The First 10 Minutes Trauma Protocol for Nurses at Resuscitation Unit: Ramathibodi Hospital
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Abstract
Objective: To evaluate the effect of implementation the first 10 minutes trauma care protocol for nurses in resuscitation unit, Ramathibodi Hospital, Thailand.
Methods: This descriptive research included of 30 from nurses who work at resuscitation unit. All participants had been attended two hours lector done by researcher. Lecture contents consist of the first 10 minutes trauma care protocol and 13 flowcharts for trauma care. The protocol, developed by Krongdai Unhasuta and Thai Trauma nurses network, consist of practice triggers, follow the principles of Advanced Trauma Life Support (ATLS) and knowledge triggers, categorize of resuscitation management (assessment, management and monitoring). An evaluation of protocol was done one month later by reviewing medical record, nursing documents and satisfaction questionnaire.
Results: The result found that all participants satisfied this protocol regarding helpful to manage trauma patients systemically, eliminate error and reduce time in saving life. The other findings found that most nursing document focused on patients’ severity, medical orders and treatments, but less concern about patient position, warm keeping and giving family information.
Conclusion: The effect of implementation the first 10 minutes trauma care protocol for nurses in resuscitation unit was found that nurses satisfied a trauma care protocol. Resuscitation management was not complete especially documentation. These finding suggest that specific protocol with short course training and regular evaluation will improve quality of nursing care.
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References
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