Show simple item record

dc.contributor.authorHyatt, Wendyen
dc.contributor.authorClayton, Stephenen
dc.contributor.authorKunkel, Erinen
dc.contributor.authorNunley, Elishaen
dc.date.accessioned2017-12-04T21:27:02Z
dc.date.available2017-12-04T21:27:02Z
dc.date.issued2017-12-04
dc.identifier.urihttp://hdl.handle.net/10755/623665en
dc.description<p>ENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missouri</p>en
dc.description.abstract<p><strong>Purpose:</strong> There is a large number of staff in the Emergency Department, high turnover rates, many different areas of focus which lead to inconsistencies in the care and documentation of care for trauma patients.&nbsp; The goal was to develop a small group of specially trained Emergency Department nurses to care for trauma patients and initiate the quality improvement process at the bedside.</p> <p><strong>Design:</strong> Course content was researched, developed and approved by both the trauma service and the emergency department.&nbsp; The content was based on evidence-based practice found in current literature, including American College of Surgeons requirements and hospital policy.&nbsp; Highlights of the lectures included: standardization of trauma care, trauma activation criteria, damage control resuscitation, documentation, quality improvement, and communication.&nbsp; In addition, a bedside trauma quality form was developed and utilized to begin quality improvement at the bedside.</p> <p><strong>Setting:</strong> The setting was a 408 bed metropolitan Level 1 trauma center.&nbsp; We admit over 2200 trauma patients per year.&nbsp; The Emergency Department has 85 staff nurses and 128 total staff.&nbsp; The ED has 41 beds and 3 trauma bays.</p> <p><strong>Participants/Subjects:</strong> The participants were thirty Emergency Department nurses who work across all shifts interested in being dedicated to trauma care.</p> <p><strong>Methods:</strong> We created and implemented a SMART goal to track and achieve our outcomes.&nbsp; Chart review was used for documentation compliance.&nbsp; The bedside trauma quality form was also used to collect data for compliance.</p> <p><strong>Results/Outcomes:</strong> There have been dramatic improvements in trauma care since beginning the trauma nurse program.&nbsp; The standardization of care with the use of PPE and lead aprons has improved from 0% in August 2016 to above 90% compliance in December 2016.&nbsp; Charting compliance has improved.&nbsp; Specific documentation measures with improvements are:&nbsp; prehospital c-spine care from 91.1% to 97.7%, location of event from 95.8% to 97.7%, 1st set of vital signs from 94.2% to 97.7%, primary assessment from 94.2% to 100%, time to CT 90% to 100%, nursing notes from 96.3% to 100%, c-spine clearance from 85.2% to 92.9%.&nbsp; The team developed and implemented a new trauma flowsheet to improve the capture of required data elements.&nbsp; Feedback from the trauma surgeons has been that there is greater consistency with care, increasing their comfort level with the nursing staff.&nbsp; There has been an overall decrease in the turnover rate for ED staff as a whole from 14.8% to 6% and the turnover rate for the core trauma nurse team has been 0% since its inception.&nbsp; Nurses on the team have initiated projects to improve care and flow for trauma patients.</p> <p><strong>Implications:</strong> Developing a core trauma nurse program has created a specialized group of nurses who are invested in providing high quality care for every trauma patient, every time.&nbsp; There has been increased compliance with charting, which ensures accurate data collection.&nbsp; Future plans include additional classes for nurses, development of a trauma specialty for ED techs.&nbsp; The team will continue bimonthly meetings with education provided by the trauma surgeons and residents.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectTrauma Educationen
dc.subjectStaff Developmenten
dc.subjectEmergency Departmenten
dc.titleTrust me...I'm a trauma nurseen
dc.typePosteren
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.</p>en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsWendy Hyatt, BSN, RN, CEN; Steve Clayton, BSN, RN, CEN; Erin Kunkel, BSN, RN, CEN; Elisha Nunley, BSN, RN, CENen
dc.conference.nameEmergency Nursing 2017en
dc.conference.hostEmergency Nurses Associationen
dc.conference.locationSt. Louis, Missouri, USAen
dc.date.conferenceyear2017
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record


Powered by KnowledgeArc