Triage Risk Screening Tool (TRST)

1. Cognitive Impairment

Evidence of cognitive decline, acute confusion, or positive rapid screen (e.g., Six-Item Screener < 4).

2. Living Alone

Patient lives alone or has no reliable caregiver available at home.

3. Mobility Impairment

Recent difficulty walking, transferring, or recent falls.

4. High Healthcare Utilization

ED visit in the past 30 days, or hospitalization in the past 90 days.

5. Polypharmacy

Taking 5 or more different medications.

6. Professional Judgement

Triage nurse suspects patient is failing to cope at home, suffering self-neglect, or abuse.