Trauma Nurse Orientation Course - Feb 2021
Trauma Nurse Orientation Course – Sample Course Agenda
This course consists of three days of classroom lectures/hands-on skills, as well as six (6) online modules. The topics of the course are listed below. The order of presentations may vary.
DAY 1 – CLASSROOM INSTRUCTION 8:00 AM – 4:30 PM
8:00 – 8:30 Introduction
8:30 – 9:30 Mechanism of Injury/Kinematics
9:30 – 9:45 BREAK
9:45 – 10:45 Initial Resuscitation
10:45 – 11:15 Airway Considerations in Trauma
11:15 – 12:00 Hemorrhage Control
12:00 – 12:45 LUNCH
12:45 – 1:45 Craniocerebral Trauma
1:45 – 2:45 Maxillofacial/Ocular Trauma
2:45 – 3:00 BREAK
3:00 – 4:00 Spinal Trauma
4:00 – 4:30 Daily Eval’s, Quiz, Adjourn
DAY 2 – CLASSROOM INSTRUCTION 8:00 AM – 4:30 PM
8:00 – 9:00 Thoracic Trauma
9:00 – 10:00 Abdominal Trauma
10:00 – 10:15 BREAK
10:15 – 11:15 Musculoskeletal Trauma
11:15 – 12:15 Shock
12:15 – 1:00 LUNCH
1:00 – 2:00 Prehospital Care of the Trauma Patient
2:00 – 2:45 Rehabilitation of the Trauma Patient
2:45 – 3:00 BREAK
3:00 – 4:15 Perioperative Care of the Trauma Patient
4:15 – 4:30 Daily Eval’s Quiz, Adjourn
DAY 3 – CLASSROOM INSTRUCTION 8:00 AM – 4:30 PM
8:00 – 8:30 End of Life/Organ Donation
8:30 – 9:30 Pediatric Trauma
9:30 – 9:45 BREAK
9:45 – 10:45 Obstetrical Trauma
10:45 – 11:45 Psychosocial Aspects of Trauma/Abuse
11:45 – 12:15 Critical Incident Stress Management
12:15 – 1:00 LUNCH
1:00 – 1:30 Bariatric Considerations in Trauma
1:30 – 2:30 Burn Trauma
2:30 – 3:30 Tour of ED Trauma Bay and Stat MedEvac/Helipad
3:30 – 4:30 Daily Eval’s, Quiz, Adjourn
Topics covered in the ONLINE MODULES (to be done outside class time):
0.5 hr The Trauma System
0.5 hr Injury Prevention
1.0 hr Geriatric Trauma
1.0 hr Pain Management in the Adult Trauma Patient
0.5 hr Genitourinary Trauma
1.0 hr Nutritional Needs of the Trauma Patient
*Note: The 6 Online Modules are accessed via Learning in HR Direct. Approximately 2 weeks prior to class, instructor will send links to the online modules to the students to allow ample time to complete them. Instructor will verify online module completion by viewing transcripts in HR Direct Learning.
Target Audience
The target audience for this course is the registered nurse who provides care for the multi-trauma patient, including but not limited to nurses in: trauma stepdown, trauma intensive care, emergency department, OR/PACU, as well as SWAT and System Resource Nurses.
Learning Objectives
At the completion of this course, the learner will be able to:
1. Describe how the UPMC Presbyterian Trauma Services practices relate to the PTSF standards requirements.
2. Discuss disaster preparedness and mass casualty management.
3. Define predictable clinical manifestations relative to mechanism of injury.
4. Outline a basic trauma nursing assessment incorporating primary survey, secondary survey, and tertiary survey.
5. Identify etiology and clinical manifestations indicative of an airway obstruction.
6. Describe the perioperative phase as it relates to the operative management of traumatic injury and to predisposition of complications (occurrences).
7. Recognize the signs, symptoms and management strategies of shock.
8. Describe methods of hemorrhage control in the trauma patient.
9. State the signs and symptoms seen with increased intracranial pressure (ICP).
10. Describe the pathophysiology, clinical manifestations, and medical and nursing management of maxillofacial and ocular trauma during the acute phase of care, including issues for discharge planning.
11. Outline the components of an examination of the patient with acute spinal cord injury.
12. Review the UPMC Presbyterian guidelines for cervical, thoracic, lumbar and sacral injury precautions.
13. Differentiate between the six types of chest injuries which are immediately life threatening and the eight that are potentially lethal.
14. Describe the pathophysiology, clinical manifestations, and medical and nursing management of abdominal trauma during the acute phase of care, including issues for discharge planning.
15. Describe the pathophysiology, clinical manifestations, and medical and nursing management of genitourinary trauma during the acute phase of care, including issues for discharge planning.
16. Discuss potential complications of pelvic and extremity fractures.
17. Describe the pathophysiology, clinical manifestations, and medical and nursing management of injuries to burn and cold during the acute phase of care, including issues for discharge planning.
18. Discuss pharmacological and non-pharmacological management of pain in trauma.
19. Describe the metabolic response to trauma.
20. Discuss rehabilitation issues in relation to traumatic injuries.
21. Discuss both pre-injury tactics (community outreach and education) and post-injury approaches (patient and family education, substance abuse counseling, and resources).
22. Define the geriatric trauma patient based on physiologic changes related to the aging process.
23. Describe the normal physiologic changes of pregnancy and how the changes relate to clinical management of traumatic injury.
24. Describe the care of the bariatric patient based on the physiologic and emotional component
25. Relate the common causes of mortality and morbidity to mechanisms of injury in the pediatric trauma patient.
26. Identify the nurse’s role in the assessment of reporting of suspected abuse and neglect.
27. Describe resources for Critical Incident Stress Management (CISM) for staff.
28. Differentiate between donation after brain death and donation after cardiac death.
Trauma Nurse Course
Nursing Education Department 412-864-3684
Michelle Broge-Connor, RN BS CCRN-K PHRN
Day One: Sample Agenda | Nursing Education – Classroom A | |
8:00 AM | Introduction | Michelle Broge-Connor, RN BS CCRN-K PHRN |
8:30 AM | Mechanism of Injury/Kinematics | Michelle Broge-Connor, RN BS CCRN-K PHRN |
9:30 AM | BREAK |
|
9:45 AM | Craniocerebral Trauma | Kate Spiering, RN MSN CNRN |
10:45 AM | End of Life/Organ Donation | Kate Spiering, RN MSN CNRN |
11:00 AM | Neck and Spine Trauma | Michelle Broge-Connor, RN BS CCRN-K PHRN |
12:00 PM | LUNCH |
|
1:00 PM | Breakout Stations: |
|
| Cervical Collar Application |
|
| Moving CTLS Patients |
|
1:30 PM | Initial Resuscitation | Leigh Frederick, RN MSN PHDc |
2:30 PM | Abdominal Trauma | Amy Clontz, RN-C MSN |
3:30 PM | Shock | Amy Clontz, RN-C MSN |
4:30 PM | Adjourn |
|
Day Two: Sample Agenda | Nursing Education – Classroom A | |
8:00 AM | Airway Considerations | Michelle Broge-Connor, RN BS CCRN-K PHRN |
9:45 AM | Hemorrhage Control | Michelle Broge-Connor, RN BS CCRN-K PHRN |
10:30 AM | Breakout Stations: |
|
| BVM with Jaw Thrust |
|
| EZ-IO Insertion/Removal |
|
| Tourniquet Application |
|
11:00 AM | Musculoskeletal Trauma | Stephanie Livingston, RN BSN |
12:00 PM | LUNCH |
|
1:00 PM | Maxillofacial Trauma | Bob Huckestein, RN MSN |
2:00 PM | Thoracic Trauma | Bob Huckestein, RN MSN |
3:00 PM | Helipad/Trauma Bay Tour |
|
4:30 PM | Adjourn |
|
Day Three: Sample Agenda | Nursing Education – Classroom A | |
8:00 AM | Prehospital Care in Trauma | Justin Beal, PHRN NRP |
9:00 AM | Perioperative Considerations | Avisha Risnear, MSN RN CNOR |
10:15 AM | Rehabilitation in Trauma | Kevin Yurchison, OT |
11:00 PM | Psychosocial Aspects of Trauma | Kim Baker, MSN RN CARN |
12:00 PM | LUNCH |
|
1:00 PM | Pediatric Trauma | Mindy Gallagher, RN MS BSN |
2:00 PM | Obstetrical Trauma | Michelle Broge-Connor, RN BS CCRN-K PHRN |
2:45 PM | Burn Trauma | Emily Miller, RN BSN CCRN |
4:00 PM | Evaluations/Certificates |
|
4:30 PM | Adjourn |
|
Michelle Broge-Connor, RN BS CCRN-K PHRN (Dept. of Nursing Education)
Amy Clontz, RN-C MSN (Trauma PI Coordinator – PUH)
Leigh Frederick, RN MSN PhDc (Trauma Nurse Coordinator – PUH)
Stephanie Livingston, RN BSN (Trauma Nurse Coordinator – PUH)
Kate Spiering, RN MSN CNRN (Programmatic Nurse Specialist – PUH)
Kim Baker, MSN RN CARN (Programmatic Nurse Specialist – PUH)
Bob Huckestein, RN MSN (Programmatic Nurse Specialist – PUH)
Avisha Risnear, MSN RN CNOR (OR Clinician – PUH)
Emily Miller RN BSN CCRN (Unit Director, Neurovascular ICU)
Melinda Gallagher, RN MS BSN (Trauma Nurse Coordinator – CHP)
Kevin Yurchison, OT (Senior Occupational Therapist – PUH)
Justin Beal, PHRN NRP (Pre-Hospital Specialist – PUH)
Lisa Walker, RN MSN CRNP (online content)
Meredith Oroukin, LD (online lecture)
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Available Credit
- 24.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation