Ministry of Health

NZ Government

    
 ©Copyright
 Published: 28/09/2007

The clinical value of a paediatric trauma coordinator
Ella Scott

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Outline

Ella Scott
CNC ED Paediatrics
GESCHN
Sydney NSW
 

Overview
• Child Health Network NSW
• Trauma admissions
• Quality Processes
• Education
• Injury Prevention
• Health care Outcomes
• Future Directions

City to the Country
GESCHN
• Northern Metro Sydney
• Southern Metro Sydney and Illawarra Region
• Southern Rural
• Central Sydney
• Greater Murray
• Macquarie

Trauma admissions to SCH 2004 0-14 years ISS >15
• Admissions 56 (Direct 19, Transfers in 37)
• Deaths 4
• SES residents 25
• Illawarra 8
• Other 23
Source: NSW Trauma Minimum Data Set provided by hospitals in SESIAHS who have an established trauma registry.

CNC Coordinator Networked EDs
• Communication cascade
• CPGs
• Standardisation of clinical care
• Education
• Clinical support for key frontline staff
• Clinical projects

Communication
GPs
Paediatricians
ED
Crit care CNCs
Nurses
Ambulance crew

Trauma CNC SCH
• 0.6 FTE
• Coordination of the trauma service
• in house and outreach education

Quality processes
• Standardisation of clinical practice guidelines
• Collaboration
• Education at multidisciplinary level
• Injury prevention campaigns
• Health care outcomes

Clinical Practice Guidelines
• Splenic Trauma ICU admission criteria
• Trauma team calling criteria in ED

Collaboration
• NSW Paediatric Trauma network Committee (ITIM)
• Networked ED trauma calling criteria
• Transfer Guidelines
• Research
• Education

Education
• Outreach workshops
• Tiny Tots Trauma Training
• M and M meetings
• Case presentations
• Human Factors

Injury prevention
Kidsafe
• Parents
• Play groups
• Schools
• Advocacy
• Laws

Outcomes
• Preventable death
• Decrease in accidents
• Clinical competence
• Consumer satisfaction
• Discharge advice from ED

Future Directions
• Standardised CPGs across the network
• FTE Trauma CNC at SCH
• More outreach education
• Case managers

Summary
• Paediatric trauma is different
• Trauma CNCs are pivotal to service delivery :
• Continuing Education
• Continuum of care from ED to rehab
• Networking