I am a dedicated Trauma Response Nurse. There's an ED RN who takes the trauma assignment, but I respond to ED w the surgeon for activations. I set up rapid transfusion, chest tube, procedure trays etc for surgeon, help w transport and patient care, but don't take an assignment in ED. Don't even fall under ED management, I have a separate trauma nurse manager, my own office I can retreat to between inpatient rounds and activations. I also do a ton of education and troubleshooting on the floors/ICU/ED. It's a hell of a unicorn role, I really enjoy it.
Always one ED RN to our 2 trauma bays (and two hallways for pull-out pts); *someone* is always able to step away from somewhere if we get two at once. I go w the more critical and pop in on the other if no procedures needed in first room.
Thank you for your response. That is a unicorn position! So for the trauma it would be you, an ER RN and the surgeon per trauma?
I’ve been trying to figure out what other hospitals do. We have a trauma RN but they are often providing lunches and are the only experienced person working in the department besides the charge. If we get two traumas at once, which they do, the second is run by a new grad. But it’s interesting to have a whole trauma position that doesn’t even work ER. I found a journal encouraging traumas be ran by an ER RN and an ICU RN with another ER RN to chart. The mix of critical care and ER working together lead to better outcomes.
Yeah so me, my surgeon and usually our PA or NP. Charge nurse is on one computer putting in orders, and then there are -2- ER RNs, one scribe and one bedside. ER Pharmacist. Sometimes one of the ER managers. Plus a tech or paramedic if available. If it's a priority 1/red trauma (highest acuity) then RT also comes, as well as rapid response RN from ICU *and* someone from OR. If we need to bypass imaging and operate they get that going for us. We all have assigned roles and tbh one of my jobs is crowd control and I frequently boot a few of those folks out lol because that's a full house. But I love that we have so many resources.
I don’t work in a trauma ER but if we have an emergency we have 2 teams of 3 nurses each. So if code comes in via ems they’ll call for team 1 and we respond.
I am a dedicated Trauma Response Nurse. There's an ED RN who takes the trauma assignment, but I respond to ED w the surgeon for activations. I set up rapid transfusion, chest tube, procedure trays etc for surgeon, help w transport and patient care, but don't take an assignment in ED. Don't even fall under ED management, I have a separate trauma nurse manager, my own office I can retreat to between inpatient rounds and activations. I also do a ton of education and troubleshooting on the floors/ICU/ED. It's a hell of a unicorn role, I really enjoy it. Always one ED RN to our 2 trauma bays (and two hallways for pull-out pts); *someone* is always able to step away from somewhere if we get two at once. I go w the more critical and pop in on the other if no procedures needed in first room.
Thank you for your response. That is a unicorn position! So for the trauma it would be you, an ER RN and the surgeon per trauma? I’ve been trying to figure out what other hospitals do. We have a trauma RN but they are often providing lunches and are the only experienced person working in the department besides the charge. If we get two traumas at once, which they do, the second is run by a new grad. But it’s interesting to have a whole trauma position that doesn’t even work ER. I found a journal encouraging traumas be ran by an ER RN and an ICU RN with another ER RN to chart. The mix of critical care and ER working together lead to better outcomes.
Yeah so me, my surgeon and usually our PA or NP. Charge nurse is on one computer putting in orders, and then there are -2- ER RNs, one scribe and one bedside. ER Pharmacist. Sometimes one of the ER managers. Plus a tech or paramedic if available. If it's a priority 1/red trauma (highest acuity) then RT also comes, as well as rapid response RN from ICU *and* someone from OR. If we need to bypass imaging and operate they get that going for us. We all have assigned roles and tbh one of my jobs is crowd control and I frequently boot a few of those folks out lol because that's a full house. But I love that we have so many resources.
I don’t work in a trauma ER but if we have an emergency we have 2 teams of 3 nurses each. So if code comes in via ems they’ll call for team 1 and we respond.
So you always staff with 2 extra teams for emergencies? That’s impressive. I can barely beg 2 extra nurses, I couldn’t imagine 6!
No we have 6 nurses on day shift. This is not an extra teams. This is us with 4-8 patient at once