This section explains how to Triage consents on the RIVIAM Digital care platform. It starts by explaining the different triage queues and where to find them. Then it covers how to carry out triage of the different queues and how to manage the triage process. This includes recording discussions about a specific patient and moving that patient along in the workflow - either to another triage step, to be ready to immunise or to decline consent.
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Overview of the Triage Options
When consents come into RIVIAM, they are routed into different queues, depending on the answers to various questions in the eConsent form.
The rules governing how consents are routed are similar across immunization programmes, but there can be differences, usually driven by the clinical policies of a given immunization team.
In most Immunisation programmes, you would find the following triage queues. The checks start with the top rule and work through to the bottom:
|
Queue Name |
Conditions |
|
DoB Triage |
If the patient's DoB falls outside the range of the expected school year group to be immunised |
|
Relationship Triage |
If the parent relationship falls into specific categories that the Immunisation Team want to validate |
|
Clinical Triage |
If any of the patient history questions relating to underlying conditions or allergies are set to Yes |
|
Duplicate & Conflicting Consents Triage |
If two people submit the same consent for a child, the referrals go into the duplicate consent queue. If the consents are different, the referrals are flagged as conflicting. |
|
Demographic Check |
This is triggered when the data entered on the eConsent form doesn’t match the information provided upfront by the Immunisation Team. Typically this would be addressed with an NHS number. |
|
Ready |
If none of the rules above has been triggered, the patient is ready to be immunized. |
NOTES
- In programmes where no patient demographic data has been provided upfront, the demographic check status is equivalent to Ready. If a second record comes in for that child, the referral would be put into either the duplicate or conflicting consent queue.
- Not all consent statuses are visible in either the clinical spreadsheet or the RIVIAM app. The following table indicates what is visible on what platform.
|
Consent Status |
Appears on the clinic sheet |
Appears on Mobile App |
|
Consent given |
Yes |
Yes |
|
Consent not given |
Yes |
Yes |
|
Conflicting consents |
No |
No |
|
Declined (clinically or by service) |
No |
No |
|
Declined (out of cohort) |
No |
No |
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