Trauma Care in the Emergency Department Setting: A CQI Project on Patient Throughput Times

2.50
Hdl Handle:
http://hdl.handle.net/10755/162833
Type:
Presentation
Title:
Trauma Care in the Emergency Department Setting: A CQI Project on Patient Throughput Times
Abstract:
Trauma Care in the Emergency Department Setting: A CQI Project on Patient Throughput Times
Conference Sponsor:Emergency Nurses Association
Conference Year:1996
Author:Reid, Janet C., RN, BSN
Co-Authors:Robert K. Marburger, RN, BSN; Carol A. Terregino, MD; and Steven E. Ross, MD, FACS
Purpose: When trauma victims arrive at the emergency department (ED), significant resources are required to provide quality care. Nursing plays a vital role as patient advocate for coordination of various interventions. Our study reviewed charts evaluating time to interventions for trauma patients triaged to our ED without trauma team activation and length of stay (LOS).

Design: Descriptive, retrospective study.

Setting: Urban, teaching ED at level I trauma center.

Sample: Consecutive series of patients with negative screens based upon ACS physiologic/anatomic criteria triaged to the ED by a trauma nurse over 4.5 months for management without trauma team activation.

Methodology: Retrospective chart review for demographics, time to interventions, disposition, and LOS.

Results: Of 190 patients triaged by the trauma nurse from July 1 to November 15, 1996, 136 were evaluated in the ED, 26% admitted (n=101). Six patients (17% of admissions) required admission to TICU and 7 patients (20% of admissions) went to the OR within 24 hours. Only 63% of admitted patients had IVs established within one hour of arrival. One hundred six patients required radiologic assessment. For admitted patients, shortest mean time to X-ray was 61 +/- 44 minutes and CT scan was 170 +/- 82 minutes. For discharged patients, shortest mean time to X-ray was 68 +/- 37 minutes and CT scan was 176 +/- 81 minutes and 257 +/-178 minutes.

Conclusions: Trauma patients not requiring trauma team activation require interventions in a timely fashion. Nurses play an integral role in coordinating patient care with ancillary departments. The institution of a designated trauma nurse within the ED should decrease ED LOS by the accurate assessment of patient needs and facilitation of diagnostic and therapeutic measures. This nursing intervention should prove to be cost-effective, provide efficient movement through the system, decrease LOS, and ultimately improve quality of care. [Research Poster Presentation]
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 Care in the Emergency Department Setting: A CQI Project on Patient Throughput Timesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162833-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Trauma Care in the Emergency Department Setting: A CQI Project on Patient Throughput Times</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">1996</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Reid, Janet C., RN, BSN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Robert K. Marburger, RN, BSN; Carol A. Terregino, MD; and Steven E. Ross, MD, FACS</td></tr><tr><td colspan="2" class="item-abstract">Purpose: When trauma victims arrive at the emergency department (ED), significant resources are required to provide quality care. Nursing plays a vital role as patient advocate for coordination of various interventions. Our study reviewed charts evaluating time to interventions for trauma patients triaged to our ED without trauma team activation and length of stay (LOS).<br/><br/>Design: Descriptive, retrospective study.<br/><br/>Setting: Urban, teaching ED at level I trauma center.<br/><br/>Sample: Consecutive series of patients with negative screens based upon ACS physiologic/anatomic criteria triaged to the ED by a trauma nurse over 4.5 months for management without trauma team activation.<br/><br/>Methodology: Retrospective chart review for demographics, time to interventions, disposition, and LOS.<br/><br/>Results: Of 190 patients triaged by the trauma nurse from July 1 to November 15, 1996, 136 were evaluated in the ED, 26% admitted (n=101). Six patients (17% of admissions) required admission to TICU and 7 patients (20% of admissions) went to the OR within 24 hours. Only 63% of admitted patients had IVs established within one hour of arrival. One hundred six patients required radiologic assessment. For admitted patients, shortest mean time to X-ray was 61 +/- 44 minutes and CT scan was 170 +/- 82 minutes. For discharged patients, shortest mean time to X-ray was 68 +/- 37 minutes and CT scan was 176 +/- 81 minutes and 257 +/-178 minutes.<br/><br/>Conclusions: Trauma patients not requiring trauma team activation require interventions in a timely fashion. Nurses play an integral role in coordinating patient care with ancillary departments. The institution of a designated trauma nurse within the ED should decrease ED LOS by the accurate assessment of patient needs and facilitation of diagnostic and therapeutic measures. This nursing intervention should prove to be cost-effective, provide efficient movement through the system, decrease LOS, and ultimately improve quality of care. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:56Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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