Trauma Nursing Process - TNP - TNCC
9th Ed
**A stands for ___ and ___. - ANSWER✅✅✅alertness, airway
**B stands for ___ and ___. - ANSWER✅✅✅breathing, ventilation
**C stands for ___. - ANSWER✅✅✅circulation
**D stands for ___. - ANSWER✅✅✅disability
**E stands for ___. - ANSWER✅✅✅exposure
After all of the assessments, interventions, reassessments, etc. are done, what is the last thing to ask? -
ANSWER✅✅✅"Is there anything you would like to add at this time?"
After how many breaths do you assess for the evidence of exhaled CO2? - ANSWER✅✅✅After 5 to 6
breaths.
After identifying potential interventions/diagnostics and completing your assessments and
interventions, you should ask yourself what? - ANSWER✅✅✅"What findings will you continue to
reevaluate while the patient is in your care?"
"Just keep re-evaluating"
After the head-to-toe, the learner should summarize injuries identified throughout the scenario and ask
themselves: - ANSWER✅✅✅"What interventions or diagnostics can you anticipate for this patient?"
Continue the TNP assuming the patient was intubated. 9-11 - ANSWER✅✅✅9**. If intubated, assess
endotracheal tube placement
Trauma Nursing Process - TNP - TNCC
9th Ed
, Trauma Nursing Process - TNP - TNCC
9th Ed
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 circulation, neuro status, and removal of clothing to inspect
for injury. 16-18 - 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 following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANSWER✅✅✅12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP using the LMNOP mnemonic. 19-23 - 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 - ANSWER✅✅✅24. Non-
pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Double-starred criteria include letters ___-___. - ANSWER✅✅✅A-E
Trauma Nursing Process - TNP - TNCC
9th Ed
9th Ed
**A stands for ___ and ___. - ANSWER✅✅✅alertness, airway
**B stands for ___ and ___. - ANSWER✅✅✅breathing, ventilation
**C stands for ___. - ANSWER✅✅✅circulation
**D stands for ___. - ANSWER✅✅✅disability
**E stands for ___. - ANSWER✅✅✅exposure
After all of the assessments, interventions, reassessments, etc. are done, what is the last thing to ask? -
ANSWER✅✅✅"Is there anything you would like to add at this time?"
After how many breaths do you assess for the evidence of exhaled CO2? - ANSWER✅✅✅After 5 to 6
breaths.
After identifying potential interventions/diagnostics and completing your assessments and
interventions, you should ask yourself what? - ANSWER✅✅✅"What findings will you continue to
reevaluate while the patient is in your care?"
"Just keep re-evaluating"
After the head-to-toe, the learner should summarize injuries identified throughout the scenario and ask
themselves: - ANSWER✅✅✅"What interventions or diagnostics can you anticipate for this patient?"
Continue the TNP assuming the patient was intubated. 9-11 - ANSWER✅✅✅9**. If intubated, assess
endotracheal tube placement
Trauma Nursing Process - TNP - TNCC
9th Ed
, Trauma Nursing Process - TNP - TNCC
9th Ed
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 circulation, neuro status, and removal of clothing to inspect
for injury. 16-18 - 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 following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANSWER✅✅✅12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP using the LMNOP mnemonic. 19-23 - 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 - ANSWER✅✅✅24. Non-
pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Double-starred criteria include letters ___-___. - ANSWER✅✅✅A-E
Trauma Nursing Process - TNP - TNCC
9th Ed
