Schmitt-Thompson's adult leg swelling protocol, worked question by question for one composite caller, leads this NU432 Unit 4 triage scenario to a same-day disposition the closing clinic cannot meet. Searches like "nu 432 unit 4 assignment example", "nu432 unit 4 sample" and "nu432 unit 4 example" land here.
What a finished NU432 Unit 4 telephone triage scenario looks like
About four pages: a call record in triage note form, then a rationale section and references. The record opens with time stamps, caller identity confirmed with two identifiers, and the reason for call in his words. A question log follows, one line per question with the answer beside it, from difficulty breathing and chest pain through coughing blood, fainting and fever, then onset, which leg, redness, warmth and recent surgery, cancer treatment or hormone use. Pertinent negatives are written out rather than implied. The disposition line names the protocol title and the level reached, see a clinician within four hours, then the site chosen: an emergency department with ultrasound on site, since the nearest urgent care has none. Care advice, the caller's teach-back and the message routed to his primary care clinician close the record.
How a NU432 Unit 4 example is structured
Sequence is the point, so the record keeps the order of the call. Emergent questions come first because the protocol ranks them that way, and the rationale explains the rule behind it: questions run from most to least serious, and the first positive answer sets the disposition. Here nothing is positive until the calf itself, which is why the level lands where it does. The rationale then deals with the clock. A four-hour window at 4:40 cannot be met in a practice closing at 5:00, so the note records the site decision as a separate judgment, with the reason written down. A short paragraph explains what a nurse may upgrade on judgment and why a downgrade needs a clinician's agreement. The closing section describes Schmitt-Thompson only as the licensed protocol set the composite practice uses, paraphrasing rather than reproducing its text.
The question log
One line per question with its answer beside it, emergent items first. Pertinent negatives such as no chest pain and no breathlessness are recorded as answers, not assumed from silence.
The first yes decides
The rationale states the protocol's logic plainly: questions descend in seriousness, and the first positive answer fixes the disposition. One swollen calf after a long drive is that first yes.
A window the clinic cannot meet
The four-hour disposition collides with a 5:00 closing. The note records choosing an emergency department with ultrasound over an urgent care without it, and gives the reason in one sentence.
Care advice and teach-back
Advice to call 911 for sudden breathlessness or chest pain, and to leave the leg unmassaged, is followed by the caller repeating both in his own words, recorded as he said them.
The protocol named narrowly
Schmitt-Thompson appears as the practice's licensed adult protocol set, cited by title and disposition level. None of its proprietary wording is reproduced anywhere in the paper.
Where marks go in NU432 Unit 4
Documentation carries as much weight as the decision here. A triage note that jumps to a disposition, however sensible, gives the reader no way to check it, and rubrics typically mark that as missing assessment. Pertinent negatives draw close attention as well: a note that never records asking about chest pain or breathlessness cannot show those were excluded. The protocol should be named with its disposition level rather than described as 'standard triage'. Clock problems are a frequent weak point, since a disposition that the practice's hours cannot satisfy has to be resolved in writing, with a site and a reason. Care advice earns credit when it includes when to call back or call 911 and a check that the caller understood. Copying licensed protocol text into the paper is a problem of its own.
Get a NU432 Unit 4 example written to your instructions
Triage prompts vary by symptom and by protocol set, so paste the scenario exactly as given, note whether your course uses Schmitt-Thompson or another system, and attach the rubric. A model call record, questions before disposition, returns in 24-48h, and the first one is free. The caller is invented, and the sample advises no one.
NU432 Unit 4 questions, answered
Can the triage scenario quote the Schmitt-Thompson protocol?
Keep quotation to a minimum. The protocols are licensed content, so most papers cite the protocol title, the edition the practice uses and the disposition level, then paraphrase the questions. That shows the reasoning without reproducing proprietary text. If your instructor supplied protocol excerpts as course material, the prompt usually says how they may be used.
What if my judgment disagrees with the protocol's disposition?
Document both. Nurses commonly upgrade a disposition when something about the caller worries them, such as a vague answer or a caller who sounds confused, and the note should say what prompted it. Downgrading below the protocol level normally needs a clinician's agreement, recorded with the name and time. The sample upgrades nothing, but its rationale explains the rule.
Does the write-up need the caller's exact words?
For the reason for call and the teach-back, yes, or as close as the scenario allows. Graders read those two places for evidence that the nurse heard the problem as the caller described it and confirmed the plan landed. Everywhere else, concise clinical wording is fine. Every word of the call in the sample is invented.