9: Clinical Decision-Making and Triage
This course discusses effective telephone communication to reduce risk of patient harm and ensure appropriate and safe clinical decisions are made.
1. Discuss the role of the Guided Care Nurse as it relates to clinical decision-making and triage
2. Identify strategies for gathering information from patients and caregivers by telephone
3. Discuss regulatory and legal requirements that may affect telephone triage activities
Kathleen Trainor Grieve, RN, BSN, MHA joined Johns Hopkins HealthCare in January 2003 as a Disease Case Manager in the areas of cardiovascular disease, asthma, and diabetes. She retired from Johns Hopkins in August 2016. In her retirement, she worked as a consultant for Blue Peak Advisors, and as a vaccinator for Maxim Healthcare Services. In her most recent role as a Guided Care nurse, she partnered with five primary care physicians and a Nurse Practitioner to care for their most complex, high-risk, older outpatients to improve the quality and efficiency of patients' healthcare and quality of life.
She has experience speaking nationally and internationally on the subject of Guided Care. Ms. Grieve's other professional experience includes case management, various clinical and administrative positions with the Maryland State Correctional Facilities' Healthcare programs, and working as a staff nurse in the neurotrauma unit of The R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center. She has taken mission trips to Haiti, Uganda, Honduras, Peru, Dominican Republic, and Guatemala where she assisted in setting up clinics and assessed and treated patients.