ESIC Nursing Officer-7July 2024
Community Health Nursing
Easy
Which one of the following color codes is NOT correct for triage system adopted in triage of disaster management in India?
Appeared in: ESIC Nursing Officer-7July 2024
Explanation
- The statement 'Blue indicates ambulatory patients' is factually incorrect within the standard Simple Triage and Rapid Treatment (START) system used in India and globally.
- The correct color code for ambulatory patients, often called the 'walking wounded,' is Green.
- The color Blue is not a primary category in the START triage system. While some local protocols might use it for specific purposes (e.g., decontamination), it does not represent a standard priority level for ambulatory status.
Why Other Options Were Wrong
- Option A: This statement is correct. The color Red is universally used to denote the highest priority (Immediate) for patients with life-threatening injuries requiring urgent care.
- Option B: This statement is correct. The color Yellow is used for the 'Delayed' or medium priority category, for patients with serious but not immediately life-threatening injuries.
- Option D: This statement is correct. The color Black is used for the 'Expectant' category, which includes individuals who are deceased or have injuries so severe that survival is not expected.
Related Visual
- Visual 1: Infographic: A chart showing the four triage tags (Red, Yellow, Green, Black) with a brief description of the patient condition and priority level for each color. This provides a quick visual reference for the START system.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disaster Management Triage Color Coding as background academic context rather than a clinical decision trigger.
- A nurse's ability to perform rapid and accurate triage during a Mass Casualty Incident (MCI) is critical for maximizing survival rates by ensuring that limited resources are allocated to those who will benefit most.
- Nurses must be proficient in the START (Simple Triage and Rapid Treatment) method to quickly assess breathing, circulation, and mental status to assign the correct triage category.
- What if a patient initially tagged as Green (ambulatory) suddenly collapses? The nurse must immediately re-triage the patient. If they are not breathing, the airway is opened; if breathing resumes, they are re-tagged as Red (Immediate). If they remain apneic, they are tagged as Black (Deceased).
How to Approach the Question
- First, carefully read the question and identify the negative keyword 'NOT'. This means you are looking for the false statement among the options.
- Recall the standard color-coding system used in disaster triage (START triage). The main colors are Red, Yellow, Green, and Black.
- Evaluate each option against your knowledge of the triage system.
- Option A (Red for high priority) is a correct fact.
- Option B (Yellow for medium priority) is a correct fact.
- Option C (Blue for ambulatory) is incorrect. Ambulatory patients are Green.
Concept Tested & Keywords
- Concept Tested: Disaster Management Triage Color Coding
- Stem keywords: triage system, disaster management, India, color codes
- Lead-in keywords: NOT correct
- Negative lead-in flag: The question asks to identify the INCORRECT statement among the options.
Question ID
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Practise the full ESIC Nursing Officer-7July 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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