Eileen Brunwasser, RN, BSN
Trauma Program
Coordinator
Phone 215.456.8286
Beeper 24846
email brunwase@aehn2.einstein.edu
Klein
510>>> rabowman@cmhregional.com 04/30/02 09:14AM
>>>
I am a Trauma Coordinator at a small rural community hospital in
Ohio.
Currently we are pursuing Level III Trauma Center Designation. In
Ohio we
are designated by the ACS-COT. At this time our institution has
adopted a
two tear trauma activation system. Trauma STAT is our highest
level of
activation and is based on anatomic/physiologic criteria. The
trauma team
is require to assemble within 15 minutes of patient arrival to
the Trauma
Bay. To date we are doing very well with our Trauma
STAT activation.
Trauma Consult is our second level of activation and
is based on mechanism
of injury. When a trauma consult is activated the
patient is evaluated by
the surgeon within either 23 hours of
admission/observation to the nursing
floor, or in the office the next
day. Our policy reads that the ED
physician will contact the surgeon in
the event of a Trauma Consult, the
patients condition will then be discussed
by the two, a plan of care will
be developed, and the patient evaluated by
the surgeon based on physiologic
stability.
How will the ACS-COT
respond to the surgeon not evaluating the injured
patient in the ED?
Is
there a time requirement for second level trauma activation like there
is for
your highest level activation?
What type of trauma alert activation systems
do other Level III trauma
centers use?
What patient criteria do other
trauma centers use to activate their trauma
alert systems?
Thank
you
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