Trauma Education: a Multidisciplinary Interface
Chris Clarke
Outline
Trauma Education: a Multidisciplinary Interface
Chris Clarke
Clinical Nurse – Trauma Service
Royal Adelaide Hospital
(Injury 2005 – Auckland, NZ. 4th-5th August 2005)
The Royal Adelaide Hospital
650 bed tertiary referral hospital located in the centre of Adelaide.
Major teaching hospital for the University of Adelaide.
Nursing and Medical education.
The Royal Adelaide Hospital
Major Trauma Center for South Australia
Treats over 1600 major trauma cases per year
Has the following specialties:
cardiothoracic
neurosurgical
orthopaedic
burns
spinal injuries
hyperbaric medicine
The Burns, Spinal and Hyperbaric units are the sole referral units for SA and the NT.
New ED opened May 2003 – 4 resuscitation rooms and 46 patient care cubicles.
So why is multidisciplinary trauma education important?
The Nature of Work in the Emergency Department
Large departments have or require a great number of staff.
High turn-over of staff – both nursing and medical (?? Allied health).
Trauma management seems to be “popular” – more staff interested.
Unusual pathology.
Junior Staff in Resuscitation Roles
Staff shortages in health care in general – both nursing and medical.
Hence the necessity for staff to participate in middle level, or senior roles.
Mentorship and supervision must be adhered to.
On the Spot Teaching
Trauma resuscitations can form a basis of teaching for staff.
During the event or as part of a debrief.
Provides a form of closure for all staff involved.
New Equipment (or old equipment)
Updated/New Trauma Protocols.
Use of Factor VIIa in trauma.
Penetrating trauma – increased incidence.
The use of the open abdomen in trauma laparotomy.
Trauma Service Weekly Audit
Review of all trauma call presentations from the previous week.
Informal – acts as a teaching session.
Trauma Service Staff, ED Staff, Radiology, Social Work, SAAS.
Trauma/ED Quality Improvement Session
Trauma participation once per month.
All ED staff attend on a regular basis.
Modified M and M.
Case presentations.
New protocols.
New equipment.
EMST
4 nurse observers.
4 nursing students or medical students, or ambulance personnel.
16 participants.
Nurses very enthusiastic to participate.
Clinical Lectureship at a University Level
Trauma Teaching Rounds
CTMW
Overview
Education of staff must reflect system in which they work.
Continuous quality improvement.
Continuum of needs must be remembered.
In the Future…
Formal university level qualifications in trauma nursing (? Grad Cert)
Combined trauma team competencies.
More Trauma Team training at all levels.
Questions
cclarke@mail.rah.sa.gov.au
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Ministry of Health
