Trauma Nursing Process - TNP - TNCC 9th Ed

What should you ask yourself after completing all of your interventions and reassessments? - Does this patient need to be transferred to another hospital, to surgery, or to critical care? What happens prior to patient arrival? 1-3 - 1. Activate trauma team 2. Prepare trauma room 3. Don PPE What happens following patient arrival but before a decision to intubate has been made? 4-8 may change based on C-ABC - 4. Assess for obvious uncontrolled external hemorrhage or unresponsiveness/apnea and the need to reprioritize to C-ABC 5**. Assess level of consciousness using AVPU 6. Open the airway 7**. Assess the patency and protection of the airway 8**. Assess breathing effectiveness Continue the TNP assuming the patient was intubated. 9-11 - 9**. If intubated, assess endotracheal tube placement 10. If intubated, assess ETT position and securement 11. If intubated, state the need to begin mechanical ventilation or continue assisted ventilation Continue the TNP following assessments of ETT. 12-15 **12, 13, and 15 are double-starred - 12**. Assess circulation 13**. Assess neurologic status using GCS