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Addressing Traumatic Stress in the Acute Traumatically Injured Patient.

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Bedside nurses can identify patients at risk for traumatic stress using the PC-PTSD screening tool. While it didn't increase consults, it connected 28% of patients to timely psychological care.

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Area of Science:

  • Trauma care
  • Psychological assessment
  • Nursing practice

Background:

  • Psychological injuries post-trauma are often missed.
  • No standardized screening for traumatic stress in acute trauma patients exists in the US.
  • Nurses are crucial for early identification of psychological distress.

Purpose of the Study:

  • To evaluate if bedside nurses using the PC-PTSD tool identify more acute trauma patients at risk for traumatic stress.
  • To compare PC-PTSD tool implementation against no screening.

Main Methods:

  • Pilot study over 6 weeks at a Midwest Level 1 trauma hospital.
  • Descriptive survey design.
  • Bedside nurses implemented the PC-PTSD screening tool.

Main Results:

  • The PC-PTSD tool did not increase overall health psychology consults compared to the previous year.
  • The tool identified 28% of patients for health psychology consults.
  • 45% of consulted patients were recommended for outpatient therapy.
  • No increase in inappropriate consults was observed.

Conclusions:

  • A clinically significant number of acute trauma patients are at risk for traumatic stress.
  • The PC-PTSD tool enables nurses to accurately assess and connect patients with timely psychological treatment.
  • The tool facilitates early intervention for patients experiencing traumatic stress.