Level II Trauma Emergency Department: A Case Study

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

are able to work directly with the patient, having the time to do research and teach patients about

On Saturday, August 22, 2015, at approximately 1220 hours Blue Ridge Parkway Communication Center notified me of a motor vehicle collision with injuries located in Virginia at milepost 180 along the Blue Ridge Parkway. A single motor cycle operator had applied brakes, skidded and laid the motorcycle down in an effort to avoid colliding into a truck. The operator was transported by ambulance to Northern Hospital of Surry County, NC. The operator suffered a broken left humerus, broken left rib, punctured left lung and possible spleen damage. The operator was then transported to the Baptist Trauma Center in Winston Salem, NC.

A paramedic is an allied health professional whose primary purpose is to provide advanced emergency medical care for critical and emergent patients who access the emergency medical system. As medical providers, paramedics perform interventions with basic as well as advanced equipment under medical oversight. At a national level, the National Highway Traffic Safety Administration (NHTSA) defines the various titles given to pre-hospital medical workers within the United States based on the level of care they provide and the level of education they receive prior to licensure. (National EMS Scope) A paramedic’s education and skill set can vary from state to state. At a minimum, most paramedic education and certifying programs require that

A: The problem is that 10 mg of morphine seems too high, is that what you ordered?

Introduction: The prevalence of marijuana abuse and dependence has been increasing among adults and adolescents trauma patients in the United States. Several studies have demonstrated effects of marijuana on the outcomes of diseases. The aim of this study was to assess the relationship between the presence of a positive toxicology screen for marijuana and mortality in trauma patients.

One of the benefits of this career are the variety of job settings to choose from

I do not think that I can categorize my abilities into one certain level. Because I have worked in the emergency field for many years, I am comfortable with attaching the word expert to my experience level. Through the years, I have mentored many new nurses and paramedics to the emergency care field, which has taught me more than I could have learned on my own. I feel a certain calm when I enter the emergency room, even during the most chaotic situations. I have developed the skills to appropriately handle any situation that occurs, and I can easily pass the knowledge onto others in a way that facilitates learning. I recently left my comfort zone and accepted a position in administration. Well, the first concept that I learned is that comfort

There seems to be a demand for family counselors applying crisis intervention and grief counseling in hospital trauma units. This crisis intervention assesses families affected by traumatic brain injury (TBI) and the nature of family counselors working with these individuals. The counseling procedure in the hospital trauma unit and treatment focuses on the incapacitated individual as well as the family system. Jacobson & Butler, shared an example case of an 8-year-old boy, whose name was Tommy. Tommy left severely injured in a car incident. Even though Tommy was wearing his seatbelt, he sustained massive head injuries and trauma to the spinal cord. Due to this TBI he needs a ventilator to help support his breathing. Tommy is the client

RN, BASHSA, HIS in Clinical Application and Documentation Improvement. Professional knowledge, skills, and training in alliance a wide range of specialized disciplines in healthcare settings, including education in anatomy and physiology, pathophysiology, and pharmacology. Professional knowledge and skills in medical coding guidelines according to CMS, Managed Care, and Private Payer regulations related to the Inpatient Prospective Payment System, with abilities to analyze, and interpret medical record documentation and formulate appropriate Physician queries. Inadditon, proficiency to benchmark and analyze medical record documentation for Performance Improvement and Best Patient Practices in the health care industry implemented by ACDIS,AHIMA,

Usually, trauma department will be divided into three to five designated levels depending on the hospital’s regulations. In this case, I will briefly explain the three basic level of trauma center. The first level is level 1 trauma case which is total care for all aspects of injuries from prevention to rehabilitation. They have complete access to transfer facilities such as the units of helicopter rescue that enable the most extreme injured patient to the department in a short time. In this level, it is filled with staffs such as surgeons, physicians and support personnel. For level 2 of trauma department, an emergency department (ED) physicians, trained nurses and radiology staffs will be on 24-hour duty. They are responsible in initiating

A relationship was sought between the existence of previous trauma and the experience of vicarious trauma using a chi-square test. Findings as indicated in Table 5 above, substantiate that the previous experience of trauma has no significant relationship with the current experience of compassion fatigue (x2 = .172, df = 2, p > .05). This means that in this sample, the experience of trauma was most likely not related to the experience of previous trauma.

The respiratory system is one of the most common systems injured by various types of trauma. Thus, an initial triage evaluation of trauma patients should always include a careful evaluation of respiratory function. The clinician should especially focus on evaluating ventilation issues in the airway, thoracic wall and pleural cavity, and oxygenation issues in the lung parenchyma. In this presentation, I will discuss common respiratory injuries as results of trauma and how to diagnose them at emergency rooms by physical examination, diagnostic images, especially ultrasonography and radiography, and respiratory function test. I will discuss emergency treatment of these patients including oxygen supplementation, management of airways. I will also

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

Trauma was the major cause of mortality and morbidity till last 2 decades but after that there have been major improvements in management and resuscitation of trauma patients. This does not imply only to emergency care but also ICU management.