Trauma resuscitation: A Nursing education response to increasing incidence of Emergency Department thoracotomy and traumatic cardiac arrest

Lisa  Reichelt1, Cherelynn  McGurgan
1Melbourne Health , Northcote, Australia

Emergency Department Thoracotomy’s (EDT) at the Royal Melbourne Hospital Emergency Department (RMH ED) in the previous 12 months have increased dramatically. With an increase in EDTs and change of trauma resuscitation guidelines by Australian and New Zealand Council of Resuscitation, a timely opportunity was identified to implement a specialised training program for nurses working in the trauma role to close the important gap in clinical practice surrounding EDT and care of the critically unwell trauma patient.

In order to respond to knowledge deficits in processes and equipment, a collaborative approach between Clinical Nurse Educators, the Equipment Nurse, and senior medical staff was needed to design this teaching program. Part of this program includes a scenario based, multidisciplinary, team training exercise.  A pre-test, post-test model was used to evaluate knowledge, and further improve the program. The program aim is to achieve a positive change in practice. Thus far, this training program has been found to be sustainable and cost effective. Although data collection is ongoing, provisional evidence shows a marked improvement in knowledge of equipment and process. It has also helped identify latent system errors and areas for improvement in current processes.

This oral presentation will demonstrate what is required to develop a sustainable, cost effective and easily adaptable training program for nurses working in a specialised trauma role, the barriers and enablers to implement this training, and the tools required for evaluating the program. This presentation will discuss how implementation theory was used to employ this training, and the various teaching pedagogies that were applied to optimise understanding of critical concepts for adult learners. The oral presentation will also highlight the equipment and teaching aids needed to ensure nurses are adequately prepared to support medical staff in caring for critically unwell trauma patients, including those who need an EDT.

Lisa Reichelt, BNursG, , GCertNurs(Emergency), DipNursPrac, MNursPrac. Lisa has over fourteen years’ nursing experience in a range of different areas including; emergency, clinical education and teaching in higher education. She holds a Masters of Advanced Nursing Practice (minor thesis) through the University of Melbourne and is currently completing a graduate certificate in University Teaching.  Lisa has a strong interest in multidisciplinary education, simulation and resuscitation education and based her minor thesis research project around this. She has presented this research at  local and international nursing and medical conferences. Lisa is a proud member of the Royal Melbourne Hospital Emergency Department Clinical Nurse Education and Clinical Nurse Specialist teams. She has worked in her clinical education role for over 7 years and strives to provide the best possible emergency care for patients from all backgrounds through clinical education and promotion of best practice.