The EMP Emergency Nursing Interest Group (ENIG) was tasked with addressing these components of the programme and report with full support and guidance of the EMP Working Group. ENIG approved the engagement of the MTS Group for a national training strategy and agreed that the MTS Audit Tool should be used to audit triage practice.
Each Emergency Department (ED) is advised to refer to the EMP clinical guidance on “Audit of Emergency Department Triage”.
Since July 2014 all Emergency Departments in Ireland have a Manchester Triage Trainer. All Emergency Departments must be using the 3rd Edition of the Manchester Triage System (MTS)
The Clinical Decision Unit (CDU) is an inpatient facility adjacent to the Emergency Department (ED) managed by Consultants in Emergency Medicine (EM).1 CDUs may also include Chest Pain Assessment Units and may have been previously termed ED Observation Wards or Short Stay Units in some hospitals. The fundamental purpose of a CDU is to make safe, timely and economical clinical decisions on patients who present to the ED with specific emergency conditions whose length of stay is likely to be no longer than 6-24 hours duration.
A patient admitted to a CDU must have a specified suspected condition that comes under a defined evidence-based clinical pathway or Standard Operating Procedure (SOP). The conditions managed in a CDU may be obtained from the list of conditions outlined in this report that have an international evidence-based SOP but this list is not exhaustive. The list of conditions managed in any CDU can vary from one ED to another as it will be influenced by local needs, the physical size of the CDU and local expertise. Patients are usually managed by means of a specific patient-care pathway from ED assessment through to discharge within 24 hours.”