P.S.n...................................

SCHEDA TRIAGE

triangr.gif (995 byte) ROSSO triangg.gif (1004 byte) GIALLO triangv.gif (1000 byte) VERDE triangb.gif (968 byte) BIANCO trianga.gif (1078 byte) AZZURRO

  

Cognome............................................................ Nome............................................................... Età.........

 

cerchi.gif (846 byte) GRANDI TRAUMI

cerchi.gif (846 byte) PICCOLI TRAUMI

 

  • Autosufficiente
  • In carrozzina
  • In barella

PRESENZA MEZZO DI SOCC. AVANZATO

cerchi.gif (846 byte) NO                  cerchi.gif (846 byte) SI

Sigla……………… Codice…………………

 

Specialista competente………………………………………………………….…….. radio h………………; h………………..; risposta h………………; 1°visita h……….

CAUSA DICHIARATA al momento dell’accettazione ........................................................................................................................

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PARAMETRI VITALI

F.C…………………………    cerchi.gif (846 byte) Ritmica       cerchi.gif (846 byte) Aritmica

F.R…………………………

T.C.:…….…………………

SAT. OSS…………………

MUCOSE………………….

STATO DI COSCIENZA

cerchi.gif (846 byte) Lucido, orientato

cerchi.gif (846 byte) Amnesia retrograda

cerchi.gif (846 byte) Confuso

cerchi.gif (846 byte) Amnesia

cerchi.gif (846 byte)Coma

PATOLOGIE CONCOMITANTI

 

 

 

ALLERGIE

 

VALUTAZIONE INFERMIERISTICA ALL’ACCETTAZIONE____________________________________________

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PROVVEDIMENTI ADOTTATI__________________________________________________________________

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Firma I.P............................................................

Rivalutazioni h……………Codice………………..Firma I.P………………………….

Rivalutazioni h…………...Codice………………. Firma I.P…………………………..

 

Esito visita medica____________________________________________________________________________

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 Terapia____________________________________________________________________________________

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 Tempo di permanenza in P.S. ____________________________________________________________________

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