IS IT TRAUMA?
YOU KNOW WHAT TIME IT IS
GOAL!
ORDER OF OPERATION
POTPOURRI
100
40/M/Fall BP: 120/65, HR 50, RR 32, Sats 97%
WHAT IS YES?
100
When all trauma related care is completed
What is Trauma End?
100
Less than 30 minutes
What is the goal for CT ORDER to CT Scan?
100
This exam should occur before CT in a trauma patient with respiratory distress
What is a bedside Chest Xray?
100
It could be any one of us
What is the reason giving high-quality care is so important?
200
WHAT is YES?
Crushed, degloved, mangled extremities are Modified Traumas!
200
After arrival activation or entry time
What is the actual time we recognized and activated a team response or entered the patient into the trauma system?
200
Frequency of documentation of reassessments in stable patient
What is every 60 minutes?
200
These 5 elements should be documented within 15 minutes of discharge, admission, or transfer
What is HR, BP, RR, Temp, Sat, and GCS?
200
Trauma patient in a C-collar with new extremity weakness goes to CT without a nurse.
What is practicing outside of best practice.
300
8/F involved in an MVC was unsecured in a safety seat.
What is YES?
Ages 0-9 meet trauma criteria when involved in an MVC and unsecured in a safety seat.
300
T - 60 minutes from arrival
What is the trauma documentation start time
300
Minimum number of staff responding to a trauma
What is 4? RN, Provider, Lab, Imaging
300
OTD: These 3 things are documented before and after placement
What is CMS, skin integrity, and pain?
300
INR test result in anticoagulated trauma patient more than 60 minutes after delivered to lab
What is a reportable delay on the trauma nurse audit form?
400
20/F 21 weeks pregnant, on blood thinners fell from an 8ft ladder.
What is Yes? This patient meets special considerations for a low level discretionary activation.
400
How to document our timely team response
What is document staff arrival in the Add Staff section of the trauma narrator?
400
Less than 2 hours
What is the transfer time goal for traumas?
400
During this part of the exam, the patient is rolled onto their side while maintaining spinal alignment to inspect the back and spine.
What is the Secondary Survey?
400
Number of people meeting trauma entry criteria
What is 3? -2 thrown from a vehicle, 1 falling down the embankment.
500
34/F with seatbelt sign, bruising and enlargement of breast after MVC.
What is YES?
Patient meets low threashold for discretionary activation.
500
When the 2nd temp check is due
What is 1 hour after arrival?
500
Within 60 minutes from arrival
What is the goal to administer antibiotics for open fractures?
500
The secondary survey must be delayed or stopped if this occurs to the patient's vitals or clinical status.
What is Decompensation (or Hemodynamic Instability)?
500
ETOH handout resource location and indication
What is the Trauma binder and + ETOH screening, and WV admission.
600
A 40-year-old male with a chain saw injury of the left thigh requiring a tourniquet from home to control bleeding.
What is YES?
600
At least every 60 minutes, and PRN
What is the minimum frequency assessments and reassessments are documented?
600
To decreased mortality, morbidity, and disability
What is the reason why we work quickly and efficiently in our trauma team response?
600
Completed and documented before and after every intervention
What is assessments and reassessments (including VS and GCS as appropriate)?
600
Number of O- units of blood available at WV
What is 2?