Date of Award

Spring 5-30-2022

Document Type

DNP Project

Project Team Faculty Member

Bernadette Sobczak

Project Team Faculty Member

April Schmidt


Tele-triage, emergency department, door-to-provider, wait times, protocol


Nationwide, the volume of emergency department (ED) visits has steadily increased over the last several decades. This steady increase in volume frequently causes ED crowding and considerable delays in patient evaluation and treatment. Recently, teletriage has been used in emergency departments to evaluate less emergent patient needs while freeing up in-house providers to care for more critical patients. The goal of this DNP project was to develop a protocol for the utilization of teletriage in an Emergency Department in a level 1 trauma center in central Illinois using nurse practitioners to assess patients in the waiting room and order appropriate tests to improve patient outcomes. After educating staff on the protocol, a four-week trial of the tele-triage protocol was conducted on Mondays and Thursdays. Following the trial, staff were surveyed to evaluate the process to determine what improvements could be made. Data was collected pre and post implementation regarding the average door-to-provider time, number of patients who left without being seen and overall length of stay. A decrease in door-to-provider time, decrease in overall length of stay, and a decrease in the number of patients who left without being seen was found. Staff feedback indicated that additional staffing was needed and a separate room for the process would be beneficial for long term success. Future expansion of this project might include adapting the protocol to allow providers to treat and discharge patients via the tele-triage process.

Download Full Text Above



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.