Tertiary trauma survey:Nursesperformance and poly- trauma pationsOutcome.Journal of health care

Abstract

Tertiary Trauma Survey is an important tool for detection of missed injury and some trauma units have created their own protocol for tertiary trauma surveys to decrease the incidence of missed injuries in trauma patients. Aim of the study: This study aims to assess nurses' performance regarding tertiary Survey and Poly-trauma patients outcome. Research Design: Descriptive exploratory design was utilized. Subjects: A convenience sample of all available nurses (50 nurses) who are working in intensive care unit at emergency hospital affiliated to Ain Shams university Hospitals. The study included nurses from both genders. A purposeful sample composed of (50) adult patients from both sex diagnosed as poly-trauma patients was recruited from the same unit. Methods: Data were obtained through three main tools; Self-administered questionnaire for nurses, Nurses practice observational checklist tool and clinical outcome tool for patients. Results: Nurses under study had un satisfactory level of knowledge and practice regarding tertiary trauma survey(44%, 32%) respectively .There were a highly statistically significance positive correlation between total level of knowledge and practice. There was difference between injury severity score and laboratory investigations and hemodynamic status, physical assessment and radiological findings of poly trauma patients on admission and after 24 hours. Conclusion: Less than half and less than one-third of the nurses under study had an unsatisfactory level of knowledge and practice respectively, regarding tertiary trauma survey and There were highly statistically significance positive correlation between total level of knowledge and total level practice. Poly-trauma patients' outcome, there was difference between injury severity score and laboratory investigations and hemodynamic status, physical assessment and radiological findings f poly trauma patients on admission and after 24 hours Recommendations: In research: Further research is needed to follow the patients' outcome and missed injury. Replication of the current study on larger probability sample is recommended to achieve generalization of the result.