TNCC Trauma Nursing Core Course 7th Edition ENA
TNCC Trauma Nursing Core Course 7th
Edition ENA
Components of SBAR and its purpose
S: Situation
B:
... [Show More] 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
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
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
p. 7
Define trauma
- 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
1. Falls
2. MVCs
3. poisoning
p. 9
Explain 3 phases of injury prevention
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
Engineering: technological interventions such as side impact airbags, automated
blind spot alarms, ignition lock devices for those with DUIs. In playgrounds and
sports, this 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?
By advocating for stronger laws and more consistent enforcement
p. 11
Define kinematics
The study of energy transfer as it applies to identifying actual or intentional
injuries
p. 25
Define biomechanics
The general study of forces and their effects
p. 25
Define mechanism of injury (MOI)
How external energy forces in the environment are transferred to the body
p. 25
Newton's First Law of Motion
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
Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion
For every action, there is an equal and opposite reaction
p. 26
Law of Conservation of Energy
Energy can neither be created nor destroyed, but it can change form
p. 26
Describe energy forms
- 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, [Show Less]