ER Staff Meeting Trauma Update April 2017 Zach Stanford, RN, CCRN, TCRN, CEN Trauma Education

Trauma Ed / Conferences SAN FRANCISCO ENA ANNUAL EDUCATION CONFERENCE: TRAUMA CON 2017  May 9th and 10th -17.65 CEs – classes held at Eden in the MOB. Register through Cascade Training Center $390 (must use the Cascade link to receive the $390 price) – 14 seats remaining! - next class will be Aug 23rd and 24th June 7th - If you are interested in attending please visit the following link: A Day of Trauma Case Studies: Zuckerberg SF General Hospital and Trauma Center Cost $88.39 -Lunch and 6 CE's/CEU's provided! Click the link above for more info and Register today! June 12 – 7 CEs - At Zuckerberg San Francisco General Hospital and Trauma Center – Register at www.sfena.us cost $50 June 23rd -7 CEs – classes held at NorthBay Healthcare in Fairfield. Register through Register at www.sfena.us cost $50 July 12th and 13th -14 CEs – classes held at Eden in the MOB. Register through Paragon Education - $275 – This is the LAST one this year! ​CALIFORNIA PEDIATRIC EMERGENCY CARE CONFERENCE

ACS Trauma Survey Results THANK YOU ! For everyone’s hard work and effort in preparation and during the survey that made us successful! Some things they liked (there were a lot): Support from administration Training standards to be at the bedside Paper Trauma Flowsheet The thing they didn’t like (they told us several times in many different ways): Switching to EPIC after an hour EPIC charting for trauma

ACS Trauma Survey Results Trauma Charting Starting May 1st at 0700 – For ALL traumas (Alpha, Bravo and Limited) There will no longer be the option of converting to EPIC after 1 hour. All traumas must be charted on the paper Trauma Flowsheet through patient discharge or Upon receipt of admission orders, then you may transition to EPIC

ACS Trauma Survey Results Trauma Charting What do you write in the Narrative? (some examples) The patient ‘story’ – There is a lot covered with all the check boxes but they don’t tell the story. (i.e.: Restrained middle back seat passenger of auto vs back of semi at fwy speed then into rollover down 50 ft ravine – pt found face down 100 ft from car…) Any specific assessment/re-assessment (i.e.: +1 thread Doppler pulses to R. foot…R. foot now cold and mottled, MD aware/OR notified, Dr Gingery enoute) Any procedure – (i.e.: Scalp lac debrided, cleansed, sutured by Dr Azimi…suturing in progress…40fr CT placed L. Chest 600ml initial bloody output – no autotransfusion ordered per Dr Galey) Basically any event or patient change that happens a note can be made in the narrative

TRAUMA FLOWSHEET ALGORITHIM Trauma Paperwork Starts May 1st at 0700 In the last 3 months 19 paper trauma charts have gone missing Where they go?

Trauma Ed Highlight If you follow and complete the “Just in Time Audit” you will stop the audit emails