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Triage labelling and communication — DIPIMC MCQ

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HardMajor Incident ManagementTriage labelling and communicationDIPIMCDipIMC

After Ten Second Triage, a casualty wears a checked-border yellow band. Once NHS clinicians are available at the casualty clearing point, MITT reassessment identifies deteriorating physiology requiring P1 priority. How should this change be communicated?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Replace it with a solid-colour MITT P1 label and record clinical information

The best answer is “Replace it with a solid-colour MITT P1 label and record clinical information”. Triage status must remain visible and updateable as condition changes. NHS England distinguishes checked-border TST labels from solid-colour MITT labels; after clinical MITT reassessment, the appropriate MITT priority should be communicated using the correct labelling system and clinical information recorded. A verbal announcement alone is vulnerable to loss of information, while mixed label systems risk duplicate work and incorrect prioritisation.

Reference: NHS England, Casualty labelling following triage: https://www.england.nhs.uk/long-read/casualty-labelling-following-triage/