PCU Trauma Step-Down RN
Englewood, CO
Magnet Medical
3x12 hrs, Days

A Registered Nurse (RN) – Trauma provides direct nursing care to patients experiencing traumatic injuries, often in an emergency or intensive care setting. This role involves quickly assessing, stabilizing, and providing high-quality care for patients with life-threatening or severe injuries, including trauma from accidents, falls, violence, or natural disasters. The Trauma RN works as part of a multidisciplinary team to manage complex cases, ensure patient safety, and provide emotional support to patients and their families.

Key Responsibilities:

1. Patient Assessment and Care:

   • Perform rapid and thorough assessments of patients upon arrival in the trauma unit, including vital signs, neurological status, and physical injuries.
   • Prioritize care based on the severity of trauma and patient’s condition (e.g., following the Advanced Trauma Life Support (ATLS) protocols).
   • Identify life-threatening injuries such as head trauma, spinal cord injury, internal bleeding, fractures, or burns and take immediate action to stabilize the patient.
   • Monitor patients’ condition continuously, noting changes and documenting any new symptoms or complications.
   • Administer medications, IV fluids, blood products, and other treatments as ordered by physicians, ensuring appropriate drug administration in trauma situations.

2. Trauma Management and Interventions:

   • Provide critical care interventions to stabilize patients, such as airway management, chest tube insertion, wound care, and monitoring of organ function.
   • Assist in trauma surgeries and other procedures, as necessary, including helping with positioning, instrumentation, and post-procedure care.
   • Assist in pain management and sedation, ensuring patient comfort while adhering to protocols for trauma care.

3. Collaboration with Trauma Team:

   • Work as part of a trauma team, collaborating with trauma surgeons, anesthesiologists, radiologists, emergency department physicians, and other specialists to develop a comprehensive care plan.
   • Communicate effectively with other team members regarding patient status, treatment plans, and any changes in the patient's condition.
   • Provide input in trauma resuscitation efforts and support decision-making regarding patient care, including surgery, imaging, and critical care.

4. Post-Trauma Care:

   • Monitor post-trauma recovery in the intensive care unit (ICU), trauma unit, or step-down unit, ensuring that patients are responding to treatments.
   • Educate patients and families about the recovery process, including rehabilitation, pain management, and lifestyle changes.
   • Provide psychological support to trauma patients and their families, addressing emotional distress related to traumatic injury and long-term recovery.
   • Monitor for complications that may arise post-trauma, such as infections, bleeding, or organ dysfunction, and intervene as necessary.

5. Documentation and Reporting:

   • Document all assessments, interventions, and patient responses in the electronic health record (EHR) accurately and in a timely manner.
   • Maintain comprehensive records of patient care, including any complications, medication administration, surgeries, and follow-up actions.
   • Report adverse events or unexpected outcomes to the appropriate healthcare providers, ensuring proper follow-up care.

6. Infection Control and Safety:

   • Follow strict infection control guidelines to prevent hospital-acquired infections, especially in trauma patients who may have open wounds, invasive devices, or compromised immune systems.
   • Ensure the safe use and management of medical equipment, including ventilators, IV pumps, and monitoring devices.
   • Follow safety protocols to prevent injury during patient transfers, mobilizations, and other clinical activities.

7. Patient and Family Education:

   • Provide clear, compassionate explanations to patients and their families about the nature of injuries, treatment plans, and expected outcomes.
   • Teach patients and families how to manage long-term care after discharge, including rehabilitation, wound care, and recognizing complications.
   • Support families emotionally by offering information and resources related to coping with trauma and the recovery process.

8. Quality Improvement and Professional Development:

   • Participate in hospital trauma team meetings, quality improvement initiatives, and case reviews to ensure best practices in trauma care are followed.
   • Engage in continuous education and trauma care training, including maintaining certifications like Advanced Trauma Life Support (ATLS) or Trauma Nursing Core Course (TNCC).
   • Stay up-to-date with the latest advancements in trauma care, including new treatments, equipment, and protocols.