14 March 2014 Vicki Conyers Trauma CNC

10 Minute

Vicki Conyers, Trauma CNC

Your time starts now…

Vicki Conyers Trauma CNC

Start at the Hub

Vicki Conyers/Trauma CNC/WNSWLHD

Trauma Education

• Trauma Nursing Core Course • Trauma Nursing Program • Emergency Management of Severe Burns • Emergency Management of Severe Trauma • Trauma Conferences • Trauma Evenings • Trauma Simulation programs

Vicki Conyers/Trauma CNC/WNSWLHD

Sustainable Trauma Education

• ‘doable’ in the ED context; • multidisciplinary - engaging both ED staff and

stakeholders who partner in ED service delivery • not perceived as a burden; and • give priority and importance to education; • engage individuals to research the literature &

evidence-base, reflect on practice and identify key learning points that could be shared with the team.

10 Minute

Trauma Education “Don’t let the urgent distract from

the important”

How does it work?

• 10 minutes on a trauma topic • Every Tuesday and Thursday • 1330-1340 • Structured Monthly Roster • Time Keeper • Attendance Recorded • Scribe ?

10 Minute

Outcomes at Year 1

Outcomes – Year 1

Vicki Conyers Trauma CNC

• 88% of sessions occurring when scheduled • 83 topics presented (only one repeat) • Multidisciplinary presenters and attendees • Consistent attendance: - range 7 to 23,

average 14 at each session • Staff snapshot evaluation • Ongoing review & evolution of concept

Topics Injury Severity Scoring Mallet Finger Scaphoid Fractures Traumatic Aortic Dissection Chest Injury Protocol Ultrasound detection of pneumothorax Intraosseous insertion Dental Trauma Trauma Quiz #1 Airway Assessment in Burns Trauma Call Criteria Blunt Urethral Trauma Neurological Observations Traumatic Diaphragmatic rupture Philadelphia Collars Trauma Quiz #2 Blood Products held at OHS Hand Lacerations Parkland Formula & Rule of 9s Sternal Injuries IMISTAMBO PTA Testing Mangled Extremity Severity Scoring CT6 Femoral traction Splint

Tranexamic Acid Trauma Quiz # 3 Paravertebral Blocks for Rib # Liver Lacerations Pelvic Binding Acticoat for burn dressings Ottawa Rules # NOF Shoulder Dislocations Compartment Syndrome Eye Trauma Burns Tibial Shaft Fractures Trauma Quiz #4 Paediatric Considerations in Trauma Hyperosmolar therapy in RICP Quick Clot Knee Dislocation Skin Traction - how to Apply Warfarin Reversal in Trauma Salter Harris Fractures PVITAL Trauma Handover Primary Survey Priorities Blunt Urethral Trauma (Repeat) Clinical NUM 1 Role in Trauma Trauma in the Elderly Clearing the C=Spine

IV Access in Trauma Autonomic Dysreflexia Escharotomy Base of Skull Fractures Pregnant Women & Trauma Trauma Transfer Envelope Ketamine in Trauma Paediatric Burns Trauma Quiz #5 Massive Transfusion Protocol Graded Assertiveness in Trauma Resus Splenic Injuries Mechanism of Injury Slings/Collar & Cuff Hypothermia Sternoclavicular Dislocation Lacerations Thoracic vertebrae #s Commotio Cordis Pulmonary Contusions Tibial Plateau #s Blood Alcohol and Drug Testing Bennetts # Rib #s Trauma Quiz #6 FASTHUG Ambulance Radio Codes CT Imaging Basics Trauma Bloods

What do you need to make this happen?

• Passion, persistence, positivity and perseverance • A back up plan • Buy in from the ED interdisciplinary team • Drivers/supporters/followers • A geographical space • Results to prove to staff that little steps over time

cover great distances • Incentives

Vicki Conyers Trauma CNC

STRUCTURE

“Teachers don’t plan to fail. They fail to plan”

The Back-Up Plan

• Trauma Quiz

• Trauma Triage Critique

• Journal Article Review

• Case Review

Infrastructure

Vicki Conyers/Trauma CNC/WNSWLHD

Key Points Record

Attendance Record Sheets

Vicki Conyers/Trauma CNC/WNSWLHD

Other things…

• Suggested Topics File • Ongoing Review of Concept document • Commendation Roll of Honour

Vicki Conyers/Trauma CNC/WNSWLHD

Learning Highlights

• Rib Bananas • Hyperosmolar therapy • Dental Trauma • EVM • Plastering • Blood Collection • Trauma Quiz

10 Minute

Trauma Education

“Don’t let the urgent distract from the

important”