Pub Date : 2006-01-01DOI: 10.1097/00043860-200601000-00002
The Society of Trauma Nurses believes: h Alcohol abuse screenings and brief behavioral counseling interventions (SBIs) should be done in emergency departments and trauma centers to identify at-risk patients for morbidity and mortality related to their alcohol consumption. h TheUniformPolicy Provision Law,which allows insurers to refuse to pay medical costs for patients injured while under the influence, should be repealed in all states. h Alcohol screening and alcohol education should be integrated into curricula, continuing education, and standards for all healthcare professionals. h Nurses should participate in collaborative research, education, and data gathering to improve the care of patients with alcohol use problems.
{"title":"Society of Trauma Nurses position statement on screening for alcohol use in adult primary care.","authors":"","doi":"10.1097/00043860-200601000-00002","DOIUrl":"https://doi.org/10.1097/00043860-200601000-00002","url":null,"abstract":"The Society of Trauma Nurses believes: h Alcohol abuse screenings and brief behavioral counseling interventions (SBIs) should be done in emergency departments and trauma centers to identify at-risk patients for morbidity and mortality related to their alcohol consumption. h TheUniformPolicy Provision Law,which allows insurers to refuse to pay medical costs for patients injured while under the influence, should be repealed in all states. h Alcohol screening and alcohol education should be integrated into curricula, continuing education, and standards for all healthcare professionals. h Nurses should participate in collaborative research, education, and data gathering to improve the care of patients with alcohol use problems.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87320057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-10-01DOI: 10.1097/00043860-200512040-00005
H. Bair, F. Ivascu, R. Janczyk, Tara Nittis, P. Bendick, G. Howells
The trauma quality improvement committee at our facility identified a significant number of patients on warfarin presenting to the emergency center after minor head trauma that subsequently expired from their intracranial hemorrhage prior to appropriate intervention. An analysis of this patient population identified multiple areas of delay. A collaborative effort between the emergency center nurses and the trauma service personnel resulted in a formal protocol to address each component of delay and expedite the process. Since implementation of this nursing driven protocol we have dramatically decreased the time to (1) Emergency Center Physician evaluation, (2) completion of head computerized tomography, (3) reversal of anticoagulation with fresh frozen plasma (FFP), and (4) most importantly, patient mortality rate. We conclude that this nursing driven protocol is effective in decreasing the mortality rate by eliminating diagnostic and therapeutic delays in this high-risk patient population.
{"title":"Nurse driven protocol for head injured patients on warfarin.","authors":"H. Bair, F. Ivascu, R. Janczyk, Tara Nittis, P. Bendick, G. Howells","doi":"10.1097/00043860-200512040-00005","DOIUrl":"https://doi.org/10.1097/00043860-200512040-00005","url":null,"abstract":"The trauma quality improvement committee at our facility identified a significant number of patients on warfarin presenting to the emergency center after minor head trauma that subsequently expired from their intracranial hemorrhage prior to appropriate intervention. An analysis of this patient population identified multiple areas of delay. A collaborative effort between the emergency center nurses and the trauma service personnel resulted in a formal protocol to address each component of delay and expedite the process. Since implementation of this nursing driven protocol we have dramatically decreased the time to (1) Emergency Center Physician evaluation, (2) completion of head computerized tomography, (3) reversal of anticoagulation with fresh frozen plasma (FFP), and (4) most importantly, patient mortality rate. We conclude that this nursing driven protocol is effective in decreasing the mortality rate by eliminating diagnostic and therapeutic delays in this high-risk patient population.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88702684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-01-01DOI: 10.1097/00043860-200512020-00006
CMS has proposed regulatory changes that would significantly expand the application of its transfer payment policy which would result in a substantial overall reduction in Medicare payments to hospitals for inpatient services. Therefore, hospitals should consider submitting comments on the proposed rule which may be submitted until 5:00 p.m. on June 24, 2005.
{"title":"CMS proposes expanion of postacute transfer payment policy.","authors":"","doi":"10.1097/00043860-200512020-00006","DOIUrl":"https://doi.org/10.1097/00043860-200512020-00006","url":null,"abstract":"CMS has proposed regulatory changes that would significantly expand the application of its transfer payment policy which would result in a substantial overall reduction in Medicare payments to hospitals for inpatient services. Therefore, hospitals should consider submitting comments on the proposed rule which may be submitted until 5:00 p.m. on June 24, 2005.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043860-200512020-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72497487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-07-01DOI: 10.1097/00043860-200411030-00008
L. Petrovick
{"title":"Achieving a quality trauma database.","authors":"L. Petrovick","doi":"10.1097/00043860-200411030-00008","DOIUrl":"https://doi.org/10.1097/00043860-200411030-00008","url":null,"abstract":"","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81593146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-07-01DOI: 10.1097/00043860-200411030-00007
S. Cox
Childhood deaths are relatively uncommon but very stressful to both family members and health care providers. Bereavement programs are helpful in guiding and supporting the family into and through the bereavement process. Trauma nurses are vital members of the bereavement team. This article briefly describes and current literature on the subject of bereavement outlines the components of a comprehensive bereavement program and lists current challenges for nurses in this important area of nursing.
{"title":"Pediatric bereavement: supporting the family and each other.","authors":"S. Cox","doi":"10.1097/00043860-200411030-00007","DOIUrl":"https://doi.org/10.1097/00043860-200411030-00007","url":null,"abstract":"Childhood deaths are relatively uncommon but very stressful to both family members and health care providers. Bereavement programs are helpful in guiding and supporting the family into and through the bereavement process. Trauma nurses are vital members of the bereavement team. This article briefly describes and current literature on the subject of bereavement outlines the components of a comprehensive bereavement program and lists current challenges for nurses in this important area of nursing.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79071704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1097/00013414-200411010-00004
K. Davies
In the United States motor vehicle crashes are the leading cause of death in children. Although laws and public awareness campaigns have increased the use of passive restraints, many children continue to be unrestrained or improperly restrained. Age-appropriate child restraint systems are a vital means to prevent injury and death. The young school-aged child presents unique challenges to standardized vehicle restraint systems. As these children outgrow child safety seats, they frequently are placed in lap/shoulder belt systems designed for the adult. When prematurely graduated to the vehicle's restraint systems they are predisposed to injuries to the abdomen and lumbar spine known as the "seat belt syndrome" or "lap belt complex." These injuries often present subtly, and are not as obvious as the often life-threatening injuries found in the unrestrained pediatric trauma patient. However if undetected or missed these injuries can significantly impact the child's recovery and functional outcome. This article will provide a comprehensive overview of pediatric seat belt injuries. Content will explore the mechanisms responsible for producing the typical patterns of injury, recognition of these potential injuries during the trauma assessment, diagnostic evaluation and management of children with suspected or actual seat belt injuries. Prevention strategies will be discussed that will enable trauma nurses to effectively advocate the use of booster seats for the young school-aged child.
{"title":"Buckled-up children: understanding the mechanism, injuries, management, and prevention of seat belt related injuries.","authors":"K. Davies","doi":"10.1097/00013414-200411010-00004","DOIUrl":"https://doi.org/10.1097/00013414-200411010-00004","url":null,"abstract":"In the United States motor vehicle crashes are the leading cause of death in children. Although laws and public awareness campaigns have increased the use of passive restraints, many children continue to be unrestrained or improperly restrained. Age-appropriate child restraint systems are a vital means to prevent injury and death. The young school-aged child presents unique challenges to standardized vehicle restraint systems. As these children outgrow child safety seats, they frequently are placed in lap/shoulder belt systems designed for the adult. When prematurely graduated to the vehicle's restraint systems they are predisposed to injuries to the abdomen and lumbar spine known as the \"seat belt syndrome\" or \"lap belt complex.\" These injuries often present subtly, and are not as obvious as the often life-threatening injuries found in the unrestrained pediatric trauma patient. However if undetected or missed these injuries can significantly impact the child's recovery and functional outcome. This article will provide a comprehensive overview of pediatric seat belt injuries. Content will explore the mechanisms responsible for producing the typical patterns of injury, recognition of these potential injuries during the trauma assessment, diagnostic evaluation and management of children with suspected or actual seat belt injuries. Prevention strategies will be discussed that will enable trauma nurses to effectively advocate the use of booster seats for the young school-aged child.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80709293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1097/00013414-200411010-00002
J. Kallenborn, K. Gonzales, N. Crane, K. Pesce, S. Swan, Lewis Flint, R. Shimberg
Cease Fire Tampa Bay is a multifaceted, broad-based community effort working to increase awareness of firearm injuries and provide an opportunity for the people of the southwest-central Florida region to eliminate unwanted firearms. Three approaches to develop this program were implemented; a six-county gun buy-back program, firearm safety education for school-aged children and community education programs. The program has been successful in removing 6,981 unwanted guns from the streets, and has reached thousands of children and families in the region. This article describes the development, implementation and evaluation of the program.
{"title":"Cease Fire Tampa Bay: a three-tiered approach to firearm injury prevention.","authors":"J. Kallenborn, K. Gonzales, N. Crane, K. Pesce, S. Swan, Lewis Flint, R. Shimberg","doi":"10.1097/00013414-200411010-00002","DOIUrl":"https://doi.org/10.1097/00013414-200411010-00002","url":null,"abstract":"Cease Fire Tampa Bay is a multifaceted, broad-based community effort working to increase awareness of firearm injuries and provide an opportunity for the people of the southwest-central Florida region to eliminate unwanted firearms. Three approaches to develop this program were implemented; a six-county gun buy-back program, firearm safety education for school-aged children and community education programs. The program has been successful in removing 6,981 unwanted guns from the streets, and has reached thousands of children and families in the region. This article describes the development, implementation and evaluation of the program.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90723351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1097/00043860-200411030-00006
L. C. Brown, R. Cochran
{"title":"CMS issues much-anticipated EMTALA guidelines.","authors":"L. C. Brown, R. Cochran","doi":"10.1097/00043860-200411030-00006","DOIUrl":"https://doi.org/10.1097/00043860-200411030-00006","url":null,"abstract":"","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91132052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1097/00013414-200411010-00005
Nancy Tze, Cathlyn Robinson, Marie-France Juneau
Patients with potential or confirmed spinal injuries are challenging for hospitals delivering care for trauma patients. In order to minimize further injury and complications, to maximize positive patient outcomes and to reduce length of stay, efficient and effective methods of caring for such patients are required. The purpose of this paper is to describe the creation and implementation of a "Spinal Education Program" at a Level I trauma center in Canada. It was designed to teach a large group of health care professionals how to care for patients with potential or confirmed spinal injuries in a comprehensive and consistent manner.
{"title":"Back breaking business: the implementation of a spinal education program.","authors":"Nancy Tze, Cathlyn Robinson, Marie-France Juneau","doi":"10.1097/00013414-200411010-00005","DOIUrl":"https://doi.org/10.1097/00013414-200411010-00005","url":null,"abstract":"Patients with potential or confirmed spinal injuries are challenging for hospitals delivering care for trauma patients. In order to minimize further injury and complications, to maximize positive patient outcomes and to reduce length of stay, efficient and effective methods of caring for such patients are required. The purpose of this paper is to describe the creation and implementation of a \"Spinal Education Program\" at a Level I trauma center in Canada. It was designed to teach a large group of health care professionals how to care for patients with potential or confirmed spinal injuries in a comprehensive and consistent manner.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80998166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1097/00013414-200411010-00006
Christine Read-Allsopp
Trauma systems rely on accurate Injury Severity Scoring (ISS) to describe trauma patient populations. Twenty-seven (27) Trauma Nurse Coordinators and Data Managers across the state of New South Wales, Australia trauma network were instructed in the uses and techniques of the Abbreviated Injury Scale (AIS) from the Association for the Advancement of Automotive Medicine. The aim is to provide accurate, reliable and valid data for the state trauma network. Four (4) months after the course a coding exercise was conducted to assess inter-rater reliability. The results show that inter-rater reliability is with accepted international standards.
{"title":"Establishing inter-rater reliability scoring in a state trauma system.","authors":"Christine Read-Allsopp","doi":"10.1097/00013414-200411010-00006","DOIUrl":"https://doi.org/10.1097/00013414-200411010-00006","url":null,"abstract":"Trauma systems rely on accurate Injury Severity Scoring (ISS) to describe trauma patient populations. Twenty-seven (27) Trauma Nurse Coordinators and Data Managers across the state of New South Wales, Australia trauma network were instructed in the uses and techniques of the Abbreviated Injury Scale (AIS) from the Association for the Advancement of Automotive Medicine. The aim is to provide accurate, reliable and valid data for the state trauma network. Four (4) months after the course a coding exercise was conducted to assess inter-rater reliability. The results show that inter-rater reliability is with accepted international standards.","PeriodicalId":79423,"journal":{"name":"STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89158891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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