ESI Levels Competency Set Solved Correctly To
Score A+
1. "I think I picked up a bug
ESI level 3: Two or more resources. From
overseas," reports a 34-year-old
the pa- tient's history, he will require labs
male who pre- sented in the
and IV fluid re- placement—two
emergency department
resources.
complaining of frequent watery
stools and abdominal cramping.
"I think I am getting dehydrated."
T 98°F, RR 22, HR 112, BP 120/80,
SpO2 100%. Pain 6/10.
ESI level 3: Two or more resources. It looks
2. When asked why she as though this patient has a displaced
came to the emergency fracture and will need a closed reduction
department, the prior to casting or splinting. At a minimum,
18-year-old college student he needs x-rays and an
begins to cry. She tells the triage
nurse that she
was sexually assaulted last night at an orthopedic consult. This patient may
also require
off-campus party. procedural sedation. However, there are
already two or more resources, so it is not
necessary to be overly concerned about
counting resources beyond two.
3. "I don't know what's wrong with ESI level 1: Requires immediate lifesaving
my baby girl," cries a young interven- tion; possible aggressive fluid
mother. She reports that her 2- resuscitation.
week-old baby is not acting right
and is not interested in eating.
As you begin to undress the
baby, you notice that she is listless
and her skin is mottled.
4. "My pain medications are not working ESI level 2: Severe pain or distress. This
, ESI Levels Competency Set Solved Correctly To
Score A+
patient
anymore. Last night I couldn't sleep needs aggressive pain management
with IV med-
because the pain was so bad," reports ications. There is nothing the triage
nurse can do
a 47-year-old female with to decrease the patient's pain level. The answer
metastat- ic ovarian cancer. "My to "Would you give your last open bed to
husband called this patient?"
my oncologist, and he told me to come should be yes.
, ESI Levels Competency Set Solved Correctly To
Score A+
to the emergency department."
The patient rates her pain as
9/10. Vital signs are within
normal limits.
ESI level 3: Two or more resources. The
5. A 48-year-old male tells you patient is presenting with signs and
that he has a history of kidney symptoms of another kidney stone. At a
stones and thinks he has minimum, he will need a urinaly-
another one. He has
right costovertebral angle pain that ra- sis and CT scan. If his pain increases,
he may need
diates around to the front and into his IV pain medication. At a minimum, two
resources
groin. He is nauseous but tells 7. "Her grandfather pulled
you he took a pain pill, and right her by the wrist up and
now he has minimal pain. He over a big puddle. Next
denies vomiting. T 98°F, RR 16, thing you know, she is
HR 80, BP 136/74, SpO2 crying and refusing to
100%. Pain 3/10. move her left arm," the
mother of a healthy 3-
6. "After my pediatrician saw my year-old tells
son's rash, he said I had to
bring him to the emergency
department immediately. He
has this rash on his face and chest
that started today. He has little
pin- point purplish spots he called
petechi- ae. My son is a healthy
kid who has had a cold for a
couple of days and a cough. My
pediatrician said he had to be sure
nothing bad is going on. What do
you think?"
Score A+
1. "I think I picked up a bug
ESI level 3: Two or more resources. From
overseas," reports a 34-year-old
the pa- tient's history, he will require labs
male who pre- sented in the
and IV fluid re- placement—two
emergency department
resources.
complaining of frequent watery
stools and abdominal cramping.
"I think I am getting dehydrated."
T 98°F, RR 22, HR 112, BP 120/80,
SpO2 100%. Pain 6/10.
ESI level 3: Two or more resources. It looks
2. When asked why she as though this patient has a displaced
came to the emergency fracture and will need a closed reduction
department, the prior to casting or splinting. At a minimum,
18-year-old college student he needs x-rays and an
begins to cry. She tells the triage
nurse that she
was sexually assaulted last night at an orthopedic consult. This patient may
also require
off-campus party. procedural sedation. However, there are
already two or more resources, so it is not
necessary to be overly concerned about
counting resources beyond two.
3. "I don't know what's wrong with ESI level 1: Requires immediate lifesaving
my baby girl," cries a young interven- tion; possible aggressive fluid
mother. She reports that her 2- resuscitation.
week-old baby is not acting right
and is not interested in eating.
As you begin to undress the
baby, you notice that she is listless
and her skin is mottled.
4. "My pain medications are not working ESI level 2: Severe pain or distress. This
, ESI Levels Competency Set Solved Correctly To
Score A+
patient
anymore. Last night I couldn't sleep needs aggressive pain management
with IV med-
because the pain was so bad," reports ications. There is nothing the triage
nurse can do
a 47-year-old female with to decrease the patient's pain level. The answer
metastat- ic ovarian cancer. "My to "Would you give your last open bed to
husband called this patient?"
my oncologist, and he told me to come should be yes.
, ESI Levels Competency Set Solved Correctly To
Score A+
to the emergency department."
The patient rates her pain as
9/10. Vital signs are within
normal limits.
ESI level 3: Two or more resources. The
5. A 48-year-old male tells you patient is presenting with signs and
that he has a history of kidney symptoms of another kidney stone. At a
stones and thinks he has minimum, he will need a urinaly-
another one. He has
right costovertebral angle pain that ra- sis and CT scan. If his pain increases,
he may need
diates around to the front and into his IV pain medication. At a minimum, two
resources
groin. He is nauseous but tells 7. "Her grandfather pulled
you he took a pain pill, and right her by the wrist up and
now he has minimal pain. He over a big puddle. Next
denies vomiting. T 98°F, RR 16, thing you know, she is
HR 80, BP 136/74, SpO2 crying and refusing to
100%. Pain 3/10. move her left arm," the
mother of a healthy 3-
6. "After my pediatrician saw my year-old tells
son's rash, he said I had to
bring him to the emergency
department immediately. He
has this rash on his face and chest
that started today. He has little
pin- point purplish spots he called
petechi- ae. My son is a healthy
kid who has had a cold for a
couple of days and a cough. My
pediatrician said he had to be sure
nothing bad is going on. What do
you think?"
