{"id":52,"date":"2025-04-04T16:16:16","date_gmt":"2025-04-04T16:16:16","guid":{"rendered":"https:\/\/sactlibrary.com\/?page_id=52"},"modified":"2025-04-15T12:33:12","modified_gmt":"2025-04-15T12:33:12","slug":"ukons-telephone-triage-advice-line","status":"publish","type":"page","link":"https:\/\/sactlibrary.com\/?page_id=52","title":{"rendered":"UKONS Telephone Triage Tool"},"content":{"rendered":"\n<p class=\"has-medium-font-size\">The triage practitioner should consider the level of concern of the patient\/carer as well as the data collected using the assessment tool to decide on the appropriate action to initiate. If the patient\u2019s presenting problem is an acute emergency, such as collapse, airway compromise, severe haemorrhage or severe chest pain, then the assessment process should be shortened, and contact details and essential information collected. Emergency services should be contacted immediately and immediate care should be facilitated.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">The Questions below were followed using the UKONS Triage Tool. An advice will show according to clicked answers and 1 Red will trigger an OVERALL ACTION PLAN of urgent medical review, 1 Amber will trigger a review within 24hrs and 2+ Amber will escalate into Red. Take advantage of the comment section to note down extra informations needed for a proper and concise documentation.<\/p>\n\n\n\n<!DOCTYPE html>\n<html lang=\"en\">\n<head>\n  <meta charset=\"UTF-8\">\n  <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n  <title>Symptom Checker<\/title>\n  <style>\n    body {\n      font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;\n      margin: 0;\n      padding: 0;\n      background: #f9f9f9;\n    }\n    .container {\n      max-width: 900px;\n      margin: 40px auto;\n      padding: 20px;\n    }\n    .question-card {\n      background: #fff;\n      border-radius: 16px;\n      box-shadow: 0 4px 10px rgba(0, 0, 0, 0.1);\n      padding: 20px;\n      margin-bottom: 20px;\n    }\n    .question-title {\n      font-weight: bold;\n      font-size: 18px;\n      margin-bottom: 12px;\n    }\n    .options label {\n      display: block;\n      margin-bottom: 10px;\n      padding: 10px;\n      border-radius: 8px;\n      cursor: pointer;\n    }\n    .green { background-color: #e0f7e9; border-left: 5px solid #2e7d32; }\n    .amber { background-color: #fff8e1; border-left: 5px solid #f9a825; }\n    .red { background-color: #ffebee; border-left: 5px solid #c62828; }\n    .advice {\n      margin-top: 12px;\n      padding: 10px;\n      border-radius: 8px;\n      font-style: italic;\n    }\n    .summary {\n      position: sticky;\n      top: 20px;\n      background: #fff;\n      border-radius: 12px;\n      padding: 20px;\n      box-shadow: 0 4px 10px rgba(0,0,0,0.1);\n      font-weight: bold;\n      font-size: 18px;\n    }\n    .summary.green { border-left: 5px solid #2e7d32; }\n    .summary.amber { border-left: 5px solid #f9a825; }\n    .summary.red { border-left: 5px solid #c62828; }\n  <\/style>\n<\/head>\n<body>\n  <div class=\"container\">\n    <div id=\"questions\"><\/div>\n<div id=\"summary\" class=\"summary green\">Summary: Self care advise<\/div>\n  <\/div>\n\n  <script>\n    const questions = [\n      {\n        question: \"Fever (37.5 or above and below 36.0)\",\n        options: [\n          { label: \"No\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Yes\", color: \"red\", advice: \"Follow Neutropenia Pathway. Do not take any analgesia. Go to URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Chest pain\",\n        options: [\n          { label: \"No\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Yes\", color: \"red\", advice: \"Stop Oral\/IV SACT until reviewed by oncology or hematology team. Go to URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Shortness of Breath\",\n        options: [\n          { label: \"No\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"New onset of shortness of breath with MODERATE exertion\", color: \"amber\", advice: \"Rest and monitor. Escalate if continues or deterioration occurs within 24hrs.\" },\n          { label: \"New shortness of breath with MINIMAL exertion or at rest\", color: \"red\", advice: \"Stop SACT and go to URGENT A&E.\" }\n        ]\n      },\n      {\n        question: \"Diarrhea\",\n        options: [\n          { label: \"No\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Increase of 3-6 episodes compared to normal BO or MILD to MODERATE increase in ostomy output with moderate cramping\", color: \"amber\", advice: \"Increase fluids, stool sample, anti-diarrheals - if diarrhea persists to seek urgent A&E medical review\" },\n          { label: \"Increase of 7-10 episodes compared to normal BO or SEVERE increase in ostomy output with incontinence\/severe cramping\/bloody diarrhea\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Constipation\",\n        options: [\n          { label: \"Mild, no bowel movement for 24hrs compared to normal\", color: \"green\", advice: \"Fiber diet, increase fluid intake\" },\n          { label: \"Moderate, no bowel movement for 48hrs compared to normal\", color: \"amber\", advice: \"Laxative and stool softener, review within 24hrs\" },\n          { label: \"Severe, no bowel movement for 72hrs+ compared to normal and associated with pain\/vomiting\", color: \"red\", advice: \"URGENT A&E. Possible paralytic ileus.\" }\n        ]\n      },\n      {\n        question: \"Urinary Disorder\",\n        options: [\n          { label: \"No\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Mild to Moderate increase with frequency, urgency and dysuria with slight and moderate reduction in output compared to normal\", color: \"amber\", advice: \"Fluids, urine sample\" },\n          { label: \"New incontinence, new or increase haematuria and severe reduction in output with little or no urine\", color: \"red\", advice: \"URGENT A&E. Consider infection.\" }\n        ]\n      },\n      {\n        question: \"Nausea\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Able to eat\/drink but intake is SIGNIFICANTLY decreased\", color: \"amber\", advice: \"Monitor, dietary advice.\" },\n          { label: \"No intake\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Vomiting\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"1-2 episodes in 24hrs\", color: \"amber\", advice: \"Review anti-emetics. Monitor hydration.\" },\n          { label: \"6-10+ episodes in 24hrs\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Anorexia\",\n        options: [\n          { label: \"No change in habits\", color: \"green\", advice: \"Dietary advice.\" },\n          { label: \"Reduced intake, no weight loss\", color: \"amber\", advice: \"Dietary advice. Review within 24hrs\" },\n          { label: \"Reduced intake + weight loss\/malnutrition\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n},\n      {\n        question: \"Fatigue\",\n        options: [\n          { label: \"Increase fatigue, not affecting normal activity\", color: \"green\", advice: \"Rest accompanied with intermittent mild activity\/exercise.\" },\n          { label: \"Moderate, interfering some normal activity\", color: \"amber\", advice: \" Rest and if weakness persist needs to be reviewed within 24hrs, if deterioration occurs to seek Urgent A&E for medical assessment.\" },\n          { label: \"Severe disabling and bedridden\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n},\n      {\n        question: \"Pain\",\n        options: [\n          { label: \"Mild, not interfering with daily acitvities\", color: \"green\", advice: \"Appropriate analgesia.\" },\n          { label: \"Moderate, interfering with daily activities\", color: \"amber\", advice: \"Appropriate analgesia. Review within 24hrs.\" },\n    { label: \"Severe disabling pain interfering with daily acitvities\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n]\n},\n      {\n        question: \"Bleeding\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care.\" },\n          { label: \"Mild, self limited controlled by conservative measures\", color: \"amber\", advice: \"Consider arranging a FBC.\" },\n          { label: \"Moderate,severe and massive bleeding\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n     \t]\n      },\n      {\n        question: \"Bruising\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self care advise\" },\n          { label: \"Localised single bruise in only one area\", color: \"amber\", advice: \"Monitor, review within 24hrs.\" },\n          { label: \"Multiple sites of bruising or one large site\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Oral\/Stomatitis\",\n        options: [\n          { label: \"PAINLESS ulcers and\/or erythema, mild soreness but able to eat and drink NORMALLY\", color: \"green\", advice: \"Use mouthwash as directed\" },\n          { label: \"PAINFUL ulcers and\/or erythema, mild soreness but able to eat and drink NORMALLY\", color: \"amber\", advice: \"Continue mouthwash as directed, drink plenty of fluids. Use painkillers either as a tablet or mouthwash. Review within 24hrs\" },\n          { label: \"PAINFUL erythema, difficulty eating\/drinking and minimal intake and\/or reduced urinary output\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n      },\n      {\n        question: \"Neurosensory\/Motor i.e weakness, numbness\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care.\" },\n          { label: \"Mild paresthesia, subjective weakness with NO LOSS of function\", color: \"amber\", advice: \"Rest and monitor. Contact advise line if deterioration occurs\" },\n          { label: \"Mid to severe sensory loss, moderate paresthesia, mild weakness that INTERFERES with function and paralysis\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n},\n      {\n        question: \"Confusion\/Cognitive Disturbance\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care\" },\n          { label: \"Mild disorientation NOT INTERFERING with ADLs with slight decrease in level of alertness\", color: \"amber\", advice: \"Ask for any changes in medication and to ring again if worsens.\" },\n          { label: \"Moderate to severe cognitive disability and\/or severe disorientation and confusion which severely limiting ADLs. Loss of consciousness\/unrousable\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n        ]\n},\n      {\n        question: \"Rash\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care\" },\n          { label: \"Rash covering <10% BSA with or without symptoms such as pruritus, burning or tightness\", color: \"amber\", advice: \"Monitor and review if persists.\" },\n    { label: \"Rash covering 10->30% BSA that is limiting normal ADL with or without symptoms such as pruritus, burning, tightness or bleeding with trauma and signs of associated infection such as pus\/fever\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n]\n},\n      {\n        question: \"Ocular\/Eye Problems\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care\" },\n          { label: \"Mild symptoms NOT interfering with function\", color: \"amber\", advice: \"Monitor and review if persists.\" },\n    { label: \"Moderate to severe symptoms interfering with function and\/or any visual disturbances\", color: \"red\", advice: \"URGENT A&E for medical assessment.\" }\n]\n},\n      {\n        question: \"Palmar Plantar Syndrome\",\n        options: [\n          { label: \"Mild numbness, tingling, swelling of hands and\/or feet with or without pain or redness\", color: \"green\", advice: \"Rest hands and feet, use emollient cream.\" },\n          { label: \"Painful redness and\/or swelling of hands and\/or feet\", color: \"amber\", advice: \"Take painkillers. May require dose reduction or treatment deferral.\" },\n          { label: \"Moist desquamation, ulceration, blistering and severe pain\", color: \"red\", advice: \"Arrange urgent appointment for review by specialist team within 24hrs. Advise painkillers. If having fever or signs of infections to seek Urgent A&E for medical review\" }\n     \t]\n},\n      {\n        question: \"Extravasation\",\n        options: [\n          { label: \"None\", color: \"green\", advice: \"Self-care.\" },\n          { label: \"Non-vesicant\", color: \"amber\", advice: \"Review the next day.\" },\n          { label: \"Vesicant or drug not known\", color: \"red\", advice: \"Arrange urgent review or seek URGENT A&E for medical assessment.\" }\n        ]\n      }\n    ];\n\n    const questionsContainer = document.getElementById(\"questions\");\n    const summaryBox = document.getElementById(\"summary\");\n\n    let answers = new Array(questions.length).fill(null);\n\n    function updateSummary() {\n      let reds = answers.filter(a => a === 'red').length;\n      let ambers = answers.filter(a => a === 'amber').length;\n\n      if (reds >= 1) {\n        summaryBox.textContent = \"Summary: Attend Urgent A&E as soon as possible\";\n        summaryBox.className = \"summary red\";\n      } else if (ambers >= 2) {\n        summaryBox.textContent = \"Summary: Escalate to red alert to attend Urgent A&E as soon as possible\";\n        summaryBox.className = \"summary red\";\n      } else if (ambers === 1) {\n        summaryBox.textContent = \"Summary: Review within 24 hours\";\n        summaryBox.className = \"summary amber\";\n      } else {\n        summaryBox.textContent = \"Summary: Self care advise\";\n        summaryBox.className = \"summary green\";\n      }\n    }\n\n    questions.forEach((q, qIndex) => {\n      const card = document.createElement(\"div\");\n      card.className = \"question-card\";\n\n      const title = document.createElement(\"div\");\n      title.className = \"question-title\";\n      title.textContent = q.question;\n      card.appendChild(title);\n\n      const options = document.createElement(\"div\");\n      options.className = \"options\";\n\n      const adviceBox = document.createElement(\"div\");\n      adviceBox.className = \"advice\";\n\n      const commentBox = document.createElement(\"textarea\");\n      commentBox.placeholder = \"Enter additional informations, descriptions, and\/or your managements essential for your documentation...\";\n      commentBox.className = \"comment-box\";\n      commentBox.style.width = \"100%\";\n      commentBox.style.height = \"60px\";\n      commentBox.style.padding = \"10px\";\n      commentBox.style.borderRadius = \"5px\";\n      commentBox.style.border = \"1px solid #ccc\";\n      card.appendChild(commentBox);\n\n      q.options.forEach((opt, optIndex) => {\n        const id = `q${qIndex}_opt${optIndex}`;\n        const label = document.createElement(\"label\");\n        label.className = opt.color;\n        label.htmlFor = id;\n\n        const radio = document.createElement(\"input\");\n        radio.type = \"radio\";\n        radio.name = `q${qIndex}`;\n        radio.id = id;\n        radio.value = opt.color;\n\n        radio.addEventListener(\"change\", () => {\n          answers[qIndex] = opt.color;\n          adviceBox.textContent = `Advice: ${opt.advice}`;\n          adviceBox.className = `advice ${opt.color}`;\n          updateSummary();\n\n        });\n\n        label.appendChild(radio);\n        label.appendChild(document.createTextNode(\" \" + opt.label));\n        options.appendChild(label);\n      });\n\n      card.appendChild(options);\n      card.appendChild(adviceBox);\n      questionsContainer.appendChild(card);\n    });\n  <\/script>\n<\/body>\n<\/html>\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>Hi! If this helped you alot, please consider <strong>DONATING<\/strong> to our website to keep this site running and continue helping you with triaging. Rest assured, half of the donation will go to cancer charities. Thank you!<\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"paypal-button-container-P-0RR04599K1884253DM7YYVVA\"><\/div>\n<script src=\"https:\/\/www.paypal.com\/sdk\/js?client-id=AY_zYsbHIYwLvBhZhKdSIduLSWGW5EXc82S65NntX8I4TOyh9ZbUbUdcZtwd_kLj63CDuJfKpslZa52i&#038;vault=true&#038;intent=subscription\" data-sdk-integration-source=\"button-factory\"><\/script>\n<script>\n  paypal.Buttons({\n      style: {\n          shape: 'rect',\n          color: 'gold',\n          layout: 'vertical',\n          label: 'paypal'\n      },\n      createSubscription: function(data, actions) {\n        return actions.subscription.create({\n          \/* Creates the subscription *\/\n          plan_id: 'P-0RR04599K1884253DM7YYVVA'\n        });\n      },\n      onApprove: function(data, actions) {\n        alert(data.subscriptionID); \/\/ You can add optional success message for the subscriber here\n      }\n  }).render('#paypal-button-container-P-0RR04599K1884253DM7YYVVA'); \/\/ Renders the PayPal button\n<\/script>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The triage practitioner should consider the level of concern of the patient\/carer as [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","footnotes":""},"class_list":["post-52","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"valerieshiii","author_link":"https:\/\/sactlibrary.com\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"The triage practitioner should consider the level of concern of the patient\/carer as [&hellip;]","_links":{"self":[{"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/pages\/52","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sactlibrary.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=52"}],"version-history":[{"count":5,"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/pages\/52\/revisions"}],"predecessor-version":[{"id":263,"href":"https:\/\/sactlibrary.com\/index.php?rest_route=\/wp\/v2\/pages\/52\/revisions\/263"}],"wp:attachment":[{"href":"https:\/\/sactlibrary.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}