TRAUMA NURSING PROCESS TNP TNCC
CONCEPT REVIEW GUIDE 2026 SHOCK
TRAUMA MANAGEMENT AND EMERGENCY
INTERVENTIONS
◉ What is happening in Preparation & Triage?
Answer: 1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
◉ What may need to be considered when preparing the trauma
room? (5)
Answer: IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
◉ What is the next step of the TNP (following preparation & Triage)?
Answer: General impression
,◉ What is completed during the "General Impression"?
Answer: Assessing for obvious life threatening circumstances and
re-prioritizing the ABC's as necessary (C-ABC)
◉ Specifically, what are some things we are assessing for in the
general impression that would require immediate intervention and
re-prioritization of primary survery?
Answer: Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
◉ In the TNP, what do we do if there is not a pre-hospital
notification prior to patient arrival?
Answer: Complete the triage and Donning of PPE to protect yourself
prior to entering the room, but complete general impression and
preparation steps simultaneously.
◉ List the Mnemonic used for the primary Survery
Answer: A: Airway and assessment of Alertness (stabilizing of Spine
as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
, E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
◉ What is the first step of the Primary Survey
Answer: A: Airway & Assessment of alertness (with Cervical Spine
Stabilization)
◉ What are the steps includes when it comes to assessing Airway &
alertness?
Answer: 1. Assess level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
◉ How does one "open the airway" with alert patients vs. patients
with possible CSIs?
Answer: Alert: if able you can ask them to open their mouths for
assessment
CONCEPT REVIEW GUIDE 2026 SHOCK
TRAUMA MANAGEMENT AND EMERGENCY
INTERVENTIONS
◉ What is happening in Preparation & Triage?
Answer: 1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
◉ What may need to be considered when preparing the trauma
room? (5)
Answer: IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
◉ What is the next step of the TNP (following preparation & Triage)?
Answer: General impression
,◉ What is completed during the "General Impression"?
Answer: Assessing for obvious life threatening circumstances and
re-prioritizing the ABC's as necessary (C-ABC)
◉ Specifically, what are some things we are assessing for in the
general impression that would require immediate intervention and
re-prioritization of primary survery?
Answer: Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
◉ In the TNP, what do we do if there is not a pre-hospital
notification prior to patient arrival?
Answer: Complete the triage and Donning of PPE to protect yourself
prior to entering the room, but complete general impression and
preparation steps simultaneously.
◉ List the Mnemonic used for the primary Survery
Answer: A: Airway and assessment of Alertness (stabilizing of Spine
as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
, E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
◉ What is the first step of the Primary Survey
Answer: A: Airway & Assessment of alertness (with Cervical Spine
Stabilization)
◉ What are the steps includes when it comes to assessing Airway &
alertness?
Answer: 1. Assess level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
◉ How does one "open the airway" with alert patients vs. patients
with possible CSIs?
Answer: Alert: if able you can ask them to open their mouths for
assessment
