1, 2 As early as the 1800s, there is documentation of the role of trauma nursing in the United States. In an early publication on the role of trauma nursing, Beachley notes that military nurses established the first principles for nursing management of devastating traumatic injuries: triage, rapid evacuation, surgical intervention, stabilization, and early rehabilitation. Nightingale who is noted to have started the profession of nursing, and continuing up to current day conflicts, military nurses have provided frontline injury care. The foundation of trauma nursing is intricately linked to wartime experiences. The content for this chapter comes from a combination of sources including personal interviews with pioneers in the field of trauma nursing and the published literature. Given the emphasis on “contemporary,” this chapter focuses primarily on the modern development of trauma nursing as a specialty spanning the last 50 years primarily. A central focus of this textbook is the examination of contemporary principles and therapy in trauma. The services include bedside clinicians, educators, prevention specialists, researchers, administrators, clinical nurse specialists (CNSs), and nurse practitioners.” 1 As this definition illustrates, the term trauma nurse is expansive and encompasses clinical staff nurses caring for injured patients across the continuum of care as well as a variety of specialty roles such as trauma nurse coordinator/manager (TNC/TPM), trauma performance improvement (PI) coordinator, trauma nurse practitioners, and others. These include the prehospital settings, emergency departments (EDs), the perioperative arena, intensive care units, surgical floors, and rehabilitation and outpatient services. Trauma nurses practice in all care delivery settings where injured patients are treated. They have additional knowledge and expertise in the complex care required for the traumatically injured patient.
#Miemss trauma center levels professional#
The STN has developed the following definition of the trauma nurse: “Trauma nurses are licensed professional nurses who work to ensure that all injured patients and their families are provided complete physical and emotional care. This chapter examines the modern evolution of the trauma nursing specialty. The role of nurses was expanded to include close monitoring of physiologic parameters in addition to managing the traditional psychosocial aspects of care. A pivotal point in the development of trauma nursing was a shift of emphasis within the nursing practice model. This spirit of team was an important feature of the early movement in trauma care and remains a key to trauma center/trauma system success. Many who contributed to this chapter speak about how they realized that the work in early trauma system development was groundbreaking and that studying shock and patients’ response to various treatments would lead to critical advances in trauma care. These key partnerships provided the foundation for the current leadership pattern in contemporary trauma centers. History reflects that these modern pioneers in trauma nursing partnered with visionary physician colleagues. The history of the evolution of this specialty was built by a long list of nurses with great character, spirit, vision, and incredible determination and purpose. The profession of trauma nursing has developed and expanded greatly in the last 50 years.
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