Introducción: El triage es un procedimiento con repercusión crítica en la atención al paciente. Nuestro objetivo es describir las características asistenciales y formativas del personal de triage en los servicios de Urgencias Pediátricas (SUP) españoles.

Material y métodos: Estudio descriptivo transversal del 1 de julio al 31 de octubre de 2020 en centros con representación en la Sociedad Española de Urgencias de Pediatría (SEUP) mediante cuestionario electrónico ad-hoc. Excluimos aquellos que rechazaron participar o no obtuvieron los datos necesarios.

Resultados: Se enviaron 86 links de invitación y respondieron 25 centros (29%). De ellos, 19 (76%) recibían formación en el centro de trabajo y 10 (40%) también fuera. En 15 centros (79%) la formación incluía aspectos específicos de triage pediátrico y del programa informático de triage.

La formación estaba avalada principalmente por el hospital que la impartía (15; 60%). En 5 (20%) no estaba avalada.

Quince centros (60%) indicaron obligatoriedad de experiencia previa para realizar triage, con una mediana de 6 meses (IC 6-12). En 5 (20%) no era necesaria.

La duración de la formación en el propio centro tenía una mediana de 8 horas (RIC: 7-12) y la externa, de 11 (RIC 10-14).

El 84% realizan actividades de triage avanzado (21), siendo la segunda más frecuente la prescripción enfermera (17; 80%).

Conclusiones:

• La formación en triage se adquiere principalmente en el propio SUP.

• Existe gran variabilidad en el tiempo de experiencia requerida para realizar triage en los SUP.

• El triage avanzado se realiza frecuentemente, destacando la prescripción enfermera.

• Es necesario establecer unos requisitos mínimos para realizar triage en los SUP.

Introduction: Triage is a process with crucial implications for patient care. Our aim is to describe the care and training characteristics of the triage personnel in Spanish pediatric emergency departments (PED).

Material and methods: A cross-sectional, descriptive study was conducted between July 1 and October 31, 2020, including centers affiliated with the Spanish Society of Pediatric Emergency Medicine (SEUP). Data were collected using an ad-hoc electronic questionnaire. Centers that refused to participate or did not provide the necessary data were excluded.

Results: Invitation links were sent to 86 centers yielding responses from 25 (29%). At 19 (76%) centers, the triage personnel received on-site education, while at 10 (40%) they also attended off-site courses. In 15 centers (79%), the training included specific aspects of pediatric triage and the use of triage software. The training was mainly endorsed by the hospital providing the training (15; 60%). In five centers (20%) training was not endorsed.

Fifteen centers (60%) indicated that prior emergency-nursing experience was mandatory for a median of 6 months (IQR, 6-12). In five (20%), prior experience was not required.

The median duration of on-site training was 8 hours (IQR, 7-12) and that of off-site training 11 hours (IQR 10-14).

Advanced nursing triage is performed at 84% of the centers (21), of which the second most frequent activity is medication prescription (17; 80%).

Conclusions:

• Triage training is mainly obtained within the PED itself.

• There is great variability in the length of emergency-nursing experience required to conduct triage in the PED.

• Advanced triage including medication prescription is frequently performed.

• There is a need for the establishment of minimum requirements to perform triage in the PED.