Impact of Trauma Resuscitation Emergency Care Nurse Deployment in Trauma Activations in a Rural Trauma Center.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI:10.1097/JTN.0000000000000733

Michael W Holder, Matthew A Leonard, Hannah W Collins, Allison A Brogan, J Bracken Burns

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引用次数: 0

Abstract

Background: Although the role of a dedicated trauma nurse has been implemented in an urban setting, it has not been studied in the rural trauma setting. We instituted a trauma resuscitation emergency care (TREC) nurse role to respond to trauma activations at our rural trauma center.

Objective: This study aims to determine the impact of TREC nurse deployment on the timeliness of resuscitation interventions in trauma activations.

Methods: This pre- and postintervention study at a rural Level I trauma center compared the time to resuscitation interventions before (August 2018 to July 2019) and after (August 2019 to July 2020) deploying TREC nurses to trauma activations.

Results: A total of 2,593 participants were studied, of which 1,153 (44%) were in the pre-TREC group and 1,440 (56%) in the post-TREC group. After TREC deployment, the median (interquartile range [IQR]) emergency department times within the first hour decreased from 45 (31.23-53) to 35 (16-51) min ( p = .013). The median (IQR) time to the operating room within the first hour decreased from 46 (37-52) to 29 (12-46) min ( p = .001), and within the first 2 hr, decreased from 59 (43.8-86) to 48 (23-72) min ( p = .014).

Conclusion: Our study found that TREC nurse deployment improved resuscitation intervention timeliness during the first 2 hr (early phase) of trauma activations.

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农村创伤中心创伤激活中创伤复苏急诊护理护士配置的影响。

背景:虽然专门的创伤护士的作用已经在城市环境中实施，但尚未在农村创伤环境中进行研究。我们建立了创伤复苏急诊护理(TREC)护士的角色，以应对创伤激活在我们的农村创伤中心。目的:本研究旨在确定TREC护士部署对创伤激活复苏干预及时性的影响。方法:在农村一级创伤中心进行干预前和干预后的研究，比较在部署TREC护士进行创伤激活之前(2018年8月至2019年7月)和之后(2019年8月至2020年7月)进行复苏干预的时间。结果:共有2593名参与者被研究，其中1153名(44%)在trec前组，1440名(56%)在trec后组。TREC部署后，第1小时内急诊时间中位数(四分位间距[IQR])从45(31.23-53)分钟减少到35(16-51)分钟(p = 0.013)。第1小时内到手术室的中位时间(IQR)从46(37-52)分钟减少到29(12-46)分钟(p = 0.001)，第2小时内从59(43.8-86)分钟减少到48(23-72)分钟(p = 0.014)。结论:我们的研究发现，在创伤激活的前2小时(早期阶段)，TREC护士部署提高了复苏干预的及时性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.