Explain The Three Basic Level Of Trauma Centers

I attended a seminar entitled Trauma Informed care which was presented by Center for Urban Community Services the Institute for Training & Consulting. The facilitator opened the training by defining Trauma informed care which is an engagement technique that recognizes the presence of trauma history and acknowledges the role of trauma in the lives of survivors’. The training provided an overview of the new diagnostic criteria from DSM-5 of Post Traumatic Disorder and other trauma related disorders (generalized anxiety, panic disorder, dissociative disorder) as well as other symptoms and behaviors that can result from trauma. The trainer also discussed vicarious trauma and its impact on staff supporting clients with trauma history.

Paramedics in term are classified as street doctors (Legal ones). They have a great understanding of situations that occur traumatically and diagnostically. Without doctors treating injuries on the go there would be an incredibly high death rate. Even though schooling for medics isn’t that long, the information that is learned is enough to treat the patient in a pre-hospital care environment. Training for medical scenarios is a daily routine that medics run against to prepare for real events, such as triaging (Order of who needs treatment right away) patients when there is a mass causality. A medic’s most important tool to treat injured patients is their equipment. There is variety of

I read the unit policy about emergency situations, accidents and incidents like fall. I also asked my preceptor about the forms that needs to be filled out when there are accidents and incidents like fall. When there is an incident of fall in the unit, the staff needs to act promptly to check the resident’s condition e.g. neurological vital signs, injuries sustained, any fractures, dislocations etc. The staff also needs to treat the resident’s wound if he sustained any injury from the fall. In addition, the staff should inform the resident’s family and fill out an incident/accident form and document it on the progress notes.

For instance if a patient reported chest pain, then a thorough assessment of the respiratory would be performed. Since this is a crisis in some cases a full head-to-toe assessment would not be appropriate. Once the patient is stable performing a head-to-toe assessment on the patient is necessary. There could be other minor injuries that require treatment noted upon completion of the head-to-toe assessment. At the shelter there are physicians working with doctors without boarders, private hospitals, and The American Red Cross are here. The patient’s with the highest priority need to see the doctors first. Serious injuries/illness should always be referred to upper level care

There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.

If these sites are not broken down into smaller section there would be mass confusion on which individual to treat first. That way it is important to separate by category and injuries. Explain why triage, treatment, decontamination, and morgue areas should be separated from one another. Triage treatment is very important because it separate your least injury to the most critical individual. Starting with the minor injuries which are not life threaten these individual would more likely receive care last. But on the other hand Delay victims require stabilization and will survive for several hours once stabilized. For the more immediately injuries these individual will be make it if treatment is receive on a timely fashion.

A study was carried out to assess the required knowledge, skills and competencies to deal medical emergency incidents successfully. Study finding showed that there is superficial knowledge on medical emergencies, drug and equipments among health professionals working emergency unit (McGaghie.et al, 2010).

In previous sections, the report described trauma, trauma-specific services, and trauma symptoms on a broad basis. Additionally, it's important to explicate what a trauma-informed organization (TIO) looks like. At their core, TIOs demonstrate a commitment to having every facet of their organization, including all personnel, executing services through a trauma-informed lens. In TIOs, all staff have a basic knowledge about trauma and its complexities, broadly understand how trauma makes their clients vulnerable, how to provide services that avoid retraumatization, and deliver services that facilitate client participation.1 Trauma-informed organizations typically share five key characteristics: cultural competency, client-centric services and

The priority population is the staff of a school where I am introducing a trauma informed care program based on a prepared program based on A.C.E.S training. All of the school staff is included in this cultural shift. This is to insure that students will be consistently treated the same way whether they have an encounter with a cafeteria worker, a paraprofessional, or a teacher. The adults in the school will be the example and the leadership that models the program to the students and it will be important to involve in them implementation process.

Imagine the following scenario: A 43 year old male and his 41 year old wife have just finished celebrating their twentieth wedding anniversary at a local restaurant. The husband had a cocktail at the bar while waiting for the table, and then had a couple of glasses of wine with dinner. After dinner, the happy couple drive their vehicle home on a snow covered highway. The car begins to swerve on the ice and enters oncoming traffic and hits a semi cab head-on. After an extended extraction of the driver by paramedics, the driver is found to be unconscious, has multiple head lacerations, chest contusions from the steering wheel, and his left leg is bleeding profusely from a compound femur fracture. The female is conscious, in shock, and states that she is 36 weeks pregnant and has pain in her abdomen. Both victims are flown via helicopter to the nearest level 2 trauma center where 2 teams of emergency room doctors, trauma surgeons, respiratory therapists, x-ray technologists, phlebotomists, chaplains, social workers, and of course, trauma nurses, are waiting to assess the patients and provide life-saving care. This scenario is not the exception in a level 2 trauma care center of the emergency-room, it is the average situation that a trauma nurse will find his or herself in every day. Because of the fast paced situations that require split-second critical decisions, the advanced life support training that is required, and the often unrewarded care, a career in trauma

Trauma Nurses start out their 12-hour shift by making sure they have all the supplies for when a patient comes through the door. Once a patient comes in the nurse then works with the rest of his or her crew to help stabilize the patient. They also help with giving them intravenously (IV) in their arms, drugs or medicine, and drawing blood from the patient. There will be one trauma nurse that will then document everything they do to the patient while in their care (“ How to Become a Trauma Nurse: Salary, Job Description, Job Requirements”). A trauma nurse see different things everyday these things can be from fires, tornados, car wrecks, and shootings. My aunt from Louisiana is also a trauma nurse I get told lots of stories by her. The story

A behavior is an attempt to meet a need and therefore has value. (Amy Hagan, 2014)

Much of the literature in this review points to provider training and awareness as a cornerstone to building trauma informed service delivery environments. Several studies found that development of TIC culture was only possible when staff were confident and competent in the knowledge of the prevalence and impact of trauma on patients, and the understanding of their responsibilities in mitigating retraumatization (Elliot et al. 2005; Gatz et al. 2007; National Center for Trauma-Informed Care 2011). However, training in TIC is not routinely incorporated in nursing or medical education, and clinicians vary in their comfort level with addressing trauma exposure in their patients. For example, Zatzick et al. (2005) found that 86% of emergency physicians incorrectly believed injury severity to be a risk factor for PTS symptoms. Other studies have found that many providers report discomfort discussing trauma and its health effects (Shulberg & Burns, 1988; Von Korff et al. 1988), in part because providers didn’t want to “open Pandora’s box” by addressing trauma when not adequately trained to respond to it. In addition to lacking confidence in their ability to address traumatic exposure, many providers may be triggered by own trauma histories (Moses, Huntington, & D’Ambrosio, 2004). More work is needed to identify the degree to which providers’ own trauma exposure may influence their ability to competently provide trauma informed care, and how compassion fatigue or secondary trauma

The makeup of the hospital is definitely needed when determining how to make a budget. Number of beds, number of employees, average number of patients per time of year, as well as average acuity of the patients are all necessary to know when planning a budget. For example, a smaller hospital that is only a level 5 trauma center will not have the acuity that a large level 1 trauma will have. When many patients are being moved from lower trauma level hospitals to higher level trauma hospitals, you can determine that the acuity of their patients are much higher and their ICU floors are much larger. Also, the hospital needs to look at the average number of patients they are seeing. Is there an increase each year or is it pretty steady? If

Like any other type of professional personnel are going to be fluent and skillful in the tasks that they handle day to day. These large incidents that happen occasionally, but are becoming all too common, seem to be almost fumbled through at times. To compare the United States emergency medical response model to that of another country, Israel, they are leaps and bounds ahead of us in term handling large incidents or disasters. They have refined their coordination and logistics to be more efficient. Undoubtedly, the models of the two countries are different as they use bystanders on scene to help with transportation and care. While within the states there is a goal to separate victims and bystanders to gain scene control. Yet, the country of