Cindy,
I have started doing a trauma nursing grand rounds. Initially it has been a
case study with an educational portion and I am trying to select different
topics to cover the continuum of care. The goal is to move it more towards a
PI type process to spark some participation in development of
guidelines/protocols etc. Some topics we have done include a patient that
developed cardiogenic shock in the ED from an acute MI after being struck by a
car...i.e differences in presentation from hypovolemic shock.
Management of non-operative blunt abd trauma and focused on serial exams, how
long should pts get serial H/H, as well as the discharge teaching for pts.
Post concussive syndrome in the mild TBI, alcohol withdrawl, unique aspects of
the geriatric trauma pt, and chest tube/drainage system management. We are
also going to do one with our pain mgmt folks to talk about appropriate use of
NSAIDS in different populatiions as an adjuvent to narcs.
Hope this helps
Beth Broering, MSN, RN
Trauma CNS
Inova Fairfax Hospital
Falls Church VA
703-698-2274
301-206-0799 pager
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