THE UNDISCOVERED COUNTRYSteve Adkisson RN AEMT-PUpstate Medical University

My Journey…….I was happyI love (still do) Trauma patientsEverything was fineThen something horrible happened

Then a strange women appeared

Soooo….have you ever thought of being a Trauma Outreach Coordinator

The serpent had indeed come to Eden

WHAT IS TRAUMA OUTREACH

Green Book definition

Looked Online

Looked at my community

Off to research!!!

GREEN BOOKCD17-1 Level I and II

centers , however, must engage in public and professional education

CD 17-3 All Trauma centers must be involved in prevention activities

CD17-6 In Level I, II and III trauma centers, the hospital must provide a mechanism to offer trauma related education to nurses involved in Trauma care

Cd-18-1 All trauma centers, regardless of resources must participate in injury prevention

IntramuralEducation and

development

ExtramuralCommunity

Injury Prevention

Pre-Hospital Systems

Professional Development Education

In House education

Anyone who transfers patients to you

And other things

IntramuralPromoting your service line in

the Hospital (we are not the ED) What we are a trauma

Center???!!!! Trauma is a surgical issue

Nursing Trauma Education Real-time after action Debriefing Trauma Resuscitation course Auditing ATLS

Be Readily available to the Hospital staff

ExtramuralCommunity

Injury Prevention“Injury prevention is one of

the principle areas we can affect Trauma outcomes”

The science of Trauma treatment has hit a plateau

Injury Prevention is specific to the needs of the community

Data and QI (PIPS) Drive injury prevention

LNMBA Lets Not met by accident

Reality based injury awareness program

Includes area high schools and colleges

Held in house and out of house

60 classes a year

PRIMARY INJURY PREVENTION

Helmet Safety Program•Provides at cost bicycle and ski helmets

•State fair 4th year running

•In 4 hours we fitted 750 children with helmets

•Educated some 3000 on the need for brain safety

•Joint Venture with Neurosurgery

SECONDARY INJURY PREVENTION

Professional Development EducationATLS Advance Trauma

Life Support15-20 Courses a year

RTTDC 2-3 a year

Helicopter Training2 a year

Trauma Resuscitation ClassMonthly

ATOM Course2-3 a year

Per fused cadaver Course

Syracuse Services14 counties28 hospitals

Farthest Northern Point178 miles

Outreach to your system

Regional center that cover 28 Hospitals

5 REMACS

Meet annually with all Hospitals that send you patients

Review data

RTACRegional Trauma Advisory

Committee

EMS Pre-Hospital“You are not building a Trauma Program you are building a Trauma System”Jeffrey P. Salomone, MD, FACS, NREMT-P

Establish a rapport and working relationship with EMS agencies

Be involved in policy development and committee activity’s

Meet with REMACS and SEMAC

Involve them in your QI process

Look for OpportunitiesFt Drum Initiative•Training with and training Ft Drum medics•Blackhawk Training program•Medic cadaver lab•Medics in the ED

The Outreach /Injury person is

Your PRMarketingEyes and EarsTroubleshooterConnection point to the

Trauma system as a wholeResource for everyoneBeware line 26……………………