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THE UNDISCOVERED COUNTRYSteve Adkisson RN AEMT-PUpstate Medical University
My Journey…….I was happyI love (still do) Trauma patientsEverything was fineThen something horrible happened
Then a strange women appeared
Soooo….have you ever thought of being a Trauma Outreach Coordinator
The serpent had indeed come to Eden
WHAT IS TRAUMA OUTREACH
Green Book definition
Looked Online
Looked at my community
Off to research!!!
GREEN BOOKCD17-1 Level I and II
centers , however, must engage in public and professional education
CD 17-3 All Trauma centers must be involved in prevention activities
CD17-6 In Level I, II and III trauma centers, the hospital must provide a mechanism to offer trauma related education to nurses involved in Trauma care
Cd-18-1 All trauma centers, regardless of resources must participate in injury prevention
IntramuralEducation and
development
ExtramuralCommunity
Injury Prevention
Pre-Hospital Systems
Professional Development Education
In House education
Anyone who transfers patients to you
And other things
IntramuralPromoting your service line in
the Hospital (we are not the ED) What we are a trauma
Center???!!!! Trauma is a surgical issue
Nursing Trauma Education Real-time after action Debriefing Trauma Resuscitation course Auditing ATLS
Be Readily available to the Hospital staff
ExtramuralCommunity
Injury Prevention“Injury prevention is one of
the principle areas we can affect Trauma outcomes”
The science of Trauma treatment has hit a plateau
Injury Prevention is specific to the needs of the community
Data and QI (PIPS) Drive injury prevention
LNMBA Lets Not met by accident
Reality based injury awareness program
Includes area high schools and colleges
Held in house and out of house
60 classes a year
PRIMARY INJURY PREVENTION
Helmet Safety Program•Provides at cost bicycle and ski helmets
•State fair 4th year running
•In 4 hours we fitted 750 children with helmets
•Educated some 3000 on the need for brain safety
•Joint Venture with Neurosurgery
SECONDARY INJURY PREVENTION
Professional Development EducationATLS Advance Trauma
Life Support15-20 Courses a year
RTTDC 2-3 a year
Helicopter Training2 a year
Trauma Resuscitation ClassMonthly
ATOM Course2-3 a year
Per fused cadaver Course
Syracuse Services14 counties28 hospitals
Farthest Northern Point178 miles
Outreach to your system
Regional center that cover 28 Hospitals
5 REMACS
Meet annually with all Hospitals that send you patients
Review data
RTACRegional Trauma Advisory
Committee
EMS Pre-Hospital“You are not building a Trauma Program you are building a Trauma System”Jeffrey P. Salomone, MD, FACS, NREMT-P
Establish a rapport and working relationship with EMS agencies
Be involved in policy development and committee activity’s
Meet with REMACS and SEMAC
Involve them in your QI process
Look for Opportunities
Ft Drum Initiative•Training with and training Ft Drum medics•Blackhawk Training program•Medic cadaver lab•Medics in the ED
The Outreach /Injury person is
Your PRMarketingEyes and EarsTroubleshooterConnection point to the
Trauma system as a wholeResource for everyoneBeware line
26……………………