Triage Nursing Skills with Anna Montejano: Ep 11

Get ready for another episode of the Mastering Nursing podcast! On this episode, Nurse Keith is joined by Anna Montejano, DNP, RN, PHN, CEN to discuss Triage Nursing. Our guest is a healthcare professional, educator, and even an author who has co-authored a book entitled Fast Facts for the Triage Nurse: An Orientation and Care Guide in a Nutshell as well as Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints with High Risk Presentations.

Anna Montejano, DNP, RN, PHN, CEN, has 33 years of experience in emergency nursing and triage education. She has been a certified emergency nurse for more than 25 years. Mrs. Montejano has worked to improve the quality and efficiency of patient care through projects such as the change process of rapid medical screenings and rapid triage assessments. Anna currently works in academia as an Associate Professor of Nursing.

What You’ll Discover in This Episode:

  • The crucial importance of triage skills for being an effective nurse.
  • That triage skills can be used in a variety of situations, including the ER, flight nursing, med/surg, mass casualty situations, and even on the street.
  • Why the importance of evidence-based triage skills is recognized by nurses around the world.
  • Why it’s prudent to have a significant amount of nursing experience under your belt before attempting to undertake complex triage situations without guidance and supervision.
  • Plus so much more!

Featured on the Show:

Fast Facts for the Triage Nurse: An Orientation and Care Guide in a Nutshell: Volume 1

This book was Co-Authored by Anna Sivo Montejano, MSNEd, RN, CEN, Lynn Sayre Visser MSN, RN, CEN, CPEN, CLNC, and Valerie Aarne Grossman MALS BSN RN. It serves as a “concise, user-friendly orientation guide and reference for new and seasoned nurses, paramedics, preceptors, educators, management teams, and anyone else working in the triage environment.”

“It offers guidelines covering key processes and practices triage nurses use daily. Chapters address core elements of triage such as patient point of entry, acuity scales, and “red-flag” patient presentations and how to handle them; coordination and communication with other health care team members; and documentation.”

“The book offers practical information on triage for emergency department and urgent care settings, with useful tips for both triage orientees and preceptors. It addresses care considerations for specialized populations including geriatric and pediatric patients. The text supplies essential information on teaching and learning principles and the fostering of critical thinking skills, and covers such topics as compassion fatigue, customer service, legal concerns, core measures, and patient and staff safety. Trends in triage nursing such as electronic medical record considerations, provider in triage, and advanced triage protocols are included. Information is organized in brief, bulleted “bites” for knowledge at a glance, and Fast Facts in a Nutshell boxes reinforce key concepts.”

Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints With High-Risk Presentations

This book is “the first pocket-sized clinical manual focusing on patient-driven chief complaints. Designed to assist in rapidly recognizing potential life-threatening or life-altering conditions, this guide can be used in a variety of healthcare settings.

Content covers each body system and its most common chief complaints along with first-line questions, assessments, and interventions to prompt the user. Red flag findings, easily identified by the flag icon, denote critical signs and symptoms, while a light bulb icon helps the user locate key tips.

The guide includes evidence-based practice guidelines, reference tables, and checklists for at-a-glance retrieval of information. Most chapters contain space for taking notes, inscribing important phone numbers, or pasting facility specific policies and procedures.”

Key features of the book include: Common chief complaints with essential tips, unique patient presentations, triage processes, clinical red flags, screening tools, pediatric and older adult considerations, disaster response, and active shooter or violent situation action steps.

Nursing Organization of the Week: Endocrine Nurses Society (ENS)

Nursing isn’t just about medicine, it’s also about the community. Nurses who work together help drive the field forward and provide support, encouragement, and so much more for nurses all over the world. With that in mind, we here at the Mastering Nursing podcast want to highlight and recognize those that are doing a particularly great job of it.

We seek nominations from our listeners and other passionate nurses, and then decide on award winners each episode. If you have any nursing organization you think should be highlighted, don’t hesitate to reach out via e-mail (or social media message) and let us know!

This week, we’re so pleased to recognize the Endocrine Nurses Society (or ENS).

ENS is a professional organization for endocrine nurses founded to promote excellence in the clinical care of patients through advancement of the science and art of endocrine nursing. Today the Endocrine Nurses Society (ENS) is a national organization with hundreds of members, but it began more humbly in 1988 with goal to find more support for nurses interested in endocrinology. While there were other nursing organizations that involved some endocrine nurses… there wasn’t a dedicated one. Creating that became the mission of its founder, who is fondly referred to as Terri.

Through hard work, research, and networking, things took off in a few years. By the summer of 1990, the first newsletter was published and the first business meeting of the ENS took place in Atlanta, in conjunction with the Endocrine Society meetings.

Today, they work on supporting endocrine nursing through information sharing, networking, advocacy, and more. If you’re interested in connecting with them, you can find them online at There you can also donate to their mission, or even apply to become a member.

Many congrats to them on their selection – be sure to connect with them on Facebook to learn more!

Never miss an episode – subscribe to the Mastering Nursing Podcast!