The Development of Initial Assessment in Trauma Patients

Abstract

Background: The most important period of traumatic patient care is initial care. About sixty percent of traumatic patient died during this crucial period (golden hour) and one-third of these patient may be survived by proper care management. Therefore, severely traumatic patient is necessary for assessment, investigation and prioritized care in order to provide prompt life-threatening conditions management. However, the initial assessment has not been yet implemented to traumatic intensive care unit of Surin hospital.
Objective: to study outcome of the developed initial traumatic patient assessment form in convenience, capability and satisfaction domains including compare level of those domains between registered nurse with certified adult critical care short course (four months) and those who are not certified.
Method: a research and development study comprised of two phases 1) initial traumatic patient assessment form development and 2) implementation of the assessment form including outcome evaluation. Descriptive statistic was presented as number, percentage, mean and standard deviation for demographic data, convenience, capability and satisfaction domains. T-test and one-way ANOVA were inferential statistics used for variable relationship analysis.
Result: Initial traumatic patient assessment form was evaluated and had level of convenience, capability and satisfaction as 74.31%, 72.05 and 53.33% respectively. Comparison among registered nurse with certified adult critical care short course (four months) found no difference in capability domain but satisfaction domain was significantly different (p = 0.05) between the certified registered nurse which level of satisfaction was higher than those of who are not certified.
Conclusion: Capability and convenience of the developed initial traumatic patient assessment form were at high level whereas the satisfaction level was moderate according to amount of content and time consuming.