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Orthopaedic nursing challenges in poly-traumatised patient management: A critical analysis of an Orthopaedic and

Carlo Biz1, Lisa Buffon2, Roberto Marin3

  • 1Orthopaedic and Traumatology Clinic, Department of Surgery, Oncology and Gastroenterology (DiSCOG), University of Padua, Padova, Italy; Orthopaedic and Traumatology Clinic, Padua Hospital, Padova, Italy.

International Journal of Orthopaedic and Trauma Nursing
|August 27, 2016
PubMed

Insights

Managing poly-trauma patients requires adherence to care plans and shared decision-making. This study developed an algorithm and flow-chart to improve care in orthopaedic units, aligning with European standards.

Area of Science:

  • Orthopaedic Surgery
  • Trauma Care
  • Patient Management

Background:

  • Trauma is a leading cause of death and disability in individuals under 40.
  • Effective management of poly-traumatised patients is crucial to reduce mortality and economic impact.

Purpose of the Study:

  • To investigate the management of poly-traumatised patients in an Italian Orthopaedic Ward.
  • To compare current practices with recent literature and identify areas for improvement.
  • To develop a pre-established algorithm and flow-chart for enhanced patient care.

Main Methods:

  • A five-step observational and exploratory approach was used.
  • Critically analysed the nursing management of 60 multiple trauma patients.
  • Data collected from April 2013 to October 2014 in an Orthopaedic Unit.

Main Results:

  • Adherence to care plans is essential for effective poly-trauma patient management.
  • Shared management involving the medical team, patient, and family/caregiver is beneficial.
  • Identified the need for improved protocols within orthopaedic units.

Conclusions:

  • Current protocols align with European standards but have room for improvement.
  • Developed an algorithm and flow-chart to provide reference values for poly-trauma patient care.
  • Recommended tools aid in identifying barriers and facilitators for implementing international guidelines in orthopaedic settings.
Abstract

Keywords:
InjuryManagementMultiple traumaNursingPolytraumaService improvementTeam approachTrauma unit

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