The Trauma team is a multidisciplinary group of individuals drawn from the specialties of emergency medicine, intensive care, surgery, nursing, allied health and support staff, who work together as a team to assess and manage the trauma patient. Their actions are coordinated by a team leader. Show
The primary aims of the team are to rapidly resuscitate and stabilise the patient, prioritise and determine the nature and extent of the injuries and prepare the patient for transport to the site of definitive care Clearly allocated roles and responsibilities are crucial for successful team performance. The systematic allocation of roles should follow the recommended defaults below, unless the clinical needs of the injured patients are clearly better met by an alternative allocation of staff, based on the resources available at any given time. In the allocation of roles, as in the allocation of tasks and treatment, the over-riding principle is to ensure that optimal care is delivered to the patient at all times. Each team member has a number of key tasks they are responsible for, both in the pre-arrival and the reception and resuscitation phases of patient care. Trauma team leader (TTL)Default allocation
The trauma team leader is required to have experience and medical expertise in the management of injured patients. They must also possess excellent non-technical skills in order to effectively optimise team performance. Key points:
Pre-arrival:
Post-arrival:
At all times, ensures good team communication through use of clear and concise statements, along with closed loop communication. Asks for help / clarification if required. Team leader support (TLS)Default allocation
The allocation of a team member to Team Leader Support should ideally take into account the patient’s expected destination after ED (e.g. PICU for a patient expected to be admitted to PICU) and/or maximising speciality-specific decision-making (e.g. Neurosurgery for significant neurotrauma). Key points:
Pre-arrival and throughout entire reception/resuscitation phase:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts team leader to new information as it becomes available. Asks for help / clarification if required. Airway doctorDefault allocation
It is acknowledged that airway management skills are shared between all three craft groups and the TTL is responsible for allocating the team member most able to meet this patient’s airway needs. Pre-arrival:
Post arrival:
Post intubation:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts team leader to new information as it becomes available. Asks for help / clarification if required. Assessment doctorDefault allocation
Allocation of the surgeon to the assessment doctor role may confound the utility of the surgeon in procedural support of patient care. Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Procedure doctorDefault allocation
Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Nurse team leaderDefault allocation
Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. ScribeDefault allocation
Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Airway NurseDefault allocation
Pre-arrival:
Post arrival:
At all times, ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Circulation nurses
It is widely recognised that the nursing roles during a trauma are extremely busy. Many of the tasks involved are related to optimising the patients circulation either through the employment of haemostatic procedures, or transfusion of blood, or infusion of medication. As such, at RCH, there has been the adoption of the umbrella term of "circulation nurse" which incorporates three sub-roles of procedure, transfusion and infusion nurse. Not all severely injured children will require the presence of all three circulation nurses (most children do not need a transfusion of blood for example), and whether one, two or all three of the sub-roles are utilised at any given trauma will be discussed on a patient to patient basis and are dependent on patient need and staff availability. There may be a significant overlap and fluidity between the tasks and responsibility of these three nursing roles where there are not three members of the nursing staff filling these roles. Procedure NurseDefault allocation
Pre-arrival
Post arrival
At all times, ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Transfusion NurseDefault allocation
Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Infusion NurseDefault allocation
Pre-arrival:
Post arrival:
At all times ensures good team communication through use of clear and concise statements, along with closed loop communication, and alert TTL to new information as it becomes available. Asks for help / clarification if required. RADIOGRAPHERPre-arrival:
Post arrival:
At all times, ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Social worker
At all times, ensures good team communication through use of clear and concise statements, along with closed loop communication, and alerts TTL to new information as it becomes available. Asks for help / clarification if required. Trauma Service staffThe staff members of the RCH Trauma Service in their trauma role are not directly involved in the clinical care of patients. However, the Director of Trauma as well as the Trauma Fellow have clinical appointments within the hospital and therefore may become involved in the care of a trauma patient in their role as a Paediatric Surgical Consultant or Emergency Doctor (taking on one of the above roles). When the trauma team is activated, the trauma service team (director, fellow and manager) are notified also. The trauma service team will in-hours attend the trauma call and will help with tasks as per request of the TTL. The trauma service team can facilitate adherence to procedures and guidelines during a paediatric trauma. Which team member is responsible for standing down or deactivating the emergency response plan quizlet?Which team member is responsible for "standing down" or deactivating the emergency response plan? The incident commander deactivates the emergency response plan. This is done when the number of casualties arriving at the ED has reduced to normal levels.
What is the role of the International medical Surgical Response Teams?International Medical Surgical Response Teams (IMSuRT).
International Medical/Surgical Response Teams (IMSuRT) are intended to be deployed at the request of the U.S. Department of State to treat citizens injured as a result of terrorism.
Which hospital department plays a primary role in disaster preparedness?Which hospital department play a primary role in disaster preparedness? Rationale: The emergency department plays a primary role in emergency disaster preparedness. While all departments in the hospital contribute to disaster planning, the only department that plays a role is the emergency department.
What leadership skills do you think are necessary when working in emergency public health situations?Basic leadership skills include: operating with clear vision and organizational values, implementing strategic and tactical planning and developing communication, negotiation and collaboration skills.
|