Abstract
Problem
Nurses are crucial members of the team caring for the acutely injured trauma patient.
Until recently, nurses and physicians gained an understanding of leadership and supportive
roles separately. With the advent of a multidisciplinary team approach to trauma care,
formal team training and simulation has transpired.
Methods
Since 2007, our Level I trauma system has integrated TeamSTEPPS (Team Strategies &
Tools to Enhance Performance & Patient Safety; Agency for Healthcare Research and
Quality, Rockville, MD) into our clinical care, joint training of nurses and physicians,
using simulations with participation of all health care providers. With the increased
expectations of a well-orchestrated team and larger number of emergency nurses, our
program created the Trauma Nurse Academy. This academy provides a core of experienced
nurses with an advanced level of training while decreasing the variability of personnel
in the trauma bay. Components of the academy include multidisciplinary didactic education,
the Essentials of TeamSTEPPS, and interactive trauma bay learning, to include both
equipment and drug use. Once completed, academy graduates participate in the orientation
and training of General Surgery and Emergency Medicine residents’ trauma bay experience
and injury prevention activities.
Results
Internal and published data have demonstrated growing evidence linking trauma teamwork
training to knowledge and self-confidence in clinical judgment to team performance,
patient outcomes, and quality of care.
Implications for practice
Although trauma resuscitations are stressful, high risk, dynamic, and a prime environment
for error, new methods of teamwork training and collaboration among trauma team members
have become essential.
Contribution to Emergency Nursing Practice
- •Growing evidence links trauma teamwork training to superior team performance, patient outcomes, and quality of care.
- •Education and training for emergency nurses, as essential members of the trauma team, should ensure clinical and teamwork competence.
- •Well-designed education incorporating TeamSTEPPS® and multidisciplinary simulation-based training may improve emergency nurse knowledge, confidence, and team member performance in high-risk resuscitation settings.
Key words
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Biography
V. Kristen Peters is Emergency Department Unit Educator, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Biography
Ellen M. Harvey is Clinical Nurse Specialist, Trauma Services, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Biography
Andi Wright is Director, Trauma Services, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Biography
Jennifer Bath is Clinical Nurse Specialist, Trauma Services, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Biography
Dan Freeman is Quality & Performance Improvement Coordinator, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Biography
Bryan Collier is Associate Professor of Surgery, Section Chief and Medical Director of Trauma, Section Chief of Surgical Critical Care, Director of Surgical Nutrition, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Article info
Publication history
Published online: June 17, 2017
Footnotes
Earn Up to 6.5 CE Hours. See page 104.
Identification
Copyright
© 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
