Liu Susan I, Curren Jeffrey, Leahy Nicole E, Sobocinski Kathryn, Zambardino Danielle, Shikar Morgan M, Vasquez Christel, Miluszusky Brian, Winchell Robert J
New York-Presbyterian Hospital, New York (Mss Liu, Leahy, Sobocinski, Zambardino, and Vasquez, Messrs Curren and Miluszusky, Ms Shikar, and Dr Winchell); and Weill Cornell Medicine, New York (Dr Winchell).
J Trauma Nurs. 2019 Jul/Aug;26(4):215-220. doi: 10.1097/JTN.0000000000000454.
Multitrauma patients can benefit significantly from specialized care. Prior to mid-2016, this hospital's trauma team did not include a surgical intensive care unit (SICU) nurse. As the value of bringing this expertise to the patient upon arrival was realized, the role of the trauma response nurse (TRN) was developed. The TRN role was designed to provide a dedicated SICU nurse to care for trauma patients from emergency department (ED) arrival through disposition. The integration of the TRN role into the trauma team sought to improve quality and safety, as well as communication and collaboration, and enhance continuity of care. The primary responsibilities of the TRN were to assist with clinical interventions, transport patients fromthe ED to tests and procedures, and assume care through disposition. Additional TRN duties included education, community outreach, and performance improvement. TRNs now respond to all trauma activations that occur on weekday day shift. This role has improved collaboration between nursing disciplines, improved the overall function of the trauma team, and enhanced the safety of trauma patients during transport. TRNs make valuable contributions to the education and outreach missions of the trauma program and ensure that patients are receiving the highest level of trauma care.
多发伤患者能从专科护理中显著受益。在2016年年中之前，该医院的创伤团队中没有外科重症监护病房（SICU）护士。随着人们认识到在患者到达时引入这种专业知识的价值，创伤反应护士（TRN）的角色应运而生。TRN的角色旨在提供一名专门的SICU护士，负责从急诊科（ED）接收创伤患者直至其出院。将TRN角色纳入创伤团队旨在提高质量和安全性，以及改善沟通与协作，并增强护理的连续性。TRN的主要职责是协助进行临床干预，将患者从急诊科转运至检查和治疗科室，并负责直至出院的护理工作。TRN的其他职责包括教育、社区宣传和绩效改进。现在，TRN会对工作日日班期间发生的所有创伤激活事件做出响应。这一角色改善了护理学科之间的协作，提升了创伤团队的整体功能，并增强了创伤患者在转运过程中的安全性。TRN为创伤项目的教育和宣传任务做出了宝贵贡献，并确保患者得到最高水平的创伤护理。
