Maintaining Preparedness for Low Volume/High Risk Patients
Cindy D. Colson, MSN, RN, CCRN, TCRN, NRP1; Jen Frizeen, MSN2
1Children's National Health System, Bowie, MD; 2Children's National Health System, Washington, DC
Background: Penetrating trauma victims in the trauma bay make for a chaotic, high risk event that may challenge even the experienced trauma nurse. Our objective was to create a systematic approach to ensure that the trauma bay was prepped the exact same way for every penetrating trauma patient that came in.
Methods: A poster was made with all necessary tasks divided up between each nursing role. Simulations were then performed in groups of 3-4. The team was told the information that they were receiving an 8 year old gunshot wound to the chest. After 5 minutes, the team is told to stop. A quick debrief is conducted to identify completion in equipment set up, detect learning opportunities with equipment setup, and isolate equipment malfunction.
Results: The trauma bay preparation for penetrating trauma patients improved dramatically during the three months of drills. Due to the low volume/high risk nature of penetrating trauma, we concluded that the 5 minute fire drills needed to be an ongoing simulation training.
Conclusions: Trying to incorporate training into an ER nurse's workflow is a challenge. The entire simulation including the debrief totals 15 minutes. The ER staff has been extremely appreciative and excited to participate in these drills, even on busy days. The have stated on numerous occasions that it was worth it and they would like to do the drill again! We are now looking at additional low volume high risk scenarios to implement these drills with.
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