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General Rules and Guidelines for the Trauma Bay |
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The following outline some of the general rules involving patient care and practice in the trauma bay.
Trauma Bay Rules of the Road
- Follow the templated approach of ABCDE, interventions, EMS report, secondary surveys
- On all Level 1 trauma responses all individuals inside the blue square at the patient's bedside shall have full PPE (personal protective equipment) on.
- Lead aprons are available in each trauma bay. If you want to wear one you should don it prior to patient arrival, covering it with a PPE apron. You are also responsible for placing it back on the rack after use.
- Do not begin the evaluation until the patient is full even with the ED bed (see incorrect evaluation below)
- The IV pole at the head of the bed and the bed handles should remain in the down position until the patient is ready to depart the bay.
- If you use a sharp; you own it.
- All orders should be repeated and crosschecked
- All orders for blood transfusion should be crosschecked specifically for type and amount. All orders for blood must be specific and mention number of units and type
- Noise and idle talk should be kept to a minimum; especially during critical interventions (intubation, line placement)
Practice within the trauma bay for all team members is covered extensively by a written group of protocols from three organizational entities. Vanderbilt Emergency Medicine, the Vanderbilt Emergency Department and the Vanderbilt Division of Trauma. Below are links of interest; along with a few highlighted, more popular topics.
General Operations
Division of Trauma Protocols
Photography in the Trauma Bay
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