355 - The Tampa General Hospital Trauma Care Pathway
Description: Clinical Issue Knowledge deficit related to the understanding of roles of acute care providers who impact trauma patients. Description of team A multi-disciplinary nursing team including specialty area educators, surgical trauma, emergency room, critical care, pre-hospital, aeromedical, and former US military was formed and tasked with evaluating and identifying opportunities that would enhance the practice of nursing care for trauma patients across multiple disciplines. The Trauma Care Pathway is envisioned and created to be an integrated training experience for nursing staff to contextualize events in the operating room from a perspective of trauma care delivered pre-hospital to discharge. Education and training gained through this experience is expected to improve care delivery processes during emergent trauma surgery and other associated specialty areas. Preparation and planning Our multidisciplinary team used a 7-phased approach based on Deming’s Plan-Do-Study-Act Cycle to offer systematic methods to support the team in developing the new pathway. The 7 phases included: screening, project management, diagnostic/objectification, development, implementation, evaluation, and continuous follow-up. Various elements of the West Central Florida Regional Trauma System, specifically the greater Tampa Bay area, Prehospital to Acute Care were identified and representatives from each area was contacted and a coordinated educational experience was developed and implemented. Assessment After a study of elements associated with care of trauma patients across the region, a knowledge deficit related to understanding of various roles of acute care providers which impact trauma patients in their journey from pre-hospital to definitive care at the regional level one trauma facility was identified. Implementation Key stakeholders of trauma care developed learning objectives targeting critical aspects of their specialties. A master training plan was created to include didactic components lead by surgeon colleagues and side by side clinical experiences with subject matter experts. A calendar of educational sessions with elements of trauma care delivery was developed. Participants from all units have opportunities to schedule team members. Outcome Program implementation slated for December 2019. Participant post-experience surveys are designed to determine team member engagement and retention potential, educational gaps and opportunities, innovation potential(s) and research opportunities. Implications for perioperative nursing Nursing benefits from knowledge gained as they experience interventions applied by subject matter experts from pre-hospital care to post –hospital rehabilitation. With this opportunity to experience and interact with various elements along the Trauma Care Pathway, team members will gain a greater appreciation and understanding of impacts to the trauma patient on their pathway to optimal care.
Co-Authors: Brooke Bull, Jennifer Muller, Nicholas Troeleman, Micheal Wallingford, Kelly Murphy, Kathleen Koch, Marie Jo Buchanan, Dawn Lewis, Karley Wright