Hi-we are establishing a statewide trauma system in Nebraska. I would like
to develop a statewide TNC group to support new TNC and build stronger
relationships is existing trauma centers. Does anyone have an samples of
mission statements, goals, ground rules or tips on how to get this started?
Thanks,
Jami Campbell, RN
Trauma Nurse Coordinator
Saint Francis Medical Center
2620 West Faidley Ave.
Grand Island, NE 68802
308-398-6507 phone
308-398-5306 fax
jcampbell@sfmc-gi.org
-----Original Message-----
From: ListServe.com Listar Server [mailto:listar@mailman.listserve.com]
Sent: Sunday, June 15, 2003 11:59 PM
To: traumanurses digest users
Subject: traumanurses Digest V2 #143
traumanurses Digest Sun, 15 Jun 2003 Volume: 02 Issue: 143
In This Issue:
[traumanurses] Re: ETOH interventions
[traumanurses] Re: Need some help with agitated neurotrauma
----------------------------------------------------------------------
Date: Sun, 15 Jun 2003 18:31:39 -0400
From: "Janice Delgiorno" <Janice.Delgiorno@atlanticare.org>
Subject: [traumanurses] Re: ETOH interventions
We do blood alcohol levels on all of our patients. If their screen is posi=
tive or they have a history of alcohol use, we have a clinical psychologist=
, who is a substance specialist visit with them during their stay. If they=
are only there for a short time and he does not get to see them, we have a=
form letter and an information packet with resources that we give the pati=
ent.
Janice
Janice Delgiorno BSN, RN, CCRN, RRT
Trauma Program Coordinator
The Trauma Center at Atlantic City Medical Center
1921 Pacific Avenue
Atlantic City, NJ 08401
W: 609-441-8182
Fax: 609-441-8178
Janice.Delgiorno@Atlanticare.org
>>> BLEICHER@saintpatrick.org 06/13/03 02:39PM >>>
Hi - We're establishing a program to provide brief interventions for alcoho=
l abuse for our trauma patients. One of the many screening options is to d=
raw a BA on all of our patients and, if not drawn for reasons of medical ne=
cessity, sequester that information outside the medical record as a means o=
f keeping it non-discoverable. I'm wondering if anyone doing this could co=
ntact me on or off-list with specifics about how this is accomplished in th=
eir facility. Thanks, and happy weekend to all! John Bleicher
John Bleicher, RN
Trauma Coordinator
St. Patrick Hospital and Health Sciences Center
500 West Broadway
Missoula, MT 59802
ph: 406-329-5603
fax: 406-329-5875
bleicher@saintpatrick.org=20
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k of respect or regard for trauma nursing or anything deemed inappropriate =
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rve. =20
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------------------------------
Date: Sun, 15 Jun 2003 18:33:31 -0400
From: "Janice Delgiorno" <Janice.Delgiorno@atlanticare.org>
Subject: [traumanurses] Re: Need some help with agitated neurotrauma
We still use a 1:1 using a nurses aide or ortho tech.
Janice
Janice Delgiorno BSN, RN, CCRN, RRT
Trauma Program Coordinator
The Trauma Center at Atlantic City Medical Center
1921 Pacific Avenue
Atlantic City, NJ 08401
W: 609-441-8182
Fax: 609-441-8178
Janice.Delgiorno@Atlanticare.org
>>> Phyllis.Uribe@HealthONEcares.com 06/13/03 04:39PM >>>
Thanks, Tony. We, too, love Propofol. However, I should have been clearer
that the patients I seek ideas for have been transferred out of critical
care and are not in monitored beds....our neurotrauma unit is a step-down
type of unit for patients with brain and spinal cord injuries.
Phyllis Uribe
-----Original Message-----
From: Mitchell, Tony [mailto:tmitchel@stj.com]=20
Sent: Friday, June 13, 2003 2:35 PM
To: 'traumanurses@mailman.listserve.com'=20
Subject: [traumanurses] Re: Need some help with agitated neurotrauma patie
nts
Phyllis,
=20
After trying every possible way we knew, we have found that if a family
member cannot stay with the patient, minimal doses of Propofol, Midazolam,
and soft restraints work the best on our agitated head injury patients. We
only use enough Propofol to prevent them from injuring themselves and that
dose is clearly patient specific. Usually the family member has minimal
involvement unless you can see an obvious positive response from the patient
but the family member can see how difficult it is to manage their loved one
and this is very important in other ways. The neurologists usually call or
have certain times they make rounds and ask that we shut the Propofol off
about =BD an hour before they arrive so they can assess the patients status.
Frequent attempts are made to decrease the Propofol and balance with
increased Midazolam until eventually you can get everything off. Hope this
helps.
=20
Tony Mitchell RN, CCRN,=20
Trauma Coordinator
St. John's Regional Medical Center
Joplin, Missouri, 64804
Office- 417-627-8337
Pager- 888-665-1827
email- tmitchel@stj.com=20
=20
-----Original Message-----
From: Uribe Phyllis [mailto:Phyllis.Uribe@HealthONEcares.com]=20
Sent: Friday, June 13, 2003 3:09 PM
To: 'traumanurses@mailman.listserve.com'=20
Subject: [traumanurses] Need some help with agitated neurotrauma patients
=20
Greetings, all. As you head off into your weekend, our neurotrauma unit is
looking for some creative ideas on how to assure safety for agitated brain
injured patients. They often request an order for a "sitter" or "behavioral
attendant" to stay with the patient, but staffing and budget constraints
mean that is not always available. Any ideas you have used or policies for
deciding between drugs, restraints, and attendants would be welcomed. Thank
you in advance.
Phyllis Uribe RN BSN CCRN=20
Trauma Program Supervisor=20
303-788-5082 (office)=20
303-788-6928 (FAX)=20
Phyllis.Uribe@HealthONEcares.com=20
www.swedishhospital.com=20
=20
*******************************************
Confidentiality Notice: This e-mail message, including any attachments, fro=
m AtlantiCare contains information which is CONFIDENTIAL AND/OR LEGALLY PRI=
VILEGED. The information is intended only for the use of the individual nam=
ed above and may not be disseminated to any other party without AtlantiCare=
's written permission. If you are not the intended recipient, or the employ=
ee or agent responsible for delivering the message to the intended recipien=
t, you are hereby notified that any dissemination, disclosure, distribution=
, copying or taking of any action in reliance on the contents of this e-mai=
led information is strictly prohibited.=20
If you have received this e-mail in error, please notify us immediately by =
telephone at 609 - 569 - 7070 or notify us by e-mail at Isecurity@Atlantica=
re.org to arrange for the return of these documents to us without cost to y=
ou.
------------------------------
End of traumanurses Digest V2 #143
**********************************
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the website. STN does not accept the following: Coarse or vulgar language,
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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.
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