Perioperative Deployment Readiness Guide

Perioperative Deployment Readiness Guide

Bibliography

Name: Julia Catanese

Rank: CPT

Presenter/Poster: Presentation and Poster

Year: 2019

Abstract

Background

Military medical trauma training is critical to maintain mission readiness of the force and supporting units, especially involving the perioperative setting. The current military training lacks standardization to train and equip all perioperative team members that receive trauma patients off the battlefield. Moreover, further variability occurs between active duty military, National Guard, and the Reserve components.

Currently there is a knowledge gap related to military surgical trauma directly geared towards circulating nurses and surgical technicians task requirements. Current military Clinical Practice Guidelines focus on the role of the surgeon and lack of information for the support roles. These guidelines provide information for the most common trauma cases that may occur in a war zone.

Literature supports that a standardized guideline should be provided in an electronic format that can be viewed without internet access. A team of subject matter experts were recruited to develop guidelines for nurses and technicians. The Universal Polytrauma and Craniotomy Guideline were developed first in order to demonstrate proof of concept and garner buy in from potential authors. Then the remaining ten guidelines were developed by individual primary authors, then edited by fellow team members, based on literature support and real life military trauma experience.

Purpose

To develop a standardized perioperative guideline for twelve common trauma procedures, ensuring perioperative staff members receive the same information across all components through the Joint Trauma System.

Methods

This guideline is the first military Clinical Practice Guideline focused on the role of the perioperative nurse and surgical technician. The guidelines will be given to the military medicine consultants, published with the “Deployed Medicine” software application, and published by the Borden Institute.

Results

Accessibility of the guidelines to the clinical staff is paramount for success on the battlefield.  A downloadable format that is accessible without internet access on hand held devices will be available as an easily portable reference.

Conclusions

This guideline increases foundational trauma care knowledge and standardized practice for both nurses and surgical technicians, with a special focus on military trauma.

4 keywords: Trauma Surgery, Military Readiness, Operating Room