We're a Level II center and struggled with the issue of the ED doc
wanting to "wait and see" for a long time. The problem was that they
have their "ED blinders on" and don't see the benefits of letting the
surgeon, OR, etc know in advance of potential patients. We finally
resolved this issue by taking it out of their hands. When the ED charge
nurse gets the EMS radio report, they give the ED doc a FYI but go
purely by criteria as to whether to page the trauma team.
Deb Kozeny, RN, MS, CEN, CCNS
Trauma Program Manager/Clinical Nurse Specialist
Gwinnett Medical Center
1000 Medical Center Blvd.
Lawrenceville, GA 30045
678-442-3742
dkozeny@ghsnet.org
>>> ecartis@listserve.com 01/23/04 12:01AM >>>
traumanurses Digest Thu, 22 Jan 2004 Volume: 03 Issue: 022
In This Issue:
[traumanurses] Re: use of ICP's/ventricular drains
[traumanurses] Re: Trauma Mission Statement
[traumanurses] Re: Trauma Mission Statement
[traumanurses] Ortho
[traumanurses] Re: Ortho
[traumanurses] Re: Ortho
[traumanurses] Re: Activation
[traumanurses] Re: Trauma CNS
[traumanurses] Re: Activation
----------------------------------------------------------------------
Date: Thu, 22 Jan 2004 08:46:25 -0500
From: ANDIRIC@aol.com
Subject: [traumanurses] Re: use of ICP's/ventricular drains
ICU only.
Amanda
New Mexico
------------------------------
Subject: [traumanurses] Re: Trauma Mission Statement
Date: Thu, 22 Jan 2004 07:24:20 -0700
From: "Long, Bev" <Bev.Long@dhha.org>
I have attached Denver Health's mission and vision statments.
________________________________________
Bev Long
Service Line Administrator for Trauma/CC/EMS
Denver Health Medical Center
777 Bannock, MC 0206
Denver, CO 80204
(303) 436-6586 Fax (303) 436-6572
bev.long@dhha.org
_______________________________________
-----Original Message-----
From: traumanurses-bounce@mailman.listserve.com
[mailto:traumanurses-bounce@mailman.listserve.com]On Behalf Of Bett,
Marjorie D.
Sent: Wednesday, January 21, 2004 1:09 PM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Trauma Mission Statement
Greetings Does anyone have a great trauma program mission statement
that they are willing to share? We are reviewing everything and trying
to obtain more support throughout the organization. Thanks
Marjorie Bet
Trauma Coordinator
Kingston General Hospital
76 Stuart Str.Kingston
Ontario,Canada K7L 2V7
bettm@KGH.kari.net
613 549-6666 ext 4837
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
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the information shared on this listserve.
------------------------------
From: "Leiding, Lisa" <Lisa.Leiding@stvin.org>
Subject: [traumanurses] Re: Trauma Mission Statement
Date: Thu, 22 Jan 2004 07:43:52 -0700
Ours is pretty simple:
St. Vincent Hospital Trauma Program was developed to ensure that the
injured
patient receives timely, quality care that meets or exceed national,
state
or regional standards.
Lisa McLaughlin
Santa Fe, NM
505-820-5708
-----Original Message-----
From: Bett, Marjorie D. [mailto:bettm@KGH.KARI.NET]
Sent: Wednesday, January 21, 2004 1:09 PM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Trauma Mission Statement
Greetings Does anyone have a great trauma program mission statement
that
they are willing to share? We are reviewing everything and trying to
obtain
more support throughout the organization. Thanks
Marjorie Bet
Trauma Coordinator
Kingston General Hospital
76 Stuart Str.Kingston
Ontario,Canada K7L 2V7
bettm@KGH.kari.net
613 549-6666 ext 4837
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.
------------------------------
From: "Leiding, Lisa" <Lisa.Leiding@stvin.org>
Subject: [traumanurses] Ortho
Date: Thu, 22 Jan 2004 08:04:27 -0700
Another question of the day...do any Level II or III's have
"published"
Ortho section policies on what they will or won't or can't do and that
need
transferred?
I would be interested in knowing what level designation / accreditation
that
you are and the "list".
My Ortho has decided that they need to state what they will and won't
do
here and ultimately it will affect my ability to designate. Are there
national standards for the type of Ortho cases that a Level III should
be
doing versus a Level II?
Thanks
Lisa McLaughlin
Santa Fe, NM
505-820-5708
lisa.leiding@stvin.org
.
------------------------------
Date: Thu, 22 Jan 2004 10:28:35 -0600
From: "Dan Burgess" <dburgess@mhg.com>
Subject: [traumanurses] Re: Ortho
We are a level III and do not have a published list of ortho will or
will nots. Unfortuneately, and probably appropriately, it depends
upon
who is on call as they each have different comfort levels with
different
types of injuries and procedures. It may be nice however if we had a
listing of specific types of injuries that would not be addressed by
any
of our ortho staff.
I really do not see how there could be a national standard.
Dan P Burgess RN
Memorial Hospital Gulfport
>>> Lisa.Leiding@stvin.org 01/22/04 09:04AM >>>
Another question of the day...do any Level II or III's have
"published"
Ortho section policies on what they will or won't or can't do and that
need
transferred?
I would be interested in knowing what level designation /
accreditation
that
you are and the "list".
My Ortho has decided that they need to state what they will and won't
do
here and ultimately it will affect my ability to designate. Are there
national standards for the type of Ortho cases that a Level III should
be
doing versus a Level II?
Thanks
Lisa McLaughlin
Santa Fe, NM
505-820-5708
lisa.leiding@stvin.org
.
------------------------------
From: "Leiding, Lisa" <Lisa.Leiding@stvin.org>
Subject: [traumanurses] Re: Ortho
Date: Thu, 22 Jan 2004 09:44:16 -0700
How are dealing with EMTALA when one MD will do two femur fractures and
then
having to transfer patients when another MD is on call and doesn't do
it?
Lisa
-----Original Message-----
From: Dan Burgess [mailto:dburgess@mhg.com]
Sent: Thursday, January 22, 2004 9:29 AM
To: traumanurses@listserve.com
Subject: [traumanurses] Re: Ortho
We are a level III and do not have a published list of ortho will or
will nots. Unfortuneately, and probably appropriately, it depends
upon
who is on call as they each have different comfort levels with
different
types of injuries and procedures. It may be nice however if we had a
listing of specific types of injuries that would not be addressed by
any
of our ortho staff.
I really do not see how there could be a national standard.
Dan P Burgess RN
Memorial Hospital Gulfport
>>> Lisa.Leiding@stvin.org 01/22/04 09:04AM >>>
Another question of the day...do any Level II or III's have
"published"
Ortho section policies on what they will or won't or can't do and that
need
transferred?
I would be interested in knowing what level designation /
accreditation
that
you are and the "list".
My Ortho has decided that they need to state what they will and won't
do
here and ultimately it will affect my ability to designate. Are there
national standards for the type of Ortho cases that a Level III should
be
doing versus a Level II?
Thanks
Lisa McLaughlin
Santa Fe, NM
505-820-5708
lisa.leiding@stvin.org
.
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.
------------------------------
From: "pmanion" <pmanion@chartermi.net>
Subject: [traumanurses] Re: Activation
Date: Thu, 22 Jan 2004 15:23:23 -0500
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 -----
From: Green, Brian
To: traumanurses@mailman.listserve.com
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
CONFIDENTIALITY NOTICE: This email message and any accompanying data
are confidential, and intended only for the named recipient(s). If you
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immediately.
------------------------------
Date: Thu, 22 Jan 2004 17:03:05 -0500
From: "Theresa Dinardo" <Theresa.Dinardo@atlanticare.org>
Subject: [traumanurses] Re: Trauma CNS
I would like a copy to, and also one for ANP.
>>> Melissa.Thorson@NorthMemorial.com 01/19/04 04:16PM >>>
I am wondering if anyone would be willing to share job description and
competencies/duties etc for your Trauma CNS if your facility has one.
Thanks.
Mel
Melissa A.L. Thorson MS, RN, CCNS, CCRN
Trauma Clinical Nurse Specialist
North Memorial Health Care
121 Oakdale
763-520-3816 office
612-510-5507 Pager
To Digest or put your listserve on "vacation hold" refer to listserve
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------------------------------
Date: Thu, 22 Jan 2004 17:20:36 -0700
From: "Kim McKinley" <KIMcKinley@salud.unm.edu>
Subject: [traumanurses] Re: Activation
We are blessed with an actual dispatch center (staffed by paramedics).
They make the determination and page the trauma. Of course, for drop
offs, the ED nurse calls Dispatch to initiate the page. In addition,
Dispatch keeps a log of all pages.
Kim McKinley, RN, MSN, ACNP
Interim Executive Director, Emergency Critical Care
Trauma Program Director
University of New Mexico Hospital
2211 Lomas Blvd. NE
Albuquerque, New Mexico 87106
Phone: (505- 272-4279
Pager: (505) 540-5325
Fax: (505) 272-3774
>>> SMyles@CHW.edu 1/20/2004 2:40:56 PM >>>
Dan,
Same experience here.
Steven Myles RN, CEN, MICN
Trauma Program Manager
St Mary Medical Center
Long Beach, California
Tel: 562 491 9174
Pager: 562 462 5766
Fax: 562 491 7974
CONFIDENTIALITY NOTICE E-mail may contain confidential information
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is legally privileged. Do not read this e-mail if you are not the
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-----Original Message-----
From: Dan Burgess [mailto:dburgess@mhg.com]
Sent: Tuesday, January 20, 2004 1:39 PM
To: traumanurses@listserve.com
Subject: [traumanurses] Re: Activation
We found that in almost all cases the ED physician wanted to take a
wait
and see approach. They prefer to start out behind the 8 ball. Since
the trauma service is technically controlled by the Department of
Surgery we convinced our Director to allow for the lead nurse in the
trauma ED to activate according to protocol. It really was not an
Emergency Medicine decision. Now the activations are called by the
nurses and we have reduced our delays and missed activations by 50%.
The ED physicians still interfere with the process occasionally (
that's
the difference between a 50% reduction and a 95% improvement) but we
keep pounding away.
Activating according to predetermined protocols is much more efficient
if done by nurses!
Dan Burgess RN
Memorial Hospital at Gulfport.
>>> Brian.Green@stjohn.org 01/20/04 03:25PM >>>
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
CONFIDENTIALITY NOTICE: This email message and any accompanying data
are confidential, and intended only for the named recipient(s). If
you
are not the intended recipient(s), you are hereby notified that the
dissemination, distribution, and or copying of this message is
strictly
prohibited. If you receive this message in error, or are not the
named
recipient(s), please notify the sender at the email address above,
delete this email from your computer, and destroy any copies in any
form
immediately.
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.
------------------------------
End of traumanurses Digest V3 #22
*********************************
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,
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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
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take any responsibility for the information shared on this listserve.
|