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CHALLENGER TNCC 8th Edition Provider Pre Course On ...
11. CHALLENGER TNP One Page Reference
11. CHALLENGER TNP One Page Reference
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Pdf Summary
The Trauma Nursing Process (TNP) involves a series of steps for providing care to trauma patients. The process begins with preparation and triage, which includes activating the trauma team and preparing the room and equipment. Personal protective equipment (PPE) should be worn, and the need for decontamination should be considered.<br /><br />During across-the-room observation, any uncontrolled bleeding should be addressed first. The primary survey is then conducted using the mnemonic ABCDEFG. A stands for alertness and airway, and cervical spinal stabilization should be maintained. Breathing and ventilation are assessed, followed by circulation and control of hemorrhage. Disability is evaluated using the Glasgow Coma Scale and pupil assessment. Exposure and environmental control involve removing clothing and providing warmth. A full set of vital signs is taken, and family presence is considered.<br /><br />Monitoring devices are applied, and comfort measures are provided. The mnemonic LMNOP is used to remember additional steps, including labs, monitoring, naso- or orogastric tube placement, oxygen weaning, and pain assessment and management.<br /><br />After the primary assessment, the patient is reevaluated for transfer to a trauma center or preparation for definitive treatment. The secondary survey, consisting of history and a head-to-toe exam, is then performed. Inspecting posterior surfaces is done unless contraindicated by suspected spine or pelvic injury.<br /><br />Anticipated interventions or diagnostics are considered, and ongoing reevaluation of vital signs, identified injuries, interventions, and pain is carried out.<br /><br />Finally, definitive care or transport is provided based on the patient's needs. It is important to note that some steps, indicated by double-starred items, must be completed in order, while others, indicated by single-starred items, are essential but can be performed in any sequence.<br /><br />This summary provides an overview of the Trauma Nursing Process (TNP) and its key steps for providing care to trauma patients.
Keywords
Trauma Nursing Process
care to trauma patients
preparation and triage
activating the trauma team
personal protective equipment
decontamination
primary survey
Glasgow Coma Scale
vital signs
secondary survey
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