Eric,
We use the same process. The Primary Nurse is the one who documents,
she should be the most experience on in the room, have ACLS, TNCC,
PALS/ENPC etc.... She is the "conductor" of the orchestra, controller
of the room. The Surgeon verbalizes his assessment which she documents
and prompts others in the room. This concept is relatively new for us,
at one point the Primary was at the bedside, and we had a scribe nurse.
It ended up after the trauma was stable and we were able to release
others at the bedside the documentation was not complete, when the
Surgeon and/or consulting physicians came in the Primary was unable to
give a complete report on the patient (i.e. MOI, etc...). It is working
so far, some like it, some don't.....
Jennifer Becher, RN, BSN, CEN
Director Trauma Services
St. Mary's Medical Center
Evansville, IN
812-485-6827
>>> eric.peterson@aurorabaycare.com 04/21/03 08:29AM >>>
A question for the group. We are a Level II community based center.
We
have our trauma team in the ED as the ED nurse primary/record keeper,
secondary ED Nurse and ICU Nurse at the bedside with the assundry
other
staff that also respond to the level I's. I have been getting a lot
of
flack from some of the ED staff as to the primary Nurse not being able
to
"get dirty" so to say in the initial part of the resuscitation. The
question is do any of you have alternate team make ups that differ
from
this and if so, what is it. The concept I have for the
primary/documentation is that it is the ED nurse and they have
control
over the room to make sure things are done, the assessments are
completed
and I thought that it would be best to have the ED Nurse do this since
they
have the most experience with the process and such. I am not married
to
this concept, but I think it makes the most sense. Also, if there are
other ways I would be open to it. I have stated that I do not want
the
same nurse being primary all the time. This is harder on nights with
the
more limited staffing.
Thank You
Eric Peterson
Trauma Coordinator
Aurora Baycare Medical Center
Email: eric.peterson@aurorabaycare.com
Phone: 920-288-4301
Pager: 920-556-1846
Fax: 920-288-4067
To Digest or put your listserve on "vacation hold" refer to listserve
page on the website. STN does not accept the following: Coarse or
vulgar language, disparaging or untruthful remarks about health care
professionals or institutions, job postings, or comments which otherwise
would indicate a lack of respect or regard for trauma nursing or
anything deemed inappropriate by the webmaster. Subscribers who do not
comply will be unsubscribed. STN does not take any responsibility for
the information shared on this listserve.
To Digest or put your listserve on "vacation hold" refer to listserve page on
the website. STN does not accept the following: Coarse or vulgar language,
disparaging or untruthful remarks about health care professionals or
institutions, job postings, or comments which otherwise would indicate a lack
of respect or regard for trauma nursing or anything deemed inappropriate by the
webmaster. Subscribers who do not comply will be unsubscribed. STN does not
take any responsibility for the information shared on this listserve.
|