Since 1995, Telephone Triage Protocols for Adults and Children have been used in 300-500 sites nationally.  They were developed by a Task Force of 20 expert level nurses, nurse practitioners and physicians over a two year period, utilizing the best medical references available.  The design is based on a "pattern recognition" model and decision support system for telenurses.

The original three-volume set of the protocols were updated annually for a period of five years.  However, the last update was 2003 for the Adult/School Age version, and 1999 for the Infant/Child version.  Please see the annual supplement schedule below.

1998 New and Revised Protocols Master Template

• Toxicity Assessment
• Dehydration Assessment
• Breastfeeding: Taking Medication while Breastfeeding
• Burns
• Community Resources/National Hotlines
• Recommended Immunization Schedule

1999 New and Revised Protocols

• User's Guide
• Abuse Sexual, Physical, Emotional
• Bites
• Cold Exposure
• Confusion
• Heat Exposure
• Shock
• Women's Health: Menopause

2000 New and Revised Protocols

• Back Problem
• Emotional Problems; Suicide Instructions
• Fever
• Vaginal Bleeding
• Women's Health: Birth Control Options
• Herbal Supplements

2001 New and Revised Protocols

• Pain Assessment
• Bioterrorism Information
• Childbirth Instruction
• CPR Instruction
• Extremities
• Vomiting and Nausea
• Home Treatments

2002 New and Revised Protocols

• Integrated Adult and School Age Volumes (Three Volumes into one)
• New Sections: Women's Health and Infant/Child
• New Format: Semi-algorithmic, streamlined, easier to follow

2003 New and Revised Protocols
Adult

•     Extremities (All Ages)
•     Face/Jaw (All Ages)
•     Substance Abuse
•     Women's Health
•     Breast Problem (Female and Male)

Infant/Child

•     Abdomen Problem
•     Behavioral Problem
•     Bowel Problem
•     Head Problem

Appendices

•     Hotline and Web Sites for Support Groups and Health Information