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Struggles
- Communication
- Behavior in trauma room
- Documentation of Attending arrival
- Equipment
- Fixation
Pediatric Trauma Resuscitation: How We Do It Maria F. McMahon, RN, - - PowerPoint PPT Presentation
Pediatric Trauma Resuscitation: How We Do It Maria F. McMahon, RN, - - PowerPoint PPT Presentation
Pediatric Trauma Resuscitation: How We Do It Maria F. McMahon, RN, MSN, PNP-AC/PC Trauma Center Manager Boston Childrens Hospital Struggles Communication Behavior in trauma room Documentation of Attending arrival
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Crisis Resource Management
SLIDE 5
CRM Principles
- Role Clarity
- Communication
- Global Assessment
- Resources
- Personnel Support
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How we do it
- Role clarity
– Pre-event huddle – Red line – Stickers
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Documenting RN
SURGERY Resident/ NP
SURGERY Attending
ED Fellow/Resident ED Attending
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How we do it
- Communication
– Closed loop – Transparent – Tone – Event Manager
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How we do it
- Global Assessment
– Dual event managers – Surgical Attending in house 24/7 – Trauma Check Point
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How we do it
- Personnel Support
– Trauma Nurse Leaders – Parent presence – Red line
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How we do it
- Resources
– Web based image sharing – CT scanner location – ID scanner – Color coded equipment – Limit labs and diagnostics
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Trauma Crisis Resource Management (CRM)
- Mandatory
- Multidisciplinary
- Case-based
- In-situ
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Ongoing Improvement
- Self-debriefing with feedback after each
scenario
- Trauma Nurse Leaders review all high
level trauma activations
- Changes based on feedback from mock
resuscitations and real-time resuscitations
– Quantitative – Neuro STAT, MTP – Qualitative
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