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Back to 2016 Annual Meeting Posters

Benefits of a Trauma Nurse Leader in Pediatric Trauma
Carol Swigart, BSN, RN, CPEN, Lisa Schwing, RN, Karen McConnell, RN, CPEN, Tyneida Diane Faulkner, BSN, RN, CPEN, CEN. Dayton Children's Hospital, Dayton, OH, USA.

Benefits of a Trauma Nurse Leader Purpose: A Trauma Nurse Leader (TNL) is a nurse who identifies and resolves issues in the Trauma Room (TR) of the Emergency Department (ED) to facilitate expert care.

Design: Evidence-based quality improvement project

Setting: A Midwest Regional Pediatric Level II Trauma Center Participants/Subjects: Trauma patients

Methods: TNLs review trauma video recordings and documentation identifying patient care issues that included: overcrowding and noise levels in the TR during care, incomplete patient care documentation and order entry, and delay in transfer to OR and ICU. Results/Outcomes: There was a decrease in trauma room overcrowding and noise. Complete and accurate documentation/order-entry improved > 400%. Transfer time to ICU and OR decreased.

Implications: TNLs have also helped limit the amount of chaos in the trauma rooms by decreasing the number of direct care givers at the bedside. The TNLs have improved the accuracy and thoroughness of documentation and order entry. Finally, TNLs have facilitated more timely transfer from the ED to OR and ICU. These quality improvements led to meaningful collaboration between caregivers, better-quality documentation promoting patient safety and expedited care for the trauma patient.

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