Aggregating Non-Critical Trauma Patients on a Single Acute Care Unit

Aggregating Non-Critical Trauma Patients on a Single Acute Care Unit
Thesis
Description: 

Care of the trauma patient historically has had a strong focus on clinical management during the resuscitative and critical phases of care. This is a review of a Level I center creating a Trauma Care Unit (TCU), an inpatient unit dedicated to the care of the step-down and medical-surgical acuity trauma patient. This article will review some of the historical events leading to the creation of trauma systems. The primary discussion will be in relation to the creation of a trauma care unit along with some unique features of the unit compared to other medical-surgical units. The literature reviewed include the topics of communication and collaboration between healthcare team members, the need for dedicated step-down acuity patient care areas, the impact of having a multidisciplinary team managing patient care, and the long term impact of trauma on people. The primary article reviewed was a research project completed at the institution that opened the TCU. The study looked at the four intervals of time in relation to changes made to the trauma program that included adding nurse practitioners, opening the TCU, the addition of a trauma CNS, and lastly increasing the number of nurse practitioners on the service. The findings of the research were decreased ICU length of stay, decreased complications, improved outcomes of highly injured patients and all at a reduced cost.

Tabs

WHDL ID: 
WHDL-00006061
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