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Rural Trauma Team Development Course © (RTTDC) A Brief Overview.

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Presentation on theme: "Rural Trauma Team Development Course © (RTTDC) A Brief Overview."— Presentation transcript:

1 Rural Trauma Team Development Course © (RTTDC) A Brief Overview

2 The Purpose of RTTDC To train rural hospital and clinic personnel in a team approach to the initial assessment and resuscitation of the injured patient To rapidly initiate transfer to definitive care when appropriate

3 RTTDC Objectives To improve care of the rural trauma patient by: –Establishing a trauma team using the personnel and resources available at a facility –Developing a team approach to trauma resuscitation, stabilization and prompt transfer –Identifying key factors in organizing and preparing the resuscitation area and equipment

4 Who teaches RTTDCs? RTTDCs are taught by personnel from an areas level I, II or III trauma center –Builds the working relationship between a trauma center and its referring facilities –Allows personnel at the area trauma center to see first-hand the resources available at the referring facility

5 Who is the RTTDC audience? Physicians Nurse Practitioners Physician Assistants Nurses Pre-hospital providers ED, radiology, respiratory and laboratory technologists Administrative personnel Anyone who is available and able to play a role on a facilitys trauma team, including….

6 Rural Trauma Team Composition Teams have a core of at least three members –Suggested roles depend on available personnel Team leader (Physician, NP or PA) Team member #1 (Nurse) Team member #2 (Nurse, technician, prehospital provider, other) Teams may have more than three members –Extended team members are personnel available to support the core team

7 Course Site Requirements Room large enough to seat audience for lectures Additional room(s) for Team Performance Scenarios –Ideally held in rural facilitys ED AV equipment (LCD, screen, speakers) –Microphone for instructors Laptop computer –Important to make a trial of the course slides on the actual laptop that will be used at the course

8 Equipment requirements Minimal equipment needed –Intubation heads, adult and pediatric –Endotracheal tubes and laryngoscopes –Broselow ® tape –Chest tube and needle for chest decompression Scenarios can use manikins, or patient models if available

9 RTTDC Format 8 ½ hour course –Can be taught in modules also Interactive lectures and patient scenarios –Teams sit and work together throughout course Course worksheets –Completed by teams during course –Help to identify and note individual team member responsibilities

10 RTTDC Format: Lectures ABCDE of trauma –Airway –Breathing –Circulation –Disability –Exposure and environment Transfer to definitive care Pediatric trauma

11 RTTDC Format: Lectures Special considerations in trauma –Pregnancy –Burns –Geriatric PIPS (performance improvement and patient safety) Communications –General overview of subject in video lecture –Role-playing scenarios on video

12 RTTDC Format: Scenarios Team Performance Scenarios –Teams rotate through three patient scenarios With prior approval, may substitute real cases for course scenarios –Staged as closely to teams ED as possible Information on facility resources gathered pre- course –Helps identify areas to change Critiquing by instructors Self-critiquing by teams

13 RTTDC Policies ACS provides 8.25 CMEs for physicians –Non-physicians can claim credits from other organizations Can have up to 30 participants Course can be held for teams from multiple facilities Courses must be approved by Chair of RTTDC committee and ACS staff

14 RTTDC Costs RTTDC 3 rd edition text –$50.00 each, plus shipping Other possible costs –Travel for course faculty –Venue rental –AV equipment rental –Lunch and breaks –Miscellaneous small expenses (phone, copying, postage, etc.)

15 How To Request An RTTDC Rural facility identifies a facilitator to work with course coordinator –Facilitator makes on-site arrangements and helps organize participants into teams Facilitator contacts course coordinator at area trauma center Course coordinator sends pre-course questionnaire to gather information about facility resources and needs

16 Does RTTDC Make a Difference? An ongoing study in West Virginia has found that RTTDC significantly reduces delays in the transfer process of rural trauma patients.

17 Summary Teaches rural trauma teams to quickly assess patients for injuries requiring prompt transfer Using faculty from the area trauma center builds working relationships Tailored to a facilitys resources and needs Shown to improve time to decide to transfer Designed to be simple and economical to present

18 For Further Information The RTTDC program is administered by the American College of Surgeons Trauma Programs office. For more information or for other assistance with RTTDC, please call (312) or to

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