Washington State's Trauma Nurse + Trauma Registrar Network group has been in
place since around 1998. It was started by Johnese Spisso, the director of
patient care at our Level I facility, Harborview Medical Center. It has
since evolved into an informal organization of all of the Washington and
Oregon trauma coordinators and trauma registrars. Washington State
Department of Health coordinates these all-day meetings, which are hosted by
rotating hospitals. We meet three times a year (January, April, October).
The members and Department of Health set the agenda, which often includes a
clinical talk, QI, a working session with break-out groups, announcements,
and roundtable. The meetings are well attended, and are filled with helpful
advice, practical solutions, networking, and sharing of resources.
The trauma registrars have been included in recent years as essential
members of trauma service staff. Their participation also supports enhanced
bilateral understanding roles, and has resulted in improvement in the
registry and in the trauma service's use of the registry.
The TNTRN meeting day is often preceded by a trauma coding class or trauma
registry software class on the day before, and Washington State's Emergency
Nurses Association meets the day after, all in the same location. This has
enabled one trip to serve several purposes for members.
I'll be happy to answer any further questions.
Mary Rotert, RN, MS
Trauma Clinical Consultant
Office of Emergency Medical Services and Trauma System
Washington State Department of Health
MS 7853
Olympia, WA 98504-7853
(Physical) 310 Israel Road SE, Tumwater WA 98501
360 236-2874
Toll free (in-state only)1 800 458-5281, Option 6
Fax 360 236-2829 or 236-2830
email: mary.rotert@doh.wa.gov
Webpage: http://www.doh.wa.gov/hsqa/emtp
"The Department of Health Works to Protect and Improve the Health of People
in Washington State"
-----Original Message-----
From: Mike Glenn [mailto:MGlenn@dps.state.oh.us]
Sent: Tuesday, June 17, 2003 11:42 AM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: traumanurses Digest V2 #143
Ohio has a had a longstanding TNC organization. They have a web site that
is linked with the Ohio COT. www.traumasystems.com
Mike Glenn, RN
State Trauma Coordinator
(614) 728-6853
Fax: (614) 466-9461
>>> jcampbell@sfmc-gi.org 06/16/03 01:19PM >>>
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
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 langu=
age, disparaging or untruthful remarks about health care professionals or i=
nstitutions, job postings, or comments which otherwise would indicate a lac=
k 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 listse=
rve. =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 =
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ou.
------------------------------
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
**********************************
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.
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.
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