Test Course 1-TNP poster

TNP poster
Pdf Summary
The trauma nursing process (TNP) outlined by the 2023 Emergency Nurses Association provides a structured approach to managing trauma patients, focusing on preparation, assessment, and intervention. The process begins with preparation and triage, where the trauma team is activated, roles are assigned, and the necessary equipment is prepared. Personal protective equipment is donned, and potential safety risks or the need for decontamination are considered.<br /><br />The initial assessment follows an A-G structured approach, prioritizing immediate life-threatening conditions. <br /><br />- **A (Alertness and Airway)**: Emphasizes assessment of the patient's alertness using AVPU (Alert, Verbal, Pain, Unresponsive) and ensuring airway patency.<br />  <br />- **B (Breathing and Ventilation)**: Involves assessing the effectiveness of breathing.<br />  <br />- **C (Circulation and Control of Hemorrhage)**: Includes evaluation of pulse, skin color, temperature, and consideration of shock treatment.<br />  <br />- **D (Disability/Neurological Status)**: Review of the Glasgow Coma Scale, pupil assessment, and blood glucose in altered mental status.<br />  <br />- **E (Exposure and Environmental Control)**: Involves clothing removal and hypothermia prevention.<br />  <br />- **F (Full Set of Vital Signs and Family Presence)**: Completes vital signs assessment and considers family presence.<br />  <br />- **G (Get Adjuncts and Give Comfort)**: Involves concurrent activities such as laboratory work, monitoring, and pain management.<br /><br />A continual reassessment occurs before the patient is transported to a trauma center or prepared for definitive care. Secondary assessment (HI) involves gathering patient history (using SAMPLE) and conducting a thorough head-to-toe examination. If there are no spinal or pelvic injury contraindications, the posterior body surface is inspected and palpated. Anticipation of necessary interventions or diagnostics is also part of the process. Continuous reevaluation of vital signs, injuries, and intervention efficacy is essential before definitive care or transfer. Decisions should be made according to the hierarchical importance of interventions marked by two-star or one-star criteria, ensuring critical actions are prioritized.
Keywords
Trauma Nursing Process
Emergency Nurses Association
trauma management
preparation and triage
A-G assessment
life-threatening conditions
Glasgow Coma Scale
vital signs
SAMPLE history
intervention prioritization