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APPENDIX E LEVEL OF CARE TRIAGE MATRIX Condition General Shelter Alzheimer’s disease (ALZD) Early Ambulating Difficulty (walker, cane, crutches) Ameliorating Lateral Sclerosis (ALS) wheelchair Aphasia (communication difficulty) Arthritis Self-ambulating Asthma Bronchitis Cardiac Cerebral Palsy Stable, oral meds Stable Cerebrovascular Accident (CVA) Chronic Obstructive Pulmonary Disease (COPD) Colostomy Comotose Contagious, severe infection Continuous Ambulatory Peritoneal Dialysis(CAPD) Cystic Fibrosis Dementia Diabetes/Hyperglycemia Eating and Swallowing Disorders Edema Examples Emphysema Medical Needs Shelter Moderate, cooperative, Not a flight risk. If other information may indicate a need Wheelchair bound, able to transfer from chair to bed Medical Management Facility Wheelchair bound, able to transfer from chair to bed Requires nebulizer treatments If requires nebulizer treatments Controlled with Med. Bed bound, requires pain management Wheelchair bound, able to transfer from chair to bed. Oxygen Use Advanced. Bedridden; nonverbal Refusal to eat; totally dependent Advanced, bedridden, totally dependent Unstable, requires urgent medical evaluation, O2 sat below % Unstable, requires urgent medical evaluation, O2 sat below % Unstable –Having SOB & Angina Severe, bedridden, totally dependent Bedridden Oxygen dependent, end stage Assistance needed Post surgical ostomy Hepatitis, Tuberculosis, Measles or mumps in adult Stable Needs meds Able to follow instructions, not a flight risk Insulin Administration Assistant monitoring Stable anorexia/bulimia under treatment. Swallowing disorders requiring thickeners and gastric feedings. Related to mild CHF and position Respiratory Compromise End stage, bedridden Insulin and diet controlled Eating disorder under control Mild, related to position or non-acute injury as in a sprain American Red Cross Evacuation Center Not oxygen dependent Special Needs Shelter Oxygen use, minimal monitoring Brittle diabetic, glucose over on dialysis No gag reflex, history of aspiration, requires suction airway management Acute CHF or other metabolic condition requiring urgent medical management Medical Management Facility Oxygen dependent, end stage Foley Catheter Stable Management & Foley Change Pin site Care Dressing Changes Monitor, assistance with medications <6 months Requires assistance in self-care <6 months G-Tubes Catheter management post surgical procedure Acute injury requiring monitoring and pain management Uncontrolled, requires urgent medical management Fractured Bones High Blood Pressure/ Hypertension Hip Replacement Ileostomy Stable Knee replacement Medical Equipment Attachments >6 months Migraine Headaches Multiple Sclerosis Muscular Dystrophy Neuromuscular Disorders Osteoarthritis/Osteoporosis Parkinson’s Disease Psychosis Respirator Ventilator Dependent Seizures Self-ambulating Self-ambulating Self-ambulating Self-ambulating Wheelchair bound Wheelchair bound Wheelchair bound Wheelchair bound Controlled Controlled Bed bound Bed bound Bed bound Bed bound Advanced Uncontrolled Controlled Med Assistance Needed Open sores; draining, dressing changes Skin Rashes Sores/Non-Fluid Sleep Apnea Upper respiratory infection Non-electric dependent Isolation Urinary Tract Infection Wheelchair Transferable Mobile with minimal Assistance Wheelchair bound with Other conditions >6 months Recent surgical procedures IV, NG –Tubes, Central Venous CATHETERS OR TRACHEOTOMY Tube (newly placed or requires frequent suctioning) Uncontrolled Infectious Electric dependent, CPAP Requires urgent medical evaluation, Fever/O2 sat % Bed bound
