Sparrow Hospital-Trauma Services, Lansing, Michigan.
J Trauma Nurs. 2020 Nov/Dec;27(6):374-377. doi: 10.1097/JTN.0000000000000547.
Full trauma team activations (TTAs) are initiated for patients meeting criteria that are indicative of life-threatening injuries. This influx of medical personnel causes crowding, as well as increased noise. Both adverse effects create an environment that is prone to medical errors, miscommunication, and physical limitations reaching the patient.
A perception survey was issued to all members of the trauma-resuscitation team. The survey focused on the perception of organization, role identity, communication, crowding, and noise during the resuscitation. Following the conclusions of the survey, a role identity process was initiated. The roles of each team member were preprinted on neon stickers and kept at the door of the trauma bay. Team members were required to don a sticker to be in the resuscitation room. Seven months after the initiation of this process, the original survey was reissued.
A total of 141 team members completed the preimplementation survey, and 96 completed the postimplementation survey. A significant difference was found in the perception of less noise (p = .009) and improved communication (p =.005) during the trauma resuscitation. No significant difference was determined regarding the perception of organization (p = .175) or improvement in knowing the roles of all the team members (p = .090).
Having a mechanism to identify the members of the trauma team during a full TTA resuscitation has shown to limit overcrowding, improve communication, and decrease noise during trauma resuscitation. This mechanism ensures appropriate personnel are present during this phase of the critically injured patient.
当患者符合危及生命的损伤的指标时，会启动全面创伤团队激活（TTA）。大量医疗人员的涌入会导致拥挤，以及噪音增加。这两种负面影响都会造成一个容易发生医疗错误、沟通不畅和无法接近患者的环境。
向创伤复苏团队的所有成员发放了感知调查。该调查侧重于复苏过程中的组织、角色认同、沟通、拥挤和噪音感知。在调查结论之后，启动了角色认同流程。每个团队成员的角色都预先印在霓虹灯贴纸上，并放在创伤室的门口。团队成员必须佩戴贴纸才能进入复苏室。在该流程启动七个月后，重新发放了原始调查。
共有 141 名团队成员完成了实施前的调查，96 名团队成员完成了实施后的调查。在创伤复苏过程中，噪音明显减少（p=0.009）和沟通明显改善（p=0.005）的感知存在显著差异。在组织感知（p=0.175）或了解所有团队成员角色的改善方面（p=0.090），没有确定显著差异。
在全面 TTA 复苏期间，有一个机制来识别创伤团队成员，这已被证明可以限制过度拥挤，改善沟通，并减少创伤复苏期间的噪音。这种机制确保了在重伤患者的这一阶段有适当的人员在场。
