Trauma Team Stat: Development and Implementation of Trauma Communication System

2.50
Hdl Handle:
http://hdl.handle.net/10755/162509
Type:
Presentation
Title:
Trauma Team Stat: Development and Implementation of Trauma Communication System
Abstract:
Trauma Team Stat: Development and Implementation of Trauma Communication System
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Blackwell, Jami, RN, BS, CEN
P.I. Institution Name:Cox Health
Title:Trauma Nurse Clinician
Contact Address:3801 South National, Springfield, MO, 65807, USA
Contact Telephone:417-269-0919
[Annual Conference] Clinical Topic: Response of a trauma team in the Emergency Department is essential in the care of a critically injured trauma patient. In the past, the trauma team responded to the Emergency Department with a result of an overhead page sent throughout the hospital. As a result, overcrowding was a problem in the trauma room. Many times, essential personnel did not hear the overhead page as a result placement of overhead speakers. The goal in the development of an improved system was to improve response times of essential personnel and improve on identifying the essential personnel. Another goal was go establish a formal communication tool for the physicians to respond to trauma pages.

Implementation: The hospital receives patients from 18 surrounding counties. The Trauma Center receives critically injured patients as well as minor injured patients. As a Level II Trauma Center with a patient census of over 100,000 per year, it was essential to establish a standardized paging system to inform essential Trauma Team personnel. A paging system was developed utilizing the e-mail system currently in use in the hospital. The hospital Communication Department was contacted to establish the digital paging system in order for key personnel to carry while on duty. Essential trauma team members were given pagers capable of receiving e-mail messages. Because of the pagers' limited capability to receive lengthy messages, response criteria were established to be sent across the paging system. The criteria communicated to the Trauma Team the age, mechanism of injury and trauma classification as well as ETA to the facility. The physicians' pagers were also set up to receive the communication pages. Following the implementation of adult trauma pages, criteria were established for Pediatric and OB trauma patients. The appropriate personnel in the Pediatric department and OB department were given pagers for trauma response.

Outcomes: Essential personnel were able to receive pages even in areas of the hospital where the overhead paging system was not established. Response times to trauma activations were improved and the overcrowding in the trauma room eliminated. Only identified key personnel were responding. The most positive outcome was the communication to personnel on information of the incoming patient. Key information is passed on to various departments responding to the trauma pages. The most positive feedback has been from the physician component. The physicians are able to obtain expanded information on the incoming trauma patients. Because of the success of the paging communication system, the Stroke Center has also established a paging system in order to facilitate response of the Stroke Team to the Emergency Department.

Recommendations: Various issues arose in the beginning of the implementation phase. Our backup paging system was kept active for two weeks and dual pages went out through the system to assure there would be no interruption of response. Because of modern technology, the backup overhead paging system has remained in place for times when the computer system is not functioning. Meetings should be held with the various departments involved in the Trauma Team to obtain buy in to the new system and assure personnel they are an essential part of the trauma team.
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.titleTrauma Team Stat: Development and Implementation of Trauma Communication Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162509-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Trauma Team Stat: Development and Implementation of Trauma Communication System</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Blackwell, Jami, RN, BS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cox Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Trauma Nurse Clinician</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3801 South National, Springfield, MO, 65807, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">417-269-0919</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jamiann.blackwell@coxhealth.com</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference] Clinical Topic: Response of a trauma team in the Emergency Department is essential in the care of a critically injured trauma patient. In the past, the trauma team responded to the Emergency Department with a result of an overhead page sent throughout the hospital. As a result, overcrowding was a problem in the trauma room. Many times, essential personnel did not hear the overhead page as a result placement of overhead speakers. The goal in the development of an improved system was to improve response times of essential personnel and improve on identifying the essential personnel. Another goal was go establish a formal communication tool for the physicians to respond to trauma pages. <br/><br/>Implementation: The hospital receives patients from 18 surrounding counties. The Trauma Center receives critically injured patients as well as minor injured patients. As a Level II Trauma Center with a patient census of over 100,000 per year, it was essential to establish a standardized paging system to inform essential Trauma Team personnel. A paging system was developed utilizing the e-mail system currently in use in the hospital. The hospital Communication Department was contacted to establish the digital paging system in order for key personnel to carry while on duty. Essential trauma team members were given pagers capable of receiving e-mail messages. Because of the pagers' limited capability to receive lengthy messages, response criteria were established to be sent across the paging system. The criteria communicated to the Trauma Team the age, mechanism of injury and trauma classification as well as ETA to the facility. The physicians' pagers were also set up to receive the communication pages. Following the implementation of adult trauma pages, criteria were established for Pediatric and OB trauma patients. The appropriate personnel in the Pediatric department and OB department were given pagers for trauma response. <br/><br/>Outcomes: Essential personnel were able to receive pages even in areas of the hospital where the overhead paging system was not established. Response times to trauma activations were improved and the overcrowding in the trauma room eliminated. Only identified key personnel were responding. The most positive outcome was the communication to personnel on information of the incoming patient. Key information is passed on to various departments responding to the trauma pages. The most positive feedback has been from the physician component. The physicians are able to obtain expanded information on the incoming trauma patients. Because of the success of the paging communication system, the Stroke Center has also established a paging system in order to facilitate response of the Stroke Team to the Emergency Department. <br/><br/>Recommendations: Various issues arose in the beginning of the implementation phase. Our backup paging system was kept active for two weeks and dual pages went out through the system to assure there would be no interruption of response. Because of modern technology, the backup overhead paging system has remained in place for times when the computer system is not functioning. Meetings should be held with the various departments involved in the Trauma Team to obtain buy in to the new system and assure personnel they are an essential part of the trauma team. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:24Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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