Trauma team policy orientation
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This document outlines the trauma team policy for a hospital's Patient Safety Department. It establishes the first trauma team policy with an implementation date of January 1, 2016. The purpose is to decrease mortality and morbidity from acute trauma cases through timely coordinated action of various clinical and non-clinical teams. The policy defines the criteria for activating the trauma team, which includes severe trauma cases received through emergency services or referred from other hospitals. It also establishes the roles and responsibilities of the core clinical team, supporting clinical staff, and non-clinical coordinators who will respond to trauma activations.
Trauma team policy orientation
- 1. TRAUMA TEAM POLICY Patient Safety Department
- 2. Introduction First trauma team policy Orientation about the policies and procedures Implementation date – January 1, 2016
- 3. Purpose To decrease/prevent mortality and morbidity in acute trauma cases through timely and coordinated team action involving various departments. Trauma Team is a designated group of healthcare providers with supporting non-clinical members which can timely assemble and manage acute trauma with suitable intervention as well as coordination with other hospitals for any assistance required to decrease / prevent morbidity and mortality
- 4. Scope of Service Acute life and limb threatening trauma case(s) received in the ER through:- The Emergency Administration Office (Idara Tawwari) in the General Directorate of Health, Buraidah Acute trauma cases referred from hospitals and dispensaries dependent on BGH Brought in privately without any official communication
- 5. Composition of the Trauma Team Core ClinicalTeam Supporting ClinicalTeam Non-ClinicalTeam
- 6. Core Clinical Team 1. Surgeon on call –Team leader 2. Surgical ROD – team leader till the Surgeon on call arrives 3. Orthopedic Surgeon on call 4. ICU Resident on duty 5. Anesthesiologist on call 6. Radiologist on call 7. Airway Nurse 8. Nursing Supervisor 9. ER Charge Nurse 10. ER Nurses– 2 per red card patient, 1 per yellow and green card, each 11. CT ScanTechnician on duty/on call 12. X-RayTechnician
- 7. Supporting Clinical Team 1. Blood BankTechnician on duty 2. OR ScrubTeam on duty / on call 3. AnesthesiaTechnician on duty/ on call 4. Paramedic staff on duty
- 8. Non-Clinical Team 1. Assistant Hospital Director/Administrator on call 2. Coordination Office duty staff 3. Security Shift-in-Charge 4. SocialWorker
- 9. Criteria for Calling the Team 1. Upon official communication IdaraTawwari 2. Acute trauma cases referred from hospitals and dispensaries dependent on BGH 3. Patients brought in privately without official communication. The Surgical ROD will assess the need for theTraumaTeam. 4. Severity of trauma and NOT the number of cases will dictate the decision to call the TraumaTeam
- 10. IdaraTawwari (Wireless) ER ReceptionClerk 1. Number of cases/triage 2. Expected time of arrival 3. Nature and extent of incident Immediately Inform 1. ER Doctor 2. ER Charge Nurse 3. Assistant Hospital Director (During working hours) and Administrator on Call
- 11. Arrival ofTrauma Cases by PrivateVehicle Surgical ROD 1.Will assess the need for calling TraumaTeam 2. If needed - He will inform the ER Doctor to call theTraumaTeam
- 12. ER Doctor 1. Call 100 for TraumaTeam 2. Inform Admin on call 3. ER Charge Nurse
- 13. Central Exchange Announce on the Public Address System “TraumaTeam ER” “TraumaTeam ER” “TraumaTeam ER” Page theTraumaTeam Members as Group
- 14. Trauma Team Leader Until the Surgeon on call arrives, the Surgical ROD will be the team leader Leader will decide upon the best possible clinical management of the patients including transfer to other centers He can also call any other specialists on call
- 15. Nursing Supervisor Overall coordination Will call any other staff upon the orders of the team leader Coordinate for additional supplies and personnel in the ER and wards Will record activities
- 16. ER Charge Nurse Allocating the ER Nurses Supervision of the nurses engaged in the team Coordination with the nursing supervisor Appointment of ER assistant nurse until the trauma team is called off Filling up appropriate forms
- 17. Administrator Supervising the non-clinical team members Coordination with IdaraTawwari and other hospitals Police, civil defense, Red Crescent Informing the Hospital Director, if needed
- 18. Other Team Members Doctors will report to the Leader in the ER Other staff will report to the Nursing Supervisor CT and X-ray technicians will prepare their machines Airway nurse will bring the airway kit along Supporting clinical team will stay on stand by until called for their roles
- 19. Associated Considerations Only ER Doctor can call theTraumaTeam either:- On receiving a message from IdaraTawwari, or Advice from the Surgical ROD The ER Doctor will be responsible for the regular functioning of the ER The team leader will conduct a debrief after every call All the details are mentioned in the policy
- 24. Implementation From 1st January, 2016 Please familiarise yourself before that The copies have been widely disseminated
- 25. THANK YOU