The Use of a Triage-Based Protocol for Oral Rehydration in a Pediatric Emergency Department

• 2018

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• Marissa Hendrickson; Jennifer Zaremba; Andrew Wey; Philippe Gaillard; Anupam Kharbanda
PMID: 28277412DOI: https://doi.org/10.1097/pec.0000000000001070

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About

This study examines a triage-based protocol in a pediatric emergency department to improve care for children with gastroenteritis. Nurses assessed dehydration and initiated oral rehydration therapy (ORT) and ondansetron early. Results showed increased use of ondansetron, faster treatment times, more documented ORT, and reduced intravenous fluid use without affecting hospital stays or return visits. The protocol helped manage mild to moderate dehydration effectively by using ORT instead of IV fluids. It highlights the importance of nurse-initiated care at triage for better outcomes in treating gastroenteritis in young children aged 6 months to 5 years.

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Tags

Focus Area: Everyday Emergency

Audiences: Nurses; Physicians

Emergency Management Stage: Response

Keywords: Dehydration; Fluid Therapy; Gastroenteritis; Infusions, Intravenous; Injections, Intravenous; Pediatric Nursing; Rehydration Solutions; Triage; Ondansetron; Emergency Nursing; Emergency Service, Hospital

Institutions: University of Minnesota; University of Hawaii; Auburn University; Children’s Minnesota

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