2. Core committee
Dean as Chairman
One Prof / Associate Prof from Medicine,Paediatrics, Surgery,Orthopaedics
and Anaesthesia as member
One of the member will be called as HTNO
Nursing superintendent Grade II
Core committee hold monthly meeting to review the performance and death
audit and communicate the minutes to TAEI office. It guide the working
committee
3. Working committee
One senior level assistant professor from Medicine, Surgery,
Orthopaedics, Paediatrics and Anaesthesia
Senior most EMO
Senior staff nurse also called Duty Trauma Nurse Coordinator
(DTNC)
Bio medical engineer
HTNO will be assisted in day to day functioning of ED by this
committee
4. Roles and Responsibilities of Hospital Trauma Nodal officer
HTNO/deputy superintendent for TAEI
• He will be the link between hospital and the trauma network
• He will be updating other members of trauma team in the hospital regarding academics
and induce them to update themselves. Will assist training needs and coordinate
training activities
• He will monitor and maintain rotation of shifts for Doctors, Staff nurses and other staffs
involved in emergency work for smooth functioning
• To conduct every day trauma meeting at fixed time and review the cases in order to
analyse to improve performance and patient safety
5. Roles and Responsibilities of Hospital Trauma Nodal officer
HTNO/deputy superintendent for TAEI
• To monitor the strict adherence of protocols and SOP
• To monitor the working of equipment in Emergency department, to Keep record of
preventive maintenance with the BME
• Till exclusively functioning ED is established, HTNO/Deputy Superintendent (TAEI)
shall be in charge HOD for the newly established Emergency Department (as per ref 5
cited above)
6. Roles and responsibilities of Emergency
Medical Officers1(EMO-1):
The EMO-1 who is on duty in triage area is expected to
• To do primary survey of the patients, initiate early resuscitation measures if needed and
accountably handover the cases with triage flags yellow & red during admission, to the EMO -2 in
Emergency ward.
• Supervise the triage activities, registration and documentation (MLC & entry)
• Provide appropriate treatment to the green patients.
• Supervise the cleanliness and sanitation of ED and associated areas
• Coordinate smooth and quick reception & transfer of patients from ambulance bay.
• Attend to the medico-legal formalities of all brought dead patients &
• dead on arrival cases.
• Attend appropriate trauma life support and emergency management trainings to hone his/her
clinical skills
7. Duty of EMO 2
• Perform the primary survey.
• Should Act as the trauma team leader, do emergency resuscitation, Initiate &
coordinate with other team members (other specialists) for providing appropriate
treatment.
• Document treatment records in case sheets / registry / HMIS.
• Transfer the case after stabilization to concerned departments with due consultation
with duty specialists within 6 hours.
• Arrange for all emergency Point Of Care (POC) investigations & perform Extended
Focused Assessment with Sonography in Trauma (eFAST) examination.
8. Duty of EMO 2
• Attend appropriate trauma life support and emergency management trainings to hone
his/her clinical skills
• Perform all essential minor surgical procedures, Endotracheal (ET) intubation &
mechanical ventilation
• Supervise the periodic maintenance of all biomedical equipment in Emergency Room
(ER) & ICU in TAEI - ED
• Verify the stock position of consumables, emergency drug requirements & make
indents suitably, in the morning shift
9. Roles and Responsibilities of Duty Trauma Nurse Coordinator
(DTNC)
• Will be the contact person for all trauma related activities
• During duty, will be in charge of possession of hospital TAEl moblle
• To ensure mobile phone ls charged and reachable at all time
• To liaise other hospitals and ambulances for transfer of referral and reception
• can initiate all variant of code blue
• will furnish everyday TAEI app report
• will alert trauma team during emergencies and mass casualties
• should collect PCR form from 108 emergency medical technician and file it along with
triage form in the in patient hospital case sheet
10. INTERFACILITY TRANSFER
Assessment of the patient, Stabilization & Transfer:
• Immediate intervention / stabilization of the patient to be done at the facility before transfer of
patients.
• In case of highly critical patients, Medical officer will decide whether a staff nurse should
accompany the patient during transfer, to provide en-route medical care till the patient is admitted in
the referral centre.
• Referring Medical Officer should provide adequate clinical information about the patient so that in
case of any en-route complication, ERCP will be in a position to advise the EMT.
• Assessment of Criticality of the cases to be done by the Medical officer of the referring Hospital as
Emergency and Semi or Non-Emergency transfers.
• Semi or Non-Emergencies may be planned at non peak hours (11AM to 5PM or after 10 PM).
• Note: Peak Hours: 9AM - 11AM & 5PM – 9PM
11. INTERFACILITY TRANSFER
• Medical Officer seeking IFT should fill in the IFT Form with all relevant clinical
details
• Medical Officer requesting for IFT should have proper justification
• Review/ Audit: The head of the institutions should review fortnightly all the
IFT
12. Trauma registry
Two trauma registry nursing
assistants covering 24X7
Previously on desktop with printer,
two tabs and one laptop was
provided.
Under TANII program, 12 all in one
desktop was provided and
installation going on.
IT infrastructure for trauma registry
TNA should confirm the 100% entry
in trauma registry.
15. PRE ARRIVAL INTIMATION
Given from referring hospital /108 personal
Will notify through Trauma registry app
PAI register – to be maintain
by DTNC
16. Triage
Triage by EMO 1as red , yellow and green
zone.
Red and yellow emergency ward
Green zone OP/ ward admission
17. Checklist after TRIAGE
Triage nurse should enter the
patient details in trauma registry
EMO1 should confirm the data
entered are correct with in 30
min through separate portal
18. Primary survey and resuscitation
Done by EMO 2
Time, date and doctor name should be
entered
EMO2 should enter data in trauma
registry portal
Investigations, Radiology and
specialist opinion should be entered
19. Secondary survey
Detailed clinical history with relevant examinations
Specialist opinions along with lab results and radiology
Once patient is stable, can be shifted to wards, OT for any procedure,
ICU or Referral out.
EMO 2 to decide along with concerned specialist
