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Trauma Response Nurse

Bringing Critical Care Experience and Continuity to Early Trauma Care

Liu, Susan I. RN; Curren, Jeffrey RN; Leahy, Nicole E. MPH, RN; Sobocinski, Kathryn RN; Zambardino, Danielle RN; Shikar, Morgan M. MPA, RN; Vasquez, Christel MPA, RN; Miluszusky, Brian RN; Winchell, Robert J. MD

doi: 10.1097/JTN.0000000000000454

Multitrauma patients can benefit significantly from specialized care. Prior to mid-2016, this hospital's trauma team did not include a surgical intensive care unit (SICU) nurse. As the value of bringing this expertise to the patient upon arrival was realized, the role of the trauma response nurse (TRN) was developed. The TRN role was designed to provide a dedicated SICU nurse to care for trauma patients from emergency department (ED) arrival through disposition. The integration of the TRN role into the trauma team sought to improve quality and safety, as well as communication and collaboration, and enhance continuity of care. The primary responsibilities of the TRN were to assist with clinical interventions, transport patients fromthe ED to tests and procedures, and assume care through disposition. Additional TRN duties included education, community outreach, and performance improvement. TRNs now respond to all trauma activations that occur on weekday day shift. This role has improved collaboration between nursing disciplines, improved the overall function of the trauma team, and enhanced the safety of trauma patients during transport. TRNs make valuable contributions to the education and outreach missions of the trauma program and ensure that patients are receiving the highest level of trauma care.

New York-Presbyterian Hospital, New York (Mss Liu, Leahy, Sobocinski, Zambardino, and Vasquez, Messrs Curren and Miluszusky, Ms Shikar, and Dr Winchell); and Weill Cornell Medicine, New York (Dr Winchell).

Correspondence: Susan I. Liu, RN, New York-Presbyterian Hospital, 525 E 68th St, Box 137, L706, New York, NY 10065 (

The authors declare no conflicts of interest.

Copyright © 2019 by the Society of Trauma Nurses.