SNH Trauma Team
Roles and Responsibilities
MD
Request Specialty consultation: Surgeon, Orthopedics,
admitting MD (
Wear and enforce
Direct the resuscitation
Direct, supervise and assist with procedures
Responsible for airway (ultrasound as applicable)
Perform endotracheal intubation when
Receive/review pre-hospital report
Perform Initial & Focused Assessments
During Initial Assessment:
A: Listen to airway assessment
B: Listen to bilateral breath sounds
C: Assess pulse quality, look for hemorrhage
D: Evaluate for disability
E: Expose & assess back (palpate or log-roll)
During Focused Assessment:
Perform Head to Toe assessment, including thorough head assessment
After completion of initial & focused assessments, obtain medical history, including current medications, allergies, tetanus immunization
Obtains blood specimens per femoral arterial puncture
Ongoing Assessment:
Responsible for gathering patient assessment information
Develop plan of care, including test and procedures
Monitor patient response to interventions
Communicates to RN, plan of care and results of tests and procedures
Control traffic with TN #1
Control noise volume
Communicates with Pastoral Care
RN: goal of 3 RNs
Advise Admitting Clerk
Page Supervisor as needed
Activate helicopter pad landing lights as needed
TN #1
Primary Trauma
Room Nurse / Recorder, will ultimately care for patient
Document all resuscitation data on the Trauma Resuscitation Record
Document notification and arrival times of all team members and consultations
Verify receipt from Blood Bank of four units of O-Negative blood for Trauma Alerts
Wear and enforce
Control traffic with MD
Control noise volume
Apply patient’s yellow lab identification band (match triage tag if applicable)
Ensure accuracy of lab and X-ray orders
Obtain medications
Assume primary care of patient after completion of initial and focused assessments and interventions
Monitor patient during transport and procedures outside of ED
Document location of patient valuables with security or the
family
TN #2 Left Side
Support Nurse
During Initial Assessment:
obtain pulse rate
obtain respiratory rate
ensure existence of one IV, insert one if needed
During Focused Assessment:
take initial manual blood pressure
apply pulse oximetry cables
take temperature
Administer medications
TN #3 Right Side
Support Nurse
During Initial Assessment:
monitor and maintain IV(s)
draw blood specimen as needed
During Secondary Assessment:
apply cardiac monitor leads
apply automatic BP cuff (unless unable to utilize right arm)
maintain patient warmth, cover with blanket or warming blanket
Assist with medication administration, if needed
Set up Level I Fluid Infuser
Administer blood products
May insert foley catheter and/or gastric tube placement after Focused Assessment
ED Tech
In absence of unit clerk page Trauma Team members as below
CPR
Cricoid pressure
Manual C-spine stabilization for intubation
Remove clothing
Assist with IV access and blood draw as needed
Label blood tubes
Enter laboratory and X-ray orders
Label all ED paperwork/forms
Transport blood and urine specimens to lab tech or tube transport system
Remove jewelry after initial and focused surveys and interventions
Bag clothing and valuables. Make sure TN#1 documents valuables destination.
May insert foley after focused assessment.
Cleanse wounds
Tetanus booster as indicated
Assist other team members
Assist with patient transfer
Unit Clerk
Page Trauma Team members after hours: CT tech, RT, Pastoral Care
Laboratory
Technician
Draw blood specimen as needed
Bring O-negative blood units, deliver to room
Respiratory
Therapist
Respond to Trauma Room for Trauma Alert page
Provide on-going ventilations
Radiology
Technologist
Respond to Trauma Room following Trauma Alert page
Admission Clerk
Obtain patient demographic information
Prepare admission paperwork and patient’s hospital identification band
Present registration information to TN#1
Apply patient’s hospital identification band
Prehospital Care
Providers
Provides pre-hospital information to MD
Provide patient’s demographic information
Provide on-going ventilation
Cricoid pressure
Manual C-spine stabilization
CPR
Assist with additional IV access
Assist with spinal stabilization for log-rolling patient
Pastoral Care
Communicate with family and escort them through ED when appropriate
Provide and coordinate spiritual support to patient and family
Assist as liaison between the medical team and the family
Recommend or initiate Critical Incident Stress Debriefing program
Security
Respond to Emergency Department when Trauma Team activated
Secure helicopter landing pad as needed
Municipal Police
or Deputy Sheriff
Communicate with TN#1 after Initial Assessment
Public Relations
[Nursing Supervisor]
May obtain preliminary patient information
May obtain additional patient information from Trauma Team member when appropriate
Responsible for managing media inquiries
Enter Trauma Room when requested by Trauma Team member
Housekeeping
Enter Trauma Room when requested by Trauma Team member