I am currently a graduate student at Northeastern University in Boston Massachusetts earning my Master of Science in Nursing in Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP). Although graduation is in sight, I am continuing to learn both in the classroom and during my clinical experience at Massachusetts General Hospital. My current rotation is on the orthopedic trauma service caring for inpatient orthopedic patients. The orthopedic service, while traditionally surgically focused, has recently embraced a new modality of care. Recognizing the frequent sequelae associated with fractures, the Geriatric …show more content…
My desire to learn is due to an absolute commitment to my patients. I truly believe patients and their families deserve the very best care during critical illness which requires a commitment to evidence-based practice and safety. I follow a daily mantra “RACE.” First taught to me by a ICU fellow, it is a way to incorporate education every day. “Radiology, article, chapter of book, EKG.” I do one daily to continue to improve as an expert clinician. In addition, I value the model of interprofessional practice. In my current clinical practice, the ICU team rounds twice a day at the bedside. The team consists of the bedside nurse, responding clinical (MD or NP), attending, pharmacist, and respiratory therapist. This collaborative practice provides for delivery of evidence-based care focused on improved patient outcomes and safety. I have seen the benefit of quality improvement programs in my institution and the decrease in complications the programs have lead …show more content…
The TTS has been implemented in various models of trauma care to identify missed injuries not addressed or recognized during the primary or secondary survey. Missed injuries are a major performance measurement in trauma care. While assumed to improve overall trauma care, TTS has not been proven to support the claim. My plan is to address this knowledge gap by exploring current definitions of missed injuries as well as the design of various trauma tertiary surveys. This will contribute to the overall trauma community as it continues to search for meaningful indicators to guide quality improvement and patient safety