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IRCT20220319054331N1 IRCT 2022-05-07 Qazvin University of Medical Sciences Evaluation of the effect of rapid nursing response team on the outcome of multiple trauma patients referred to the emergency department Evaluation of the effect of rapid nursing response team on the outcome of multiple trauma patients referred to the emergency department 2022-06-22 anticipated 280 Complete https://irct.ir/trial/62622 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Other design features: does not exist. 3 The study is performed in an emergency environment and in compliance with health and hospital protocols and standards. Intervention 1: In the intervention group, the rapid nursing response team triaged and leveled the patients included in the study. It then monitors hospitalized patients at regular intervals and, if necessary, measures such as blood sampling, venous line, blood transfusion or reservation, patient monitoring, transfer to paraclinical ward or unit, suction, oxygen therapy, change of position, They take an ECG, resuscitation operation, transfer of the trolley code to the bedside of the critically ill patient before the doctor's presence (actions according to the doctor's instructions) as soon as possible.Before the intervention, the duties of the team members will be explained in a two-hour session to the hospital managers, supervisors, emergency department head nurse, and in a one-day session to the nurses and assistant nurses and the emergency shift manager. Intervention 2: Control group: They are studied before the control group and it is done when there is no special sensitivity among the personnel towards the rapid response team. Patients in this group are treated according to the routine of the emergency department. And the results are collected based on a checklist designed by the members of the rapid response team. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The results of the study are not yet known
public Zakariya fattahi
Attar
kermanshah Iran (Islamic Republic of) 6774512357 +98 83 3427 6301 zakariyafattahi70@gmail.com Qazvin University of Medical Sciences scientific Seyed Mehdi Mir Hashemi
Shahid Beheshti - Sub-period
Qazvin Iran (Islamic Republic of) 13911/34156 +98 28 3333 7006 sm.mirhashemi@qums.ac.ir Qazvin University of Medical Sciences Iran (Islamic Republic of) Patients with multiple trauma (open trauma and head trauma) with at least eighteen years of age 18 years no limit Both Patients with multiple trauma (open trauma and head trauma) who are admitted to the emergency department with cardio-respiratory arrest. Patients with multiple trauma (open trauma and head trauma) who suffer from cardio-respiratory arrest under diagnostic procedures N/A N/A In the intervention group, the rapid nursing response team triaged and leveled the patients included in the study. It then monitors hospitalized patients at regular intervals and, if necessary, measures such as blood sampling, venous line, blood transfusion or reservation, patient monitoring, transfer to paraclinical ward or unit, suction, oxygen therapy, change of position, They take an ECG, resuscitation operation, transfer of the trolley code to the bedside of the critically ill patient before the doctor's presence (actions according to the doctor's instructions) as soon as possible.Before the intervention, the duties of the team members will be explained in a two-hour session to the hospital managers, supervisors, emergency department head nurse, and in a one-day session to the nurses and assistant nurses and the emergency shift manager. Control group: They are studied before the control group and it is done when there is no special sensitivity among the personnel towards the rapid response team. Patients in this group are treated according to the routine of the emergency department. And the results are collected based on a checklist designed by the members of the rapid response team Percentage of cardiac and respiratory arrests in patients with multiple trauma in the emergency department. Timepoint: From the beginning of the intervention until eight months after the intervention. Method of measurement: Percentage of multiple trauma patients with cardiac arrest. Percentage of multiple traum patients transferred to special wards. Timepoint: From the beginning of the intervention until eight months after the intervention. Method of measurement: Percentage of multiple trama patients who are transferred to special wards. Average length of stay of multiple trauma patients in the emergency department. Timepoint: From the beginning of the intervention until eight months after the intervention. Method of measurement: Average number of hospitalization hours for multiple trauma patients in the emergency department. Death rate of multiple trauma patients admitted to the emergency department. Timepoint: From the beginning of the intervention until eight months after the intervention. Method of measurement: Percentage ofmultiple trauma patients who die in the emergency department. Chance of survival and discharge of multiple trauma patients from the emergency department. Timepoint: From the beginning of the intervention until eight months after the intervention. Method of measurement: Percentage of multiple trauma patients discharged from the emergency department. Reasercher Approved 2022-05-22 Ethics Committee of Qazvin University of Medical Sciences shahid bahonar qazvin Qazvin Iran (Islamic Republic of)