2.50
Hdl Handle:
http://hdl.handle.net/10755/162932
Type:
Presentation
Title:
Trauma Staffing Needs in Level I Trauma Center Emergency Department
Abstract:
Trauma Staffing Needs in Level I Trauma Center Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Carlen, Cathleen, RN, C, MSN
P.I. Institution Name:Lehigh Valley Hospital
Contact Address:CC&I-78, P.O. Box 689, Allentown, PA, 18105, USA
Contact Telephone:(610) 402-8160
Co-Authors:Susan Kuchera; Gina Steward, MA; and Richard MacKenzie, MD
Purpose: A need exists for a staffing model for emergency departments (ED), particularly those certified as Level I trauma centers where resource intensity is high. Incoming traumas affect staffing levels on the ED floor; therefore, this study examined how much time ED nurses spend on traumas. Design and Setting: This prospective convenience study was conducted at a Level I trauma center, with an operating room in the trauma suite, which sees over 45,000 ED visits and over 3,000 trauma patients annually.Sample: This study was conducted from August 28, 2001, to January 31, 2002. During this period, 15 Code Reds and 124 Trauma Alerts were recorded. Code Reds are high-acuity trauma cases, which report directly to the trauma operating room, and Trauma Alerts report to trauma resuscitation suites. Methodology: Traumas were timed using a time clock in the trauma bay. The nurse punched a time on an appropriately labeled card when a trauma was called and punched a second time when ready to return to the ED floor. Using the average time per encounter, we determined how much time, on average, per day ED nurses spend on traumas. This was found using the average of Code Red and Trauma Alert cases per day. Results: Using our sample, we calculated an average nursing time (ANT) per encounter of 103.07 minutes (95% CI 107.08 - 99.06) for Code Reds and 95.48 minutes (95% CI 94.254 - 96.714) for Trauma Alerts. The actual numbers of traumas for the study period were 65 Code Reds and 665 Trauma Alerts, with an average of 0.41 Code Reds and 4.24 Trauma Alerts per day. With these numbers and our samples per encounter ANT, we calculated a cumulative ANT per day of 42.26 minutes for Code Reds and 404.84 minutes for Trauma Alerts. Conclusions: On average, about 7-1/2 hours of each day - almost an entire full-time equivalent - is spent on trauma. These numbers may be used in budgeting for ED staffing. However, one must consider the effects of fluctuating trauma and ED census as well as the variable acuity of trauma cases in scheduling these allotted trauma hours. [Clinical 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 Staffing Needs in Level I Trauma Center Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162932-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Trauma Staffing Needs in Level I Trauma Center 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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Carlen, Cathleen, RN, C, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CC&amp;I-78, P.O. Box 689, Allentown, PA, 18105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(610) 402-8160</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Cath714@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Kuchera; Gina Steward, MA; and Richard MacKenzie, MD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: A need exists for a staffing model for emergency departments (ED), particularly those certified as Level I trauma centers where resource intensity is high. Incoming traumas affect staffing levels on the ED floor; therefore, this study examined how much time ED nurses spend on traumas. Design and Setting: This prospective convenience study was conducted at a Level I trauma center, with an operating room in the trauma suite, which sees over 45,000 ED visits and over 3,000 trauma patients annually.Sample: This study was conducted from August 28, 2001, to January 31, 2002. During this period, 15 Code Reds and 124 Trauma Alerts were recorded. Code Reds are high-acuity trauma cases, which report directly to the trauma operating room, and Trauma Alerts report to trauma resuscitation suites. Methodology: Traumas were timed using a time clock in the trauma bay. The nurse punched a time on an appropriately labeled card when a trauma was called and punched a second time when ready to return to the ED floor. Using the average time per encounter, we determined how much time, on average, per day ED nurses spend on traumas. This was found using the average of Code Red and Trauma Alert cases per day. Results: Using our sample, we calculated an average nursing time (ANT) per encounter of 103.07 minutes (95% CI 107.08 - 99.06) for Code Reds and 95.48 minutes (95% CI 94.254 - 96.714) for Trauma Alerts. The actual numbers of traumas for the study period were 65 Code Reds and 665 Trauma Alerts, with an average of 0.41 Code Reds and 4.24 Trauma Alerts per day. With these numbers and our samples per encounter ANT, we calculated a cumulative ANT per day of 42.26 minutes for Code Reds and 404.84 minutes for Trauma Alerts. Conclusions: On average, about 7-1/2 hours of each day - almost an entire full-time equivalent - is spent on trauma. These numbers may be used in budgeting for ED staffing. However, one must consider the effects of fluctuating trauma and ED census as well as the variable acuity of trauma cases in scheduling these allotted trauma hours. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:38Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.