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TRAUMA TEAM POLICYPatient Safety Department
Introduction
First trauma team policy
Orientation about the policies and procedures
Implementation date – January 1, 2016
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
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
Composition of the Trauma Team Core Clinical Team Supporting Clinical Team Non-Clinical Team
Core Clinical Team1. Surgeon on call – Team leader2. Surgical ROD – team leader till the Surgeon on call
arrives3. Orthopedic Surgeon on call4. ICU Resident on duty5. Anesthesiologist on call6. Radiologist on call7. Airway Nurse8. Nursing Supervisor9. ER Charge Nurse10.ER Nurses– 2 per red card patient, 1 per yellow and
green card, each11.CT Scan Technician on duty/on call12.X-Ray Technician
Supporting Clinical Team
1. Blood Bank Technician on duty2. OR Scrub Team on duty / on call3. Anesthesia Technician on duty/ on
call4. Paramedic staff on duty
Non-Clinical Team
1. Assistant Hospital Director/Administrator on call
2. Coordination Office duty staff3. Security Shift-in-Charge4. Social Worker
Criteria for Calling the Team1. Upon official communication Idara Tawwari2. Acute trauma cases referred from hospitals
and dispensaries dependent on BGH3. Patients brought in privately without
official communication. The Surgical ROD will assess the need for the Trauma Team.
4. Severity of trauma and NOT the number of cases will dictate the decision to call the Trauma Team
Idara Tawwari (Wireless)
ER Reception Clerk1. Number of cases/triage2. Expected time of arrival3. Nature and extent of incident
Immediately Inform1. ER Doctor2. ER Charge Nurse3. Assistant Hospital Director (During working hours) and Administrator on Call
Arrival of Trauma Cases by Private Vehicle
Surgical ROD1. Will assess the need for calling Trauma Team2. If needed - He will inform the ER Doctor to call the Trauma Team
ER Doctor 1. Call 100 for Trauma Team2. Inform Admin on call
3. ER Charge Nurse
Central Exchange
Announce on the Public Address System
“Trauma Team ER” “Trauma Team ER” “Trauma Team ER”
Page the Trauma Team Members as Group
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
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
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
Administrator
Supervising the non-clinical team members
Coordination with Idara Tawwari and other hospitals Police, civil defense, Red Crescent
Informing the Hospital Director, if needed
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
Associated Considerations
Only ER Doctor can call the Trauma Team either:- On receiving a message from Idara Tawwari,
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
Implementation
From 1st January, 2016
Please familiarise yourself before that
The copies have been widely disseminated
THANK YOU