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

Trauma Ed / Conferences Trauma Symposium: From EMS to ED and Beyond Other Up-Coming Classes/Conferences October: TCAR – 11th and 12th ABLS – 16th Totally Trauma – 23rd and 24th November: TNCC – 8th and 9th September 19th – 6 CEs – classes held at Mills College in Oakland. Register through East Bay Trauma 20 SEATS LEFT!!! Mangled Extremity Management and Replantation of Limbs Abdominal Trauma Recognition and Management Pediatric Trauma Management Trauma Resuscitation: Past, Present and Future Round Table Evolution of Geriatric Trauma Stop The Bleed: Instructor Course: All Attendees Will Be Taught and Certified as Stop The Bleed Instructors at the Event! ATLS vs ACLS: Which Is The Right Way to Deal With Traumatic Arrest OB Emergencies in Trauma Bioethics Panel: Panel Discussion on End of Life Care In the Field and the Hospital Keynote Speaker: Dr. Marc Levy from Orlando Regional Medical Center discussing: Pulse Orlando Mass Causality:  A Retrospective Review One Year Later & Public Health Crisis: Gun Violence in our Communities August 23rd and 24th-17.65 CEs – classes held at Eden in the MOB Rm 3 & 4. Register through Cascade Training Center $390

How do I get Trauma Training? Minimum Requirements: Two years nursing experience (at Eden or other facility-ICU/ER experience preferred) One year employment seniority Triage trained TNCC Preferred CEN or CCRN, with achievement within 1 year of Trauma Orientation completion Charge Nurse recommendation and ER Management discretion Shift skill balance and Department needs are also a consideration and determining factor. For ER Employment If you meet all the other requirements, let your Charge Nurse know of your interest. They will put you in some diverse, challenging situations/assignments. If you are able to handle those situations and be a strong, supportive resource then they will recommend you.

Chart Audits… Hi-de-ho there Neighbor! Wilson! How do I avoid those darn Trauma e-mails! “Ya know, the Greek Philosopher Heraclitus once said, “… if you are taking care of a trauma patient, the expectation is that you are charting on the paper flowsheet…AND that you check the flowsheet for completeness AND that you give it to the AA when you are done…” And that is how you avoid the e-mail…

“I saw it at the nurses station…” “it was at the bedside…” Just last week … YET ANOTHER! Chart mysteriously disappears…. “Chart?...what chart?” “All I know how to do is EPIC…I don’t know how to chart on paper…so I didn’t even look for it” “check under the mattress”

HELP!...Please…. For Trauma Patients… the paper Trauma Flowsheet is the ONLY medical record they have while down here, and it is the record of care that ACS acknowledges for our trauma patients. There is NO reason why it should “disappear” no matter how many rooms the patient is bounced around to while here in the ER. Remember…ALL Trauma Flowsheets are to be turned in to the AA

Give Trauma Charts to the A.A. – Originals stay in the ER

ALL Heli-Traumas are called as an Alpha Activation Remember….. ALL Heli-Traumas are called as an Alpha Activation

Glide Scope Stylets are re-useable! Remember….. We’ve lost 4 stylets over the last 4 months! DO NOT THROW THEM OUT!!! Glide Scope Stylets are re-useable!

DO NOT throw any patient belongings away Remember….. It’s amazing what patients come to the hospital with…especially if items of clothes are thrown out. Bag belongings and lock up the valuables DO NOT throw any patient belongings away