Once an ESI level-2 patient is identified, the triage nurse needs to ensure that the patient is cared for in a timely manner. Considering the patient's brief subjective and objective assessment, past medical history, allergies, medications, age, and gender, how many different resources will be used in order for the physician to reach a disposition? Triage is used in a number of situations in modern medicine, including: Once the triage nurse has determined that the patient does not meet the criteria for ESI level 1, the triage nurse moves to decision point B Figure At decision point B, the nurse needs to decide whether this patient is a patient that should not wait to be seen. Active chest pain, suspicious for acute coronary syndrome but does not require an immediate life-saving intervention, stable. The adolescent found confused and disoriented Each of these examples indicates that the brain may be either structurally or chemically compromised. Examples of distress include the sexual assault victim, the victim of domestic violence, the combative patient, or the bipolar patient who is currently manic. In some patients, pain can be assessed by clinical observation: White tags - dismiss are given to those with minor injuries for whom a doctor's care is not required. Intubated head bleed with unequal pupils. When the patient is an ESI level 2, the triage nurse has determined that it would be unsafe for the patient to remain in the waiting room for any length of time. In most health care services, nurses are the health- care workers responsible for patient triage. In mass casualty situations, triage is used to decide who is most urgently in need of transportation to a hospital for care generally, those who have a chance of survival but who would die without immediate treatment and whose injuries are less severe and must wait for medical care. It has nurses, doctors, counsellors and health education and administration staff whose roles overlap.