Trauma Nursing Process - TNP - TNCC 9th Ed.pdf file:///C:/Users/HP/Desktop/eewwww/Trauma%20Nursing%20Proc
Trauma Nursing Process - TNP - TNCC 9th Edition
1. 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?
2. What happens prior to patient arrival? 1-3: 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
3. 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 hem- orrhage 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
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,Trauma Nursing Process - TNP - TNCC 9th Ed.pdf file:///C:/Users/HP/Desktop/eewwww/Trauma%20Nursing%20Proc
4. Continue theTNP 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
5. 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
6. 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
7. 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
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,Trauma Nursing Process - TNP - TNCC 9th Ed.pdf file:///C:/Users/HP/Desktop/eewwww/Trauma%20Nursing%20Proc
8. 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
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