Which of the following steps should the nurse take first when triaging

Which of the following steps should the nurse take first when triaging a victim of a disaster?

a. Assess mental status
b. Assess perfusion
c. Assess respirations
d. Assess blood pressure

ESSAYBID ANSWER

ANS: C
To assess an individual within the 1-minute guideline, the START system uses three characteristics. First, respirations are checked; then perfusion by pinching the nail bed and observing the reaction; and, last, mental status is checked by asking the individual a question. Assessing blood pressure is not part of the 1-minute guideline.