Triage Simulation
Michelle Gierach, MSN, RN, CNE
Connie Evenson, MSN, RN, CNE
Scenario
• A nurse and the camp director are preparing for
the arrival of children to a small rural summer
asthma camp. During the early morning, the
nurse is alerted that an accident occurred just
outside of the camp. The nurse calls 911 while
running to the scene finding a bus that crashed
into a jeep and then rolled into a large tree next
to the river. All of the patients will eventually be
transferred for care.
Scenario
• On site, the nurse has minimal supplies
including gauze, bandages, ambu bags, oral
airways, IV fluids, etc. The nurse does not have
surgical capabilities. The nearest hospital is 30
minutes away and accessible by helicopter.
There is an air transport helicopter that is en
route to arrive within the next 15 minutes.
Because of weight restrictions, the nurse is only
able to send 2 patients at a time for transport.
Scenario
• After initial survey of the scene, the nurse
establishes a basic triage station. The
nurse must triage and prioritize patients,
deciding on the order of transport and
immediate care needed prior to transport.
5 Patients
•
•
•
•
•
Patient 1 - Young Male
Patient 2 - Young Female
Patient 3 - Middle-Aged Male
Patient 4 - Elderly Female
Patient 5 - Middle-Aged Male
Nurse, over here!
• Your camp director alerts you he has
found another patient
• Patient 6 - Female 9 months pregnant
Nurse, over here!
• Your camp director alerts you he has
found another patient
• Patient 7 - Elderly Male
Nurse, over here!
• Your camp director alerts you he has
found another patient
• Patient 8 - Young Male
STOP
• What is your order of transport?
• What type of care will you give these
patients prior to transport.