2.50
Hdl Handle:
http://hdl.handle.net/10755/162410
Type:
Presentation
Title:
Developing a Trauma Resource Nurse Role in the Emergency Department
Abstract:
Developing a Trauma Resource Nurse Role in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Sullivan, Jim, RN, BSN, CEN
P.I. Institution Name:Baylor University Medical Center at Dallas
Title:ED Supervisor
Contact Address:3500 Gaston Ave, Dallas, TX, 75246, USA
Contact Telephone:214-820-3344
Co-Authors:Erica Davidson, RN, BSN
[ENA Annual Conference - Evidence-based Practice Presentation] Purpose: With the increase of inexperienced nurses in the Emergency Department it was deemed necessary to implement the role of a Trauma Resource Nurse in order to better coordinate the care of all critical and non-critically injured trauma patients within the ED. This role serves as a resource to all nurses throughout the department; assisting with immediate care of critically injured patients. This also enabled us to meet ACS guidelines to maintain a level 1 status.

Design: A team was assembled to examine care of the trauma patient ensuring that appropriate, consistent care was being provided. This team included Trauma Physicians, Trauma Nurse Clinicians, ED staff nurses interested in trauma care, Nurse Educators, ED technicians, Respiratory Therapy, and ED administration.

Setting: This was implemented in an inner city Level 1 Teaching Trauma Center, which
sees over 100,000 patients each year in its 88 bed department.

Participants/Subjects: The nurses selected for the role of TRN were selected for their ongoing interest in trauma care seeking optimal patient outcomes. These nurses had to be TNCC and ENPC certified and be an instructor in both within 1 year. Must have PALS within 1 year, Current BLS and ACLS, and a minimum of 3 yrs ED experience (preferred trauma background, 1 yr working at our facility in trauma, attend ongoing lectures, continuing education, and skills regarding trauma patients, and provide educational materials to other ED staff (power points, case studies, etc).

Methods: In our facility we had two nurses designated to caring for trauma patients in the ED, who was responsible for ensuring continuity of care and appropriate treatment with skill and accuracy? The decision was made to form the role of the Trauma Resource Nurse (TRN) who would act as the missing link. This role functions as an educator and resource for staff, ensure trauma rooms and supplies are set up for patient arrival, and in working order. The TRN also works in collaboration with all team members in making sure all documentation is within ACS guidelines, as well as assists throughout the department when available.

Results: We have seen improvements in quality indicators. Patient safety issues have decreased, charting audits have improved, ownership of supplies has been taken on with a decrease in supply waste and cost has been noted by administration. Accurate assessment and treatment has been noted as the trauma team has a designated clinician assigned each shift to act as a liaison for patient care/safety. TRNÆs have taken ownership of developing teaching points each month for staff and coaching opportunities.

Implications: The TRN role, with its positive impact has been recommended by trauma services and ED administration to continue with this role. We will continue to monitor and evaluate the efficiency of this role and its uses within the system. Staff nurses now have a resource available to them 24/7 for any questions/guidance not only for trauma patients, but
for any ED patient that presents to our facility.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping a Trauma Resource Nurse Role in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162410-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing a Trauma Resource Nurse Role in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sullivan, Jim, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Baylor University Medical Center at Dallas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">ED Supervisor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3500 Gaston Ave, Dallas, TX, 75246, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">214-820-3344</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jamessu@baylorhealth.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Erica Davidson, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] Purpose: With the increase of inexperienced nurses in the Emergency Department it was deemed necessary to implement the role of a Trauma Resource Nurse in order to better coordinate the care of all critical and non-critically injured trauma patients within the ED. This role serves as a resource to all nurses throughout the department; assisting with immediate care of critically injured patients. This also enabled us to meet ACS guidelines to maintain a level 1 status.<br/><br/>Design: A team was assembled to examine care of the trauma patient ensuring that appropriate, consistent care was being provided. This team included Trauma Physicians, Trauma Nurse Clinicians, ED staff nurses interested in trauma care, Nurse Educators, ED technicians, Respiratory Therapy, and ED administration.<br/><br/>Setting: This was implemented in an inner city Level 1 Teaching Trauma Center, which <br/>sees over 100,000 patients each year in its 88 bed department.<br/><br/>Participants/Subjects: The nurses selected for the role of TRN were selected for their ongoing interest in trauma care seeking optimal patient outcomes. These nurses had to be TNCC and ENPC certified and be an instructor in both within 1 year. Must have PALS within 1 year, Current BLS and ACLS, and a minimum of 3 yrs ED experience (preferred trauma background, 1 yr working at our facility in trauma, attend ongoing lectures, continuing education, and skills regarding trauma patients, and provide educational materials to other ED staff (power points, case studies, etc). <br/><br/>Methods: In our facility we had two nurses designated to caring for trauma patients in the ED, who was responsible for ensuring continuity of care and appropriate treatment with skill and accuracy? The decision was made to form the role of the Trauma Resource Nurse (TRN) who would act as the missing link. This role functions as an educator and resource for staff, ensure trauma rooms and supplies are set up for patient arrival, and in working order. The TRN also works in collaboration with all team members in making sure all documentation is within ACS guidelines, as well as assists throughout the department when available.<br/><br/>Results: We have seen improvements in quality indicators. Patient safety issues have decreased, charting audits have improved, ownership of supplies has been taken on with a decrease in supply waste and cost has been noted by administration. Accurate assessment and treatment has been noted as the trauma team has a designated clinician assigned each shift to act as a liaison for patient care/safety. TRN&AElig;s have taken ownership of developing teaching points each month for staff and coaching opportunities. <br/><br/>Implications: The TRN role, with its positive impact has been recommended by trauma services and ED administration to continue with this role. We will continue to monitor and evaluate the efficiency of this role and its uses within the system. Staff nurses now have a resource available to them 24/7 for any questions/guidance not only for trauma patients, but<br/>for any ED patient that presents to our facility. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:45Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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