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Trauma Outreach. THE UNDISCOVERED COUNTRY Steve Adkisson RN AEMT-P Upstate Medical University. My Journey……. I was happy I love (still do) Trauma patients Everything was fine Then something horrible happened. Then a strange women appeared.
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Trauma Outreach THE UNDISCOVERED COUNTRY Steve Adkisson RN AEMT-P Upstate Medical University
My Journey……. I was happy I love (still do) Trauma patients Everything was fine Then 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
Off to research!!! • Green Book definition • Looked Online • Looked at my community
GREEN BOOK • CD17-1 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
Intramural • Education and development • Extramural • Community • Injury Prevention • Pre-Hospital Systems
Professional Development Education • In House education • Anyone who transfers patients to you • And other things
Intramural • Promoting 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
Extramural • Community • 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
PRIMARY 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
SECONDARY 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
Professional Development Education • ATLS Advance Trauma Life Support • 15-20 Courses a year • RTTDC • 2-3 a year • Helicopter Training • 2 a year • Trauma Resuscitation Class • Monthly • ATOM Course • 2-3 a year • Per fused cadaver Course
Syracuse Services 14 counties 28 hospitals Farthest Northern Point 178 miles
Outreach to your system • Regional center that cover 28 Hospitals • 5 REMACS • Meet annually with all Hospitals that send you patients • Review data • RTAC Regional 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 Opportunities Ft 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 PR • Marketing • Eyes and Ears • Troubleshooter • Connection point to the Trauma system as a whole • Resource for everyone • Beware line 26……………………