Date post: | 12-Jan-2016 |
Category: |
Documents |
Upload: | percival-webster |
View: | 232 times |
Download: | 0 times |
Primary Trauma Nurse (PTN) and
Core Trauma Nurse (CTN)Role Development
Ashley Fidler, BSN, RN, CENMary Kay Stauffer, RN
Objectives
Create awareness of PTN and CTN selection process
Demonstrate the process for PTN selection and training as well as advancement to the CTN role
Differentiate between the PTN and CTN roles
Primary Trauma Nurse (PTN)
Prospective candidates are identified by the nurse educator or nurse manager
Must be in the ED for a minimum of one year with a PTN completion goal by the 3rd year in the ED
A discussion is held at the Core Trauma Nurse meeting (monthly) for peer input regarding potential PTN candidates
PTN (cont.)
Candidates are given prep workMust review the trauma manual and
trauma protocolsMust complete a skills check list
Skills Check List
Check list is to be filled out as much as possible prior to PTN day
LANCASTER GENERAL HOSPITAL Trauma Nurse Skills Checklist
You must be the nurse performing the procedure and be cosigned by the charge nurse. The following skills must have date, co-signature and MRN#
Rapid Sequence Intubation Procedure:
Chest Tube Insertion Procedure:
Central Line Insertion Procedure:
NGT/OGT insertion:
Level One Infuser: Demonstration of one error-free set-up and
running of the Level One for Validator OR
Use of the Level One on a patient
jds11/12/08
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Date: ________ MRN____________ Charge Nurse Co-signature: ______________
Critical Thinking Stations
Candidates sign up for an individual, 30 minute session to sit before a panel of CTN’s
Presented with real trauma scenarios and must follow ABCDE guidelines as if it were a real trauma patient
Candidates are then scored based on performance If a passing score is obtained, they are given a
trauma binder and invited to PTN day
PTN Day
One, 8 hour day Presentation of a trauma video (made by fellow CTN’s) that
includes a poorly-run trauma scenario as well as an efficiently-run scenario demonstrating crew resource management
Half day of lecture-based material including special circumstances and population-specific concerns
Half day of hands-on, real-time trauma scenarios with opportunities to practice documentation and bed side resuscitation
PTN Day (Cont.)
Candidates are evaluated on an individual basis If a passing score is obtained, PTN’s are placed
on orientation and must pass 6 real traumas with CTN’s as mentors (2nd nurse)
3 traumas must be graded on documentation and three must be graded on bedside resuscitation
Evaluation Tool
Primary Trauma Nurse (PTN) Post Trauma Evaluation Communication Tool
PTN:__________________________________ Date:_______
This form is to be completed after each trauma (total of 6) during the PTN orientation phase. Form to be completed and turned into the ED Nurse Manager after completion.
For the following categories, rate the orientee; 2= Meets Standards (requires some oversight and supervision) 1= Does Not Meet Standards (requires significant oversight and supervision) 0= No Opportunity Communication 2 1 0 Comments
Demonstrates respect for the confidentiality of patient information (PHI).
Is assertive during the resuscitation ensuring closed loop communication is occurring.
Communicates effectively with other team members.
Demonstrates positive team dynamics with staff, manager, physicians, patients, families, and members of the interdisciplinary team.
Accepts and applies constructive criticism in a positive and professional manner to improve future performance.
Accurately reports test results according to policy and procedure.
Coordinates patient care by working with the interdisciplinary team.
Time Management 2 1 0 Comments
Anticipates and independently initiates tasks to be completed
Always anticipates needs of patient by preparing for procedures based on presentation and findings i.e. Level I, OR.
Communicates to Charge Nurse the need for upgrade of care/need to transfer.
Effectively manages rapidly changing situations.
PTN candidate has successfully completed the requirements of the primary trauma nurse Yes ___ No ___ If no, plan established for orientee to meet standards:________________________________________________ ____________________________________________________________________________________________
Comments:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ CTN/PTN: _________________________________ Date: _____ (Please Sign Name) PTN Candidate: ___________________________ Date: _____ (Please Sign Name)
Core Trauma Nurse (CTN)
Selection processCandidates complete a declaration of intent which
includes: Qualifications, contributions to the trauma program, and individual strengths
Submit a resumeComplete a readiness checklist/self assessmentMeet required points (similar to Clinical Ladder)
CTN (Cont.)
A peer review is conducted by current CTN’s and candidates must have exceptional trauma documentation
Candidates must have a score of 20 with at least 50% earned in mentoring/coaching
Must be approved by current CTN’s
CTN Role
Must attend 50% of monthly meetings Act as a resource and mentor for trauma care
throughout the ED Serves as the primary preceptor for new PTN’s Collect trauma PI data and make suggestions for
improvement Demonstrate advanced/expert knowledge in practice
relevant to policies, procedures and standards
CTN Role
Teach and guide new PTN’s about the trauma nurse role on PTN day
Participate in trauma researchDisseminate important trauma
information/changes through the CTN communication list
Questions?