THE UNDISCOVERED COUNTRY Steve Adkisson RN AEMT-P Upstate Medical University

My Journey……. I was happy I love (still do) Trauma patients Everything was fine Then something horrible happened

Then a strange women appeared Soooo….have you ever thought of being a Trauma Outreach Coordinator The serpent had indeed come to Eden

WHAT IS TRAUMA OUTREACH

Green Book definition Looked Online Looked at my community Off to research!!!

GREEN BOOK CD17-1 Level I and II centers, however, must engage in public and professional education CD 17-3 All Trauma centers must be involved in prevention activities CD17-6 In Level I, II and III trauma centers, the hospital must provide a mechanism to offer trauma related education to nurses involved in Trauma care

Cd-18-1 All trauma centers, regardless of resources must participate in injury prevention

Intramural Education and development Extramural Community Injury Prevention Pre-Hospital Systems

Professional Development Education In House education Anyone who transfers patients to you And other things

Intramural Promoting your service line in the Hospital (we are not the ED) What we are a trauma Center???!!!! Trauma is a surgical issue Nursing Trauma Education Real-time after action Debriefing Trauma Resuscitation course Auditing ATLS Be Readily available to the Hospital staff

Extramural Community Injury Prevention “Injury prevention is one of the principle areas we can affect Trauma outcomes” The science of Trauma treatment has hit a plateau Injury Prevention is specific to the needs of the community Data and QI (PIPS) Drive injury prevention

LNMBA Lets Not met by accident Reality based injury awareness program Includes area high schools and colleges Held in house and out of house 60 classes a year PRIMARY INJURY PREVENTION

Helmet Safety Program Provides at cost bicycle and ski helmets State fair 4th year running In 4 hours we fitted 750 children with helmets Educated some 3000 on the need for brain safety Joint Venture with Neurosurgery SECONDARY INJURY PREVENTION

Professional Development Education ATLS Advance Trauma Life Support Courses a year RTTDC 2-3 a year Helicopter Training 2 a year Trauma Resuscitation Class Monthly ATOM Course 2-3 a year Per fused cadaver Course

Syracuse Services 14 counties 28 hospitals Farthest Northern Point 178 miles

Outreach to your system Regional center that cover 28 Hospitals 5 REMACS Meet annually with all Hospitals that send you patients Review data RTAC Regional Trauma Advisory Committee

EMS Pre-Hospital “You are not building a Trauma Program you are building a Trauma System” Jeffrey P. Salomone, MD, FACS, NREMT-P Establish a rapport and working relationship with EMS agencies Be involved in policy development and committee activity’s Meet with REMACS and SEMAC Involve them in your QI process

Look for Opportunities Ft Drum Initiative Training with and training Ft Drum medics Blackhawk Training program Medic cadaver lab Medics in the ED

The Outreach /Injury person is Your PR Marketing Eyes and Ears Troubleshooter Connection point to the Trauma system as a whole Resource for everyone Beware line 26……………………