TNCC Trauma Nursing Core Course 7th
Edition
Components of SBAR and its purpose - correct answer S: Situation
B: Background
A: Assessment
R: Recommendation
Purpose- to provide framework for communication amount members of the
healthcare team
p. 7
Components of DESC and its purpose - correct answer D: Describe the specific
situation or behavior
E: Express your concerns or how the situation makes you feel
S: Suggest alternatives and seek agreement
C: State consequences in terms of impact on performance goals
Purpose- used in conflict management; paraphrasing the other person's
comments is an important technique that should be done throughout the DESC
script. Following discussion of consequences, team members should work
towards consensus.
p. 7
Components of CUS and its purpose - correct answer C: I am Concerned
U: I am Uncomfortable
S: This is a Safety issue/ I am Stressed
Purpose- used to "stop the line" if a team member senses or discovers an
essential safety breach
,TNCC Trauma Nursing Core Course 7th
Edition
p. 7
Define trauma - correct answer - Trauma is injury to living tissue caused by
extrinsic agent
- Regardless of MOI, trauma creates stressors that exceed the tissue's or organ's
ability to compensate
p. 9
Leading cause of death for ages
1. over 65
2. 5 to 24
3. 25 to 64 - correct answer 1. Falls
2. MVCs
3. poisoning
p. 9
Explain 3 phases of injury prevention - correct answer Primary: prevention of the
occurrence of the injury
Secondary: Reduction in the severity of the injury that has occurred
Tertiary: Improvement of outcomes related to the traumatic injury
p. 10
Describe the three E's of injury control - correct answer Engineering:
technological interventions such as side impact airbags, automated blind spot
alarms, ignition lock devices for those with DUIs. In playgrounds and sports, this
,TNCC Trauma Nursing Core Course 7th
Edition
involves surface material under playground equipment and athletic safety gear.
Another intervention is improved use of smoke alarms in fire prevention
Enforcement and legislation: include laws at all jurisdictional levels regarding
driving while intoxicated, booster seats, primary seatbelt use, and distracted
driving. For sports this includes rules regarding illegal hits, examination after
impact, and return-to-play requirements after a head injury
Education: these can be community-based initiatives such as public service
announcements for improved seatbelt use, education regarding risks of distracted
driving, programs to commit to no texting while driving, and promotions for
bicycle helmet giveaways with instructions for proper use
p. 11
How can the trauma nurse have an impact when it comes to the legislative
process? - correct answer By advocating for stronger laws and more consistent
enforcement
p. 11
Define kinematics - correct answer The study of energy transfer as it applies to
identifying actual or intentional injuries
p. 25
Define biomechanics - correct answer The general study of forces and their
effects
, TNCC Trauma Nursing Core Course 7th
Edition
p. 25
Define mechanism of injury (MOI) - correct answer How external energy forces in
the environment are transferred to the body
p. 25
Newton's First Law of Motion - correct answer A body at rest will remain at rest,
and a body in motion will stay in motion
p. 26
Newton's Second Law of Motion - correct answer Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion - correct answer For every action, there is an equal
and opposite reaction
p. 26
Law of Conservation of Energy - correct answer Energy can neither be created nor
destroyed, but it can change form
p. 26
Describe energy forms - correct answer - Mechanical (energy transfer from one
object to another in the form of motion)
- Thermal (energy transfer of heat in environment to the host)
- Chemical (heat energy transfer from active chemical substances such as
chlorine, drain cleaner, acids, or plants)
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