Jinka General hospital Central Triage protocol
1. Patient should be directed to the Central Triage from the reception service
2. Vital signs should be checked and registered, and should be assessed to decide types of
services the patient/client/ should have
3. Patients should be triaged before having card
4. All patient should undergo triage except emergency patients, laboring mother &those
patients/clients/ with appointment
5. The first step in triaging is to asses and treat emergency sign following
ABCD of life techniques
A, air way if obstructed ……open air way
Clean foreign body or secretion
Give oxygen
Appropriately position the patient (chin lift or jaw thrust )
B, breathing if not breathing
Give bag mask with oxygen
Look for sign of impaired respiration (pneumothorax hemo
thorax…etc)
C, circulation heart beat absent
Begin CPR
Connect to ECG
Weak pulse or irregular
Connect ECG
Treat any arrhythmia with appropriate drug
Hemorrhage
Control bleeding
Wound pressure
Insert IV line
Give iv fluid
D. Disability
5. Then transfer the patient to emergency department if the patient fulfills emergency criteria
after using triage scoring methods.
6. If the patient does not have emergency condition the triage officer should then determine
nature/urgency/ of client and determine appropriate service for the patient/client
7. If the service is not available in the hospital, then referral should be considered to other health
facility by communicating the hospital’s liaison and referral officer
8. If patients do not have access to health facility in the same day give appointment card and
register in the appointment book and link the patient with liaison and referral officer to undergo
any further appointment procedures every patient triaged in the central triage room have to be
registered with complete recording
