Contact Hours : 1.5
Delta Alert: Expanding Gerotrauma Criteria to Improve Patient Outcomes: A 2-year Study is organized by Wolters Kluwer.
Published: May 01, 2018
Expires: Jun 05, 2020
• ANCC 1.5 CH
• DC - BON 1.5 CH
• FL - BON 1.5 CH
• GA - BON 1.5 CH
Purpose of Activity:
To provide information about the differences in patient care outcomes for geriatric trauma patients (GTPs) pre- and postinstitution of an expanded GTP protocol.
Background/Significance: Because of their decreased physical reserve and increased risk of complications, the geriatric trauma patient (GTP) population warrants heightened awareness by clinical staff.
Purpose: The purpose of this study is to determine whether the institution of a third-tier trauma protocol results in a change in GTP outcomes, complications, and mortality rates.
Methods: Researchers conducted a retrospective review of 2 years of data from the trauma registry, hospital quality improvement audits, and patient charts to examine what, if any, patient outcomes were impacted by the institution of the expanded GTP protocol.
Results: Sample homogeneity was determined. Emergency department (ED) length of stay and time to the operating room decreased in the protocol cohort. The rate of complications decreased from 16.4% preprotocol to 1.6% postprotocol. Discharge to home rates in the GTP population improved from 31% preprotocol to nearly 77% postimplementation of the protocol.
Discussion: The expanded GTP protocol front loads evaluation and resuscitation to be consistent with ED trauma protocols already in place. By fast-tracking radiology and laboratory testing, patients injuries are identified and the appropriate consultations are initiated. Appropriate inpatient nursing unit placement is identified or treatment and discharge from the ED are expedited.
Conclusion: The expanded GTP protocol provided early and comprehensive evaluation and interventions for GTPs who fall outside of traditional trauma alert criteria. Patients spend less time in the ED and the hospital. Patients had decreased length of stay in the ED, less complications, and return to home rates showed significant improvement after the protocol was implemented.
After completing this continuing education activity you will be able to:
• Recall issues related to trauma in geriatric patients.
• Identify components of the Delta Alert protocol and results from the use of that protocol.
• Compare the differences in study results between the pre-Delta and post-Delta cohorts.
Topics: Guideline , Older Adults , Trauma , Trauma-Informed Care.
Trauma, Gerontology Nursing
|Registration Type||Due Date||Price|
|Course Fee||05 Jun,2020||USD 17.95|
CME 1.25 +4
Browse by Specialty (Online CME/CE Only) View All
- Clinical Pharmacology
- Emergency Medicine
- Endocrinology, Metabolism and Diabetes
- Healthcare Management
- Immunology and Microbiology
- Infectious Disease
- Medical Education
- Obstetrics and Gynecology
- Pain Management
- Pharmacy and Medicine
- Primary Care
- Pulmonary Medicine