POPULATION OF INTEREST

Patients with traumatic injuries requiring on-going nursing casualty care, following initial Role 1 TCCC management, due to delayed, denied or prolonged casualty evacuation.

INTENT (EXPECTED OUTCOMES)

- All patients in the population of interest have an initial patient assessment documented using the recommended DD 1380, SF 600 or PCC Flowsheet.
- All patients in the population of interest have serial vital signs documented using the recommended DD 1380, SF 600 or PCC Flowsheet. At a minimum, vital signs will include heart rate/pulse, respiratory rate, and pain level.
- All patients in the population of interest have appropriate nursing interventions identified on the PCC Nursing Care Tracker to track ongoing and future nursing care.
- Patients requiring wound care management have dressings inspected every 24 hours (minimum) and changed or reinforced/secured if needed.
- Patients with splints will have serial reassessment for pain (minimum) beyond the fracture it is stabilizing at least every 6 hours.

PERFORMANCE/ADHERENCE METRICS

- Patients in the population of interest who have an initial assessment documented on a DD 1380, SF 600 or PCC Flowsheet.
- Patients in the population of interest who have serial vital signs documented on a DD 1380, SF 600 or PCC Flowsheet.
- Patients in the population of interest who have nursing interventions documented on the PCC Nursing Care Tracker.
- Patients requiring wound care management who have wound/dressing checks documented on the PCC Nursing Care Tracker every 24 hours (minimum).
- Patients with splints who have a splint assessment documented on the PCC Nursing Care Tracker every 6 hours (minimum).

DATA SOURCE

- Patient Record
- Department of Defense Trauma Registry (DoDTR)
- PCC Flowsheet
- PCC Nursing Care Tracker

SYSTEM REPORTING & FREQUENCY

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the Joint Trauma System (JTS) Chief and the JTS PI team.

RESPONSIBILITIES

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance, and PI monitoring at the local level with this CPG.