TNCC Assessment

State the need to activate the trauma team trauma alert active State the need to prepare the room ensure all needed supplies are in the room; ex: rapid infuser, chest trauma equipment 00:02 01:33 State the need to don personal protective equipment PPE Assess for obvious uncontrolled external hemorrhage intervention: re-prioritize to C ABC, if needed. Assess level of consciousness using AVPU Alert, Verbal Stimuli, Pain, Unresponsive State the need for a second person to provide cervical spinal stabilization AND demonstrate manual opening of the airway using the jaw-thrust maneuver Maintain spinal immobilization; Proper jaw-thrust maneuver: Demonstrate and describe techniques for determining the patency and protection of the airway, using inspection, auscultation and palpation. -Is the tongue obstructing? -Are there any loose or missing teeth? -Are there any foreign objects? -Is there any blood, vomitus, or other secretions? -Is there edema? -Is there any snoring, gurgling, or stidor? (state at least FOUR) States the need for oropharyngral airway (OPA) ... States the need for a definitive airway gather equipment to begin intubation Reassess the airway after the insertion of the OPA airway patent? Demonstrate and describe techniques for determining breathing effectiveness, using components of inspection, auscultation, and palpation -Is there spontaneous breathing? -Is there symmetrical chest rise? -What are the depth, pattern, and rate of respirations? -Is there increased work of breathing? -What is the skin color? -Are there open wounds or deformities? Is there subcutaneous emphysema? -Is there any tracheal deviation or Jugular venous distention? -Are the breath sounds present and equal? (state at least FOUR) State the need for assisted ventilation with bag-valve mask device ... Upgrade to remove ads Only $35.99/year Once patient is intubated what is the next step? Assess ET tube placement: -Attach CO2 detector -Observe for chest rise and fall -Auscultate over the epigastrium AND then bilateral breath sounds -After 5 to 6 breaths, observe the CO2 detector for evidence of CO2 in exhaled air -Assesses for improvement of skin color Assess ET tube position Noting the number at the teeth AND secure the ET Tube; identifying the method used. State the need for venitlations mechanical vs. assisted Demonstrate and describe techniques for determining the adequacy of circulation, using components of inspection, auscultation, and palpation. -Inspect for any uncontrolled hemorrhage -Palpate a central pulse -Inspect and palpates the skin for color, temperature, and moisture. (states ALL THREE) Assess the patency of prehospital IV Ensure adequate IV access State the need for additional IV access Ensure additional large bore IV is established State the need for administration of warmed, isotonic crystalloid with blood tubing and at a CONTROLLED RATE controlled rate: Describe the assessment for Glasgow Coma Scale (GCS) -What is the best eye opening? -Best verbal response? -Best motor response? Assess Pupils Pupil Assess: States the need of CT of head and neck transfer patient to CT STAT State the need to remove ALL clothing and inspect for uncontrolled bleeding or obvious injuries ... State the need to keep the patient warm via: -blankets -warming lights -increased room temp -warmed fluids -warmed oxygen (state at least ONE) Obtain a full set of vital signs -BP -HR -RR -T State the need to facilitate family presence prepare family to come to room via liaision State the need for laboratory analysis Laboratory studies Attach patient to the cardiac monitor Monitor cardiac rate and rhythm State the need to consider insertion of NG or OG tube Nasogastric or Orogastric Tube consideration Attach patient to pulse ox and capnoraphy Oxygen and ventilation assessment State the need to assess pain using the appropriate pain scale pain scales: Give appropriate nonpharamcologic comfort measure -apply ice to swollen areas -re-positioning -padding over bony prominences (state at least ONE) State the need to consider obtaining order for analgesic medicaiton ...