TRAUMA TEAM POLICYPatient Safety Department

Introduction

First trauma team policy

Orientation about the policies and procedures

Implementation date – January 1, 2016

Purpose

To decrease/prevent mortality and morbidity in acute trauma cases through timely and coordinated team action involving various departments.

Trauma Team is a designated group of healthcare providers with supporting non-clinical members which can timely assemble and manage acute trauma with suitable intervention as well as coordination with other hospitals for any assistance required to decrease / prevent morbidity and mortality

Scope of Service

Acute life and limb threatening trauma case(s) received in the ER through:- The Emergency Administration Office

(Idara Tawwari) in the General Directorate of Health, Buraidah

Acute trauma cases referred from hospitals and dispensaries dependent on BGH

Brought in privately without any official communication

Composition of the Trauma Team Core Clinical Team Supporting Clinical Team Non-Clinical Team

Core Clinical Team1. Surgeon on call – Team leader2. Surgical ROD – team leader till the Surgeon on call

arrives3. Orthopedic Surgeon on call4. ICU Resident on duty5. Anesthesiologist on call6. Radiologist on call7. Airway Nurse8. Nursing Supervisor9. ER Charge Nurse10.ER Nurses– 2 per red card patient, 1 per yellow and

green card, each11.CT Scan Technician on duty/on call12.X-Ray Technician

Supporting Clinical Team

1. Blood Bank Technician on duty2. OR Scrub Team on duty / on call3. Anesthesia Technician on duty/ on

call4. Paramedic staff on duty

Non-Clinical Team

1. Assistant Hospital Director/Administrator on call

2. Coordination Office duty staff3. Security Shift-in-Charge4. Social Worker

Criteria for Calling the Team1. Upon official communication Idara Tawwari2. Acute trauma cases referred from hospitals

and dispensaries dependent on BGH3. Patients brought in privately without

official communication. The Surgical ROD will assess the need for the Trauma Team.

4. Severity of trauma and NOT the number of cases will dictate the decision to call the Trauma Team

Idara Tawwari (Wireless)

ER Reception Clerk1. Number of cases/triage2. Expected time of arrival3. Nature and extent of incident

Immediately Inform1. ER Doctor2. ER Charge Nurse3. Assistant Hospital Director (During working hours) and Administrator on Call

Arrival of Trauma Cases by Private Vehicle

Surgical ROD1. Will assess the need for calling Trauma Team2. If needed - He will inform the ER Doctor to call the Trauma Team

ER Doctor 1. Call 100 for Trauma Team2. Inform Admin on call

3. ER Charge Nurse

Central Exchange

Announce on the Public Address System

“Trauma Team ER” “Trauma Team ER” “Trauma Team ER”

Page the Trauma Team Members as Group

Trauma Team Leader

Until the Surgeon on call arrives, the Surgical ROD will be the team leader

Leader will decide upon the best possible clinical management of the patients including transfer to other centers

He can also call any other specialists on call

Nursing Supervisor

Overall coordination

Will call any other staff upon the orders of the team leader

Coordinate for additional supplies and personnel in the ER and wards

Will record activities

ER Charge Nurse

Allocating the ER Nurses

Supervision of the nurses engaged in the team

Coordination with the nursing supervisor

Appointment of ER assistant nurse until the trauma team is called off

Filling up appropriate forms

Administrator

Supervising the non-clinical team members

Coordination with Idara Tawwari and other hospitals Police, civil defense, Red Crescent

Informing the Hospital Director, if needed

Other Team Members

Doctors will report to the Leader in the ER

Other staff will report to the Nursing Supervisor

CT and X-ray technicians will prepare their machines

Airway nurse will bring the airway kit along

Supporting clinical team will stay on stand by until called for their roles

Associated Considerations

Only ER Doctor can call the Trauma Team either:- On receiving a message from Idara Tawwari,

or Advice from the Surgical ROD

The ER Doctor will be responsible for the regular functioning of the ER

The team leader will conduct a debrief after every call

All the details are mentioned in the policy

Implementation

From 1st January, 2016

Please familiarise yourself before that

The copies have been widely disseminated

THANK YOU