Trauma Nursing Process - TNP - TNCC
9th Ed
What should you ask yourself after completing all of your interventions and
reassessments? - correct answer Does this patient need to be transferred to
another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
, Trauma Nursing Process - TNP - TNCC
9th Ed
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal
of clothing to inspect for injury. 16-18 - correct answer 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - correct answer 19. L -
trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 - correct
answer 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - correct answer 27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if
indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
32. Auscultate heart sounds
33. Inspect the abdomen for injuries
9th Ed
What should you ask yourself after completing all of your interventions and
reassessments? - correct answer Does this patient need to be transferred to
another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
, Trauma Nursing Process - TNP - TNCC
9th Ed
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal
of clothing to inspect for injury. 16-18 - correct answer 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - correct answer 19. L -
trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 - correct
answer 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - correct answer 27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if
indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
32. Auscultate heart sounds
33. Inspect the abdomen for injuries
