Triage Protocols/Standing Orders Survey

Information Sheet (Scroll Down for Survey)

Introduction. You have been invited to participate in a research study titled “RN Scope of Practice and Triage Protocols/Standing Orders Survey.” This study is being led by Dr. Jessica Castner from the University at Buffalo. This research study is intended for adult participants who are 18 years of age and over (If you aren’t 18 yet, please do not participate in this survey).

Purpose. We are assessing differences among states and hospital types in how RNs can initiate orders from a protocol. The results should help us better understand how state scope of practice impacts hospital policy and nursing practice. We anticipate at least 400 people will participate in this survey.

Procedure. You will be asked to complete an anonymous survey regarding your hospital workplace and use of protocols. You may access the link from any computer. You are free to skip any question(s) you don’t want to answer.

Time Commitment. Your participation in this study should take less than 5 minutes.

Risks. Any risk of tying your answers back to you, or a “breach of confidentiality,” is minimized since the survey is anonymous, transmitted through encryption, and stored on a secure password-protected computer.

Benefits. There is no payment for taking this survey. The information will also help us learn about state and hospital differences in the use of protocols. We may be able to use this information to formulate recommendations for scope of practice updates that may impact your nursing practice.

Confidentiality. We do not collect any information that identifies you. We recommend that you close your internet browser when you have completed the study to enhance your privacy and confidentiality. All results will only be provided in combined form with other participant’s results. The internet connection for the survey will be encrypted. The data will be kept on a secure computer server, inaccessible to anyone but the research team. If you start the survey and do not submit your answers, no data will be collected.

In order to monitor this research study, representatives from federal agencies such as NIH (National Institutes of Health) and OHRP (Office of Human Research Protection) or representatives from the UB Human Research Protections Program may inspect the research records.

For Further Information. Any questions, concerns or complaints that you may have about this study can be answered by Jessica Castner (716) 829-2060 or If you have any questions about your rights as a subject in a research project, or questions, concerns or complaints about the research and wish to speak with someone unaffiliated with the project, you should contact (anonymously, if you wish) the Social and Behavioral Sciences Institutional Review Board, 515 Capen Hall, University at Buffalo, Buffalo, NY 14260, or by phone 716 / 645-6474, or email

By entering this link, completing and submitting this survey to the researcher, you are verbally consenting to participate in this project.


2) When a patient first arrives to the emergency department, before a provider (physician, nurse practitioner, or physician assistant) sees the patient or gives a verbal order, can the registered nurse initiate the following from a protocol in your hospital?  (Choose all that apply).
To clarify, the nurse might get a signature for the orders after they are applied, but we want to know if the nurse has the authority/autonomy to order the following (from a protocol) based on chief complaint or patient assessment before the provider is even aware of the patient.


4) The following questions are related to the type of hospital you are affiliated with.  The hospital is

5) The hospital is

6) The hospital is

7) The hospital is


9) What is your role in the hospital?

Thank you for your time and effort. 
Follow up to this study: We invite you to assist in a related study by sending us relevant hospital policy, procedure, or order set documents for research purposes. If you would like to email us your emergency department protocol documents, which outline what orders the RN is able to initiate before a provider sees the patient (or gives a verbal order), please send as an attachment to our study email please include the state in which the hospital is located. Once we receive your email and review the documents to determine if it contains the relevant information needed, we will download the documents and permanently delete your email. We may send a follow up email if we need clarification. The study email account, established solely for the purposes of the follow-up study.

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