Trauma Nursing Process - TNCC 9th Edition final exam

Trauma Nursing Process - TNCC 9th Edition final exam What should you ask yourself after completing all of your interventions and reassessments? - CORRECT ANSWER-Does this patient need to be transferred to another hospital, to surgery, or to critical care? What happens prior to patient arrival? 1-3 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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