Triage Management During Covid-19 in Emergency Department: A Phenomenology Approach Among Nurses in Medan

Henny Syapitri, Rani Kawati Damanik, Laura Mariati Siregar

Abstract views = 357 times | views = 243 times


Introduction: Triage is an important link in treating critical patients, but during the COVID-19 pandemic, triage is not only to select and sort patients from emergency status, but to avoid a surge in patients from the limited hospital capacity and medical personnel. The experience of emergency room nurses is needed to formulate a nursing service strategy. The purpose of this study was to explore the experience of nurses in carrying out management of triage (client priority classification system based on the severity of the client's condition or the emergency that requires immediate action) in the Emergency Room (ER) during COVID-19 pandemic in Medan. Methods: The type of research used in this studied was   qualitative research with a phenomenological approach. Sampling used purposive sampling technique with the number of participants as many as 10 people.  Data collection was done through in- depth interviews.  The process of data analysis in this studied used  Colaizzi's approach  of content analysis. Results: The results of the study  found four main themes that describe the experience of nurses in carrying out triage management during the COVID-19 pandemic.  The themes that emerged as a result of the research were: 1) Triage management during Covid pandemic, 2) Individual perceptions of infection/contagion Triage, 3) The burden of the triage nurses' during Covid pandemic, and 4) Nurses’ gratitude. Conclusion: The experience of nurses in conducting triage management during the COVID-19 pandemic was focused on initial screening, namely the assessment of acute respiratory infections (ARI), contact history and a history of indications for COVID-19.  Then secondary triage was sorting patients based on emergency conditions. The use of personal protective equipment still did not meet the standards, the workload of nurses was high and there was gratitude by them for being at the forefront of handling COVID-19.


COVID-19 pandemic; experience of nurses; triage

Full Text:



Astin, A., & Paembonan, A. (2021). Faktor yang Berhubungan dengan Tingkat Kecemasan Perawat dalam Penanganan Pasien COVID-19 di Rumah Sakit Siloam Makassar. Jurnal Keperawatan Florence Nightingale, 4(1), 31-35.

Bencana, D. A. N., & Hipgabi, I. (2020). Darurat Pada Masa COVID-19.

Cao, Y., Li, Q., Chen, J., Guo, X., Miao, C., Quah, L. J. J., Tan, B. K. K., Fua, T. P., Wee, C. P. J., Lim, C. S., Nadarajan, G., Zakaria, N. D., Chan, S. E. J., Wan, P. W., Teo, L. T., Chua, Y. Y., Wong, E., & Venkataraman, A. (2020). Reorganising the emergency department to manage the COVID-19 outbreak. International Journal of Emergency Medicine, 13(1), 1–11.

CDC. (2021). Standard Operating Procedure (SOP) for Triage of Suspected COVID-19 Patients in non-US Healthcare Settings: Early Identification and Prevention of Transmission during Triage. settings/sop-triage-prevent-transmission.html

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809-15. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. New Engl J Med. 2020; published online February 28. DOI: 10.1056/ NEJMoa2002032.

Cox, C. L. (2020). ‘Healthcare Heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. Journal of medical ethics, 46(8), 510-513.

Ganley, L., & Gloster, A. S. (2011). An overview of triage in the emergency department. Nursing Standard (through 2013), 26(12), 49.

GTPP. (2021). Peta Sebaran COVID-19. Https://Covid19.Go.Id/Peta-Sebaran-Covid19.

Liao, X., Wang, B., & Kang, Y. (2020). Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units-the experience in Sichuan Province, China. Intensive care medicine, 46(2), 357-360.

Kemenkes. (2020). Panduan Teknis Pelayanan Rumah Sakit Pada Masa Adaptasi Kebiasaan Baru. Jakarta.

Kemenkes. (2020). Pedoman kesiapan menghadapi COVID-19. In Pedoman kesiapan menghadapi COVID-19.

Nishiura, H; Linton, NM; Akhmetzhanov, AR; Serial interval of novel coronavirus (COVID-19) infections.[J]. Int J drifdis. 2020,4(11): 121-135

Permatasari, D. A. (2021). Analisis Perubahan Instalasi Gawat Darurat Rumah Sakit Selama Pandemi COVID-19: Literature Review. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 11(3), 569-578.

PB IDI. (2020). Pedoman Standar Perlindungan Dokter di Era COVID-19. Ikatan Dokter Indonesia, 40.

Rachmawati, N.I., Dan Afiayanti, Y. (2014). Metodologi Penelitian Kualitatif Dalam Riset Keperawatan. Jakarta : Pt. Raja Grafindo Persada.

Savoia, E., Argentini, G., Gori, D., Neri, E., Piltch-Loeb, R., & Fantini, M. P. (2020). Factors associated with access and use of PPE during COVID-19: a cross-sectional study of Italian physicians. Plos one, 15(10), e0239024

Thompson, R. N. (2020). Novel coronavirus outbreak in Wuhan, China, 2020: intense surveillance is vital for preventing sustained transmission in new locations. Journal of clinical medicine, 9(2), 498.

Xu, S., Yang, Q., Xie, M., Wang, J., Shan, A., & Shi, F. (2021). Work experience of triage nurses in emergency departments during the prevalence of COVID-19 Work experience of triage nurses in emergency departments during. International Emergency Nursing, 101003.

Ridlo, M., Ismail, S., Rochana, N., & Sarinti, S. (2021). RESPON PSIKOLOGIS PERAWAT SELAMA PANDEMIK COVID-19: SCOPING REVIEW. Jurnal Ners Indonesia, 11(2), 154-170.

WHO. (2021). Who Coronavirus Disease (COVID-19) Dashboard. Https://Covid19.Who.Int/

Whiteside, T., Kane, E., Aljohani, B., Alsamman, M., & Pourmand, A. (2020). Redesigning emergency department operations amidst a viral pandemic. American Journal of Emergency Medicine, 38(7), 1448–1453.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats