This document outlines the trauma team policy for a hospital's Patient Safety Department. It establishes the first trauma team policy with an implementation date of January 1, 2016. The purpose is to decrease mortality and morbidity from acute trauma cases through timely coordinated action of various clinical and non-clinical teams. The policy defines the criteria for activating the trauma team, which includes severe trauma cases received through emergency services or referred from other hospitals. It also establishes the roles and responsibilities of the core clinical team, supporting clinical staff, and non-clinical coordinators who will respond to trauma activations.

1. TRAUMA TEAM POLICY
Patient Safety Department

2. Introduction
 First trauma team policy
 Orientation about the policies and
procedures
 Implementation date – January 1, 2016

3. Purpose
 To decrease/prevent mortality and morbidity in
acute trauma cases through timely and
coordinated team action involving various
departments.
 Trauma Team is a designated group of
healthcare providers with supporting non-clinical
members which can timely assemble and
manage acute trauma with suitable intervention
as well as coordination with other hospitals for
any assistance required to decrease / prevent
morbidity and mortality

4. Scope of Service
 Acute life and limb threatening trauma
case(s) received in the ER through:-
 The Emergency Administration Office (Idara
Tawwari) in the General Directorate of Health,
Buraidah
 Acute trauma cases referred from hospitals and
dispensaries dependent on BGH
 Brought in privately without any official
communication

5. Composition of the Trauma
Team
 Core ClinicalTeam
 Supporting ClinicalTeam
 Non-ClinicalTeam

6. Core Clinical Team
1. Surgeon on call –Team leader
2. Surgical ROD – team leader till the Surgeon on call arrives
3. Orthopedic Surgeon on call
4. ICU Resident on duty
5. Anesthesiologist on call
6. Radiologist on call
7. Airway Nurse
8. Nursing Supervisor
9. ER Charge Nurse
10. ER Nurses– 2 per red card patient, 1 per yellow and green card,
each
11. CT ScanTechnician on duty/on call
12. X-RayTechnician

7. Supporting Clinical Team
1. Blood BankTechnician on duty
2. OR ScrubTeam on duty / on call
3. AnesthesiaTechnician on duty/ on call
4. Paramedic staff on duty

8. Non-Clinical Team
1. Assistant Hospital Director/Administrator on
call
2. Coordination Office duty staff
3. Security Shift-in-Charge
4. SocialWorker

9. Criteria for Calling the
Team
1. Upon official communication IdaraTawwari
2. Acute trauma cases referred from hospitals
and dispensaries dependent on BGH
3. Patients brought in privately without official
communication. The Surgical ROD will assess
the need for theTraumaTeam.
4. Severity of trauma and NOT the number of
cases will dictate the decision to call the
TraumaTeam

10. IdaraTawwari
(Wireless)
ER ReceptionClerk
1. Number of cases/triage
2. Expected time of arrival
3. Nature and extent of incident
Immediately Inform
1. ER Doctor
2. ER Charge Nurse
3. Assistant Hospital Director (During working
hours) and Administrator on Call

11. Arrival ofTrauma Cases
by PrivateVehicle
Surgical ROD
1.Will assess the need for calling
TraumaTeam
2. If needed - He will inform the ER
Doctor to call theTraumaTeam

12. ER Doctor
1. Call 100 for
TraumaTeam
2. Inform Admin
on call
3. ER Charge Nurse

13. Central Exchange
 Announce on the Public Address System
 “TraumaTeam ER”
 “TraumaTeam ER”
 “TraumaTeam ER”
 Page theTraumaTeam Members as Group

14. Trauma Team Leader
 Until the Surgeon on call arrives, the Surgical
ROD will be the team leader
 Leader will decide upon the best possible
clinical management of the patients including
transfer to other centers
 He can also call any other specialists on call

15. Nursing Supervisor
 Overall coordination
 Will call any other staff upon the orders of the
team leader
 Coordinate for additional supplies and
personnel in the ER and wards
 Will record activities

16. ER Charge Nurse
 Allocating the ER Nurses
 Supervision of the nurses engaged in the team
 Coordination with the nursing supervisor
 Appointment of ER assistant nurse until the
trauma team is called off
 Filling up appropriate forms

17. Administrator
 Supervising the non-clinical team members
 Coordination with
 IdaraTawwari and other hospitals
 Police, civil defense, Red Crescent
 Informing the Hospital Director, if needed

18. Other Team Members
 Doctors will report to the Leader in the ER
 Other staff will report to the Nursing
Supervisor
 CT and X-ray technicians will prepare their
machines
 Airway nurse will bring the airway kit along
 Supporting clinical team will stay on stand by
until called for their roles

19. Associated Considerations
 Only ER Doctor can call theTraumaTeam
either:-
 On receiving a message from IdaraTawwari, or
 Advice from the Surgical ROD
 The ER Doctor will be responsible for the
regular functioning of the ER
 The team leader will conduct a debrief after
every call
 All the details are mentioned in the policy

24. Implementation
 From 1st January, 2016
 Please familiarise yourself before that
 The copies have been widely disseminated

25. THANK YOU