Ministry of Health

http://newzealand.govt.nz/

    
 ©Copyright
 Published: 28/11/2011

Debate - The nursing response to trauma resus should parallel the medical response
Andy Young

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Outline

The Big Debate

‘The Nursing response to trauma resuscitation should parallel the medical response – ED/General Surgery/ICU’

Nursing Trauma Teams at Auckland City Hospital
• In situ Worldwide
• Established at Auckland Hospital by Shirley Wilson and Jane Bebbington – Early 1990’s
• 3 Emergency Nurse composition
• Airway
• Circulation
• Scribe – Senior Nurse

Able to provide:-
 Immediate response
 Experienced ED Trauma Nurses
 Ability to multitask/swap roles
 Proven effective roles

So Why ?
Reinvent the Wheel !!!!

Suggested Team
• DCCM Registrar/DCCM Nurse
• Surgical Registrar/Surgical Nurse
• ED Registrar/ED Nurse
• Designated team leader

Efficient Team work
Needs:-
 Trust
 Respect
 Communication
 Time to form bonds

Disadvantages
• Isolated team work e.g.: DCCM Dr & Nurse working independently of other 2 specialties
• Dr focused care instead of patient focused
• ? Lack of trauma resuscitation nursing knowledge from non ED nurses
• Lack of ability to change roles

In summary
Primary concern in the ED to the trauma patient is:-
 Adequate oxygen delivery to vital tissues
 Treatment of critical problems as they are identified
 Prevention of further deterioration
This can be achieved by a well-rehearsed team working together to agreed protocols/guidelines adopting a multidisciplinary approach under the supervision of a appropriate team leader.