What should you ask yourself after completing all of your interventions and reassessments? -
Does this patient need to be transferred to another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
Wh...
Trauma Nursing Process - TNP - TNCC
9th Ed
What should you ask yourself after completing all of your interventions and reassessments? - ✔✔✔
Does this patient need to be transferred to another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - ✔✔✔1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has been made? 4-8
may change based on C-ABC - ✔✔✔4. Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 - ✔✔✔9**. If intubated, assess
endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ✔✔✔12**. Assess circulation
13**. Assess neurologic status using GCS
, 14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal of clothing to inspect
for injury. 16-18 - ✔✔✔16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - ✔✔✔19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 - ✔✔✔24. Non-pharmacological
comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - ✔✔✔27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
32. Auscultate heart sounds
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jessyqueen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.01. You're not tied to anything after your purchase.
