Alaska Trauma Registry Training Procedures Section

1. Alaska Trauma
Registry Training
TRAUMA PROGRAM
RURAL AND COMMUNITY HEALTH SYSTEMS
STATE OF ALASKA, DIVISION OF PUBLIC HEALTH

2. Procedures

3. Two tabs under
Procedures:
Procedures
Notes

4. Let’s look at the registry

5. Procedures: Procedures
• Procedures
• Operative and essential procedures conducted in ED & during hospital stay
• Essential procedures are those that were essential to the diagnosis, stabilization,
or treatment of the patient’s specific injuries or complications.
• Procedures required by ATR are at minimum the life and limb saving
procedures with the following exceptions:
• Include diagnostic imaging studies (cat scans, MRIs, arteriograms)
• Plain radiographs not required
• Except 3-view c-spine and skeletal survey (child abuse)
• Facility may want

6. Procedures: Procedures
• Procedures
• The first unit of each type of blood products administered in the first 24hrs
need to be listed as procedures (NTDB requirement)
• Capture all procedures performed in the operating room.
• Procedures performed multiple times during one episode of hospitalization
• Capture only the first event
• Reveals a new diagnosis
• NTDB required procedures list included in Alaska Data Dictionary

7. Procedures: Procedures
• Location
• Where procedure was completed
• ED
• OR
• ICU
• Med/Surg Floor
• Stepdown Unit
• Radiology
• Special Procedure Unit

8. Procedures: Procedures
• Procedure Number
• Refers to operating room visits only – first OR visit (procedure #1), second
OR visit (procedure #2), third OR visit (procedure #3)
• Open when Operating Room location is selected

9. Procedures: Procedures
• Diagnostic Test Results
• Refers to diagnostic tests that have a positive or negative finding
• Expect to see an injury diagnosis related to each positive diagnostic test

10. Procedures: Procedures
• Service
• Specialty of the physician who ordered for the test (e.g. CT) or procedure
(e.g. IV)
• Specialty of the physician performed the procedure or surgical operation

11. Procedure: Blood Tracking
• Massive Transfusion Protocol Used
• Activated by a clinician for patient experiencing massive bleeding or
perceived massive bleeding
• No blood has to be given to answer this as yes
• Answer No:
• MTP not activate OR
• Your facility doesn’t have a written MTP protocol

12. Procedure: Blood Tracking
• Blood Products
• Total of blood products during entire hospital stay
• Packed red blood cells
• Plasma
• Platelets
• Other Blood Substitutes
• Cryo

13. Procedure: Blood Tracking
• Units
• Volume of blood products transfused
• Units
• CCs [mLs]

14. Procedure: Blood Tracking
• Location
• ED
• OR
• ICU
• Med/Surg Floor
• Stepdown Unit
• Radiology
• Nuclear Medicine
• Burn Unit
• Physical Medical Rehab
• Minor Surgery Unit
• Special Procedure Unit
• Prehospital (NFS)
• Scene/Enroute From Scene
• Referring Facility
• Enroute from Referring Facility

15. Procedure: Blood Tracking
• Two (2) options for answering this question;
• Enter total number of units per location
• Recommended
• Enter each transfusion
• Include all transfusion during acute care phase of care

16. Thank you