TNCC: TRAUMA NURSING PROCESS QUESTIONS WITH CORRECT ANSWERS RATED A+

What is the first step in the TNP? - State the need to activate the trauma team When the instructor asks "Is there any specific equipment that you would prepare?" What is your first response? - State the need to prepare the trauma room What are some things that you would need in order to prepare the trauma room. (4) - - Fluid warmer - Pediatric equipment - Bariatric equipment - Difficult airway or IV equipment When the instructor asks "Is there any specific equipment that you would prepare?" What is your second response? - States the need to don PPE What do you need to consider when donning PPE? - Consider potential need for decontamination or other safety threats to trauma team. When the instructor states "The patient has just arrived." What is your next step? - Assesses for obvious uncontrolled external hemorrhage What do you do if uncontrolled hemorrhage is noted? - Start with "C" of the primary survey. This includes controlling uncontrolled bleeding and assessing circulation. If circulation is compromised, initiate IV fluid and blood replacement as indicated before returning to "A." What is included in the primary survey? - ABCDEFG What does A stand for? - Alertness and Airway with Simultaneous Cervical Spinal Stabilization What does B stand for? - Breathing and Ventilation What does C stand for? - Circulation and Control of Hemorrhage What does D stand for? - Disability (Neurologic Status) What does E stand for? - Exposure and Environmental Control What does F stand for? - Full set of vitals and Family Presence What does G stand for? - Get Monitoring Devices and Give Comfort (LMNOP) What does LMNOP stand for? - L= Labs (lactate, blood gases, Blood typing) M= Monitoring devices N= NG or OG tubes O= O2 sat (weaning?) attach capnography if needed P= Pain assessment What is the first step of A?** - Assesses the patient's level of consciousness using AVPU. What does AVPU stand for? - alert, verbal response, painful response, unresponsive What is the second step of A? - Check to see if there is cervical spine injury. What do you do if there is cervical spine injury? - State the need for a second person to provide manual cervical spinal stabilization AND demonstrates manual opening of the airway using the jaw- thrust maneuver What is the third step of A? What should you identify? (4)** - Demonstrate and describe techniques to determine the patency and protection of the airway, using inspection, auscultation, and palpation (identifies at least FOUR): - Is the tongue obstructing? - Are there any loose or missing teeth? - Are there any foreign objects? - Is there any blood, vomit, or secretions? - Is there any edema? - Is there any snoring, gurgling, or stridor? - Is there any bony deformity? What is the first step of B? What should you identify? (4)** - Demonstrate and describe techniques for determining breathing effectiveness, using components of inspection, auscultation, and palpation (identifies at least FOUR): - Is there spontaneous breathing? - Is there symmetrical chest rise and fall? - What are the depth, pattern, and general rate of respirations? - Is there increased work of breathing? - What is the skin color? - Are there open wounds or deformities? - Are breath sounds present and equal? - Is there subcutaneous emphysema? - Is there any tracheal deviation or jugular venous distention? What is the second step of B? What should you identify? (3)** - IF intubated, assesses endotracheal tube placement (must identify ALL THREE): - Attaches a CO2 detector device; after 5 to 6 breaths, assesses for evidence of exhaled CO2 - Observes for rise and fall of the chest with assisted ventilations - Auscultates over the epigastrium for gurgling AND lungs for bilateral breath sounds What is the third step in B? - IF intubated, states the need to assess ETT position by noting the number at the teeth or gums AND secures the ETT.