathing, circulation, and neuro system)
    • Spinal cord injuries: remember various areas of the spinal cord control breathing, brain and heart function…shock can occur like neurogenic, cardiogenic etc.
    • Severe bleeding (internal or external): if the patient is treated immediately so the bleeding could be stopped and transfused with blood products they may live
    • Major burns that affects a high percentage of the body: burns can affect the circulation and the respiratory system (depending on the burn type and where it’s located)
    • Some types of major respiratory trauma: pneumothorax etc.

Yellow Tag: Delayed

What do you do at a traffic light when it turns yellow? You slow down or delay because you’re about to stop. Therefore, when a patient is tagged yellow their treatment is delayed but for only about an hour or so because they could turn critical based on their presenting injuries.

  • Seen 2nd (second priority)
  • Significant injuries BUT at this point their breathing, circulation, and mental status is within normal range but this could change.
  • Conditions:
    • Bone fractures: major fractures that require medical treatment
    • Integumentary damages: open wounds, deep lacerations etc.

Green Tag: Minor

What do you do at a traffic light when it turns green? You go! Many times these wounded individuals are termed the “walking wounded”. Therefore, these patients can get up and GO (move around). Their injuries are minimal.

  • Treatment can be delayed for several hours and some can treat themselves.
  • Breathing, circulation, mental status not expected to change

Black Tag: Expectant

  • Wounded is dying or expired.
  • Injuries are deadly to the point the individual will not survive.
  • Absence of breathing, circulation, mental status.

START Method

This method can help determine what tag color a wounded victim is assigned. START stands for “Simple Triage And Rapid Treatment”. This particular method is for the adult. It’s very easy to use and quick.

First, you want to look at the wounded individual and ask yourself “what is the wounded victim doing?” Are they able to walk around? OR Are they unable to walk or move?

If the wounded individual can walk around and move, their breathing, circulation, and mental status are within normal range. Therefore, they are tagged GREEN.

Walking? GREEN TAG

Unable to move or walk? Check these three things in this order: Breathing, Circulation, and Mental Status/Neuro. The wounded individual that cannot walk will be tagged either RED, YELLOW, or BLACK.

Breathing?

  • Yes, rate is greater than 30: RED TAG
  • Yes, rate is less than 30: check circulation
  • No, reposition airway:
    • Still not breathing: BLACK TAG
    • Yes: RED TAG

Circulation? (radial pulse present or less than 2 seconds capillary refill)

  • Yes: check mental status
  • No: RED TAG

Mental Status? (can they obey your commands?)

  • Yes: YELLOW TAG
  • No: RED TAG

References:

START Adult Triage. (2019). [Ebook] (p. 1). Retrieved from https://chemm.nlm.nih.gov/StartAdultTriageAlgorithm.pdf

Which client should be treated first according to the disaster triage tagging system?

Victims with life-threatening injuries or illness (such as head injuries, severe burns, severe bleeding, heart-attack, breathing-impaired, internal injuries) are assigned a priority 1 or "Red" Triage tag code (meaning first priority for treatment and transportation).

What are the colors used in triage?

Standard sections.

What is a red tag in triage?

There are four color-coded triage tags that identify the condition and current treatment requirements of the victim: Red tag: A red tag indicates the most urgent treatment need. The individual has suffered life-threatening injuries but has a chance for survival if he or she receives immediate medical attention.

Which tag color represents the wounded who have the highest priority of being treated first?

Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first? The answer is C: Red. The red tag indicates the patient must be seen first because they have life-threatening injuries, but could survive if treated quickly.

What are the 4 categories of triage?

The injured people are placed in four urgent (red), emergency (yellow), delayed (green) and non-salvageable (black) classes.

In which order should clients receive care based on triage tag color?

Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries.