The nurse may call the surgical waiting room and provide the family with updates on the patient\u2019s progress, after checking with the surgeon on what should be communicated.<\/p>\n\n\n\n
Some patients may experience post-traumatic stress disorder and need continued therapy, which may be provided on an outpatient basis. Hospitals may provide access to support groups for patients and families related to the type of injury and its extended effects.<\/p>\n\n\n\n
(Gawronski, 2019)<\/p>\n\n\n\n
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\ud83d\udcac Communication Highlights: Interprofessional Team<\/h5>\n\n\n\n
Teamwork in the OR setting includes professional interactions with the following:<\/p>\n\n\n\n
- Surgeon(s)<\/li>
- Anaesthesiologist<\/li>
- Emergency department<\/li>
- OR nurses<\/li>
- ICU nurses<\/li>
- Transfusion lab<\/li><\/ul>\n\n\n\n
(Ross, 2006)<\/p>\n<\/div>\n\n\n\n
\n![\"\"](\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/img1-1024x1024.jpg\")
<\/figure>\n<\/div>\n<\/div>\n\n\n\n
\n\n\n\n\ud83d\udcac Communication Highlights: Family<\/h5>\n\n\n\n
- When communicating with the family, nurses must involve the surgeon and anesthesiologist.<\/li>
- Nurses must find out what has been discussed with the family or what is appropriate to disclose.<\/li>
- When talking to the family, it is helpful to use <\/a>plain language.<\/li>
- To ensure the family understands the information, nurses should get them to repeat what has been said and encourage them to ask questions.<\/li><\/ul>\n\n\n\n
(Gawronski, 2019)<\/p>\n\n\n\n
\n\n\n\nMass Casualty <\/h5>\n\n\n\n
Trauma cases often involve more than one victim. Especially with collisions, fires, and natural disasters, it\u2019s likely that more than one patient will be admitted with varying levels of injury. Even if patients are brought to a large trauma centre, there may be challenges with:<\/p>\n\n\n\n
- Staffing from any member of the interprofessional team<\/li>
- Availability of blood<\/li>
- Availability of supplies such as X-ray, trauma\/vascular\/emergency surgical equipment<\/li><\/ol>\n\n\n\n
\n\n\n\nCode Orange<\/h5>\n\n\n\n
Each hospital should have a code <\/a>orange protocol. This code is used to respond to an external disaster that has a high likelihood of sending an influx of patients to the facility. The protocol allows areas such as the emergency room, operating room, and intensive care units to ask staff to stay beyond their shifts or to be called in <\/a>to support increased needs.<\/p>\n\n\n\n
Code Orange: Inside The Ottawa Hospital\u2019s response – The Ottawa Hospital<\/strong><\/p>
Review this local story to learn more about how the Ottawa Hospital prepared for and managed a code Orange:<\/p>Read Article<\/a><\/cite><\/blockquote>\n\n\n\n
\n\n\n\nOperating Room Capacity<\/h5>\n\n\n\n
The perioperative environment is reliant on staffing from multiple members of the extraprofessional team to support and run additional rooms. If multiple trauma patients arrive in the emergency department requiring surgery, the surgical team must prioritize based on their ability to run additional rooms.<\/p>\n\n\n\n
During the day, if there are elective cases, the OR charge nurse, surgeons and anesthesia care providers, will place elective cases on hold <\/a>to free up rooms and staff for surgery.<\/p>\n\n\n\n
In the evenings and nights, additional staff may be called in to support trauma cases. Even with additional staffing, there may be a need to prioritize.<\/p>\n\n\n\n
\n\n\n\nPrioritizing Cases<\/h5>\n\n\n\n
The OR charge nurse, anesthesia care provider, and surgeon will work together to prioritize the trauma patients requiring surgery. If staffing permits, patients may be brought to the OR concurrently. However, if this is not <\/a>possible, patients will need to be prioritized using something <\/a>like this Urgent-<\/a><\/a>Emergent Case Classification system. This is also used to classify urgent non trauma patients.<\/p>\n\n\n\n
Urgent-Emergent Case Classification<\/strong><\/p><\/p>\n\n\n
- To ensure the family understands the information, nurses should get them to repeat what has been said and encourage them to ask questions.<\/li><\/ul>\n\n\n\n