The nurse is working in the emergency department and is receiving multiple clients from a mass casualty incident. The client arrives by ambulance and is awake, alert, and oriented, complaining of severe abdominal pain with nausea and vomiting. The client's respiratory rate is 20 and has a good radial pulse with normal capillary refill. How would you triage this client using the START triage?

Choice A reason: Libel refers to written defamation of character. It does not apply to this situation as there are no written statements involved that defame the client.

Choice B reason: Assault involves creating a fear of imminent harmful or offensive contact. In this scenario, the nurse's action of having security apply restraints could be seen as creating an apprehension of physical harm, thereby constituting assault.

Choice C reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification. Applying physical restraints to a competent client who wishes to leave the hospital can be considered false imprisonment.

Choice D reason: Slander refers to spoken defamation of character. Since this situation does not involve spoken statements that defame the client, slander is not applicable.

Choice E reason: Battery involves actual physical contact that is harmful or offensive. Having security apply physical restraints to the client constitutes battery, as it involves unwanted and offensive physical contact.

Choice A reason: The acuity level of the clients is a critical factor to consider when planning staff assignments. Clients with higher acuity levels require more intensive care and monitoring, necessitating a greater allocation of resources and experienced staff. By considering client acuity, the charge nurse can ensure that the most critical patients receive the appropriate level of care and attention, while also balancing the workload among the nursing staff.

Choice B reason: The clustering of the rooms on the unit can significantly impact the efficiency of care delivery. By grouping clients in close proximity, the nurse can minimize the time and effort spent moving between rooms, thus enhancing the ability to respond quickly to client needs. This consideration helps to optimize workflow and improve overall patient care by reducing potential delays.

Choice C reason: Considering both client needs and the staff's needs and abilities ensures that the right personnel are assigned to the appropriate tasks. Matching staff competencies with client requirements maximizes the effectiveness of care delivery. Additionally, taking into account staff preferences and skills can improve job satisfaction and performance, ultimately benefiting the clients.

Choice D reason: The number of anticipated client discharges is an important logistical factor that can affect the day's workflow. Planning for discharges allows the charge nurse to allocate resources for discharge planning, patient education, and follow-up care. It also helps in managing bed availability and preparing for incoming admissions, ensuring a smooth transition for both clients and staff.

Choice E reason: Specific requests from the staff can include preferences for certain shifts, working with particular patients, or avoiding specific tasks. While it may not always be possible to accommodate all requests, considering them when feasible can improve staff morale and cooperation. Addressing staff preferences helps to create a positive work environment, leading to better teamwork and patient outcomes.