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Your ED needs to activate based upon your written
guidelines for trauma activation. The ACS would rather see an overcall
rate ( patients that are activated and then discharged from the ED) of 15-20%
than activations after arrival to the ED.
Pat Manion RN MS CCRN CEN
Trauma
Coordinator
Genesys Regional Medical Center
Grand Blanc, MI
Level
II
810 606 7891
----- Original Message -----
Sent: Tuesday, January 20, 2004 4:25
PM
Subject: [traumanurses] Activation
We
have recently opened a can of worms here and I am wondering how other
institutions across the country activate the trauma team. Our current system is the triage nurse
informs the ED physician of an incoming patient, then he decides according to
our criteria if a trauma should be activated. In some circumstances, the physicians
have taken a ?wait and see approach? to activation, wanting to see the patient
themselves and not rely on EMS triage decisions. I am thinking that this could crucify
us during a verification visit.
The ED physicians do not want to give this up. Any
thoughts?
Brian J. Green
Trauma Program
Manager
St. John Hospital and Medical
Center
313 343 7309
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