The Trauma Resuscitation Nurse (TRN) is a specialty trained nurse designated by the trauma service to respond to and provide care and management of critically ill and traumatically injured patients during the resuscitation phase in the Emergency Department, including care of the patients through diagnosis suites and in the OR until admission to an acute or intensive care unit, or transfer to the care of OR staff. The ED and ICU TRNs are assigned from ED and NTICU. Each TRN is expected to help their home units when an active trauma is not in the trauma resuscitation phase. The TRN is available to assist in patient care in home unit outlined by each unit.

The Trauma Program Critical Care TRN is present 7 days a week during our peak trauma hours and functions as not only a clinical expert in trauma but as an extension of the trauma program leadership. This site-specific TRN leads efforts to teach, support research efforts of the medical center by collecting data, following research protocols, and generating researchable ideas. They also utilize existing reporting mechanisms to review and report opportunities for quality improvement

GENERAL ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS:

1. Clinical expert resource for staff providing care to the trauma patient

• Performs rapid clinical assessment and intervention in conjunction with the Trauma Team utilizing ACLD, ATLS, PALS guidelines and resuscitation protocols.
• Is a Primary nurse for all pediatric, adult, and geriatric patients during the initial phase of the trauma resuscitation.
• Responds to all direct to OR activations as a primary, circulating or recording nurse.
• Participates in any Massive Transfusion throughout LEMC as the primary, circulating or recording nurse.
• Is a Primary nurse in all level I trauma activations
• Is a Primary nurse is all level II trauma scene/transfers activations. If a TRN is unavailable to primary, an ED nurse trained in trauma may then primary the level II trauma transfer only.
• Is capable of recording on all levels of trauma patients.
• Is able to manage the proper functioning of all lines, tubes, and resuscitative equipment.
• Assures that all the trauma documentation is complete.
• Assists the ED charge nurse with prioritization and reassignment of patient care to become available for incoming trauma activations.

2. Facilitate team coordination in the provision of trauma care

• Provide accurate and relevant data in the documentation of a trauma patient including but not limited to the American College of Surgeons required data points.
• Active participate in Performance Improvement (PI) for the trauma program including executing quality initiatives to improve program outcomes
• Be knowledgeable about hospital Trauma Program performance, goals, and areas of opportunity and support the communication of performance widely throughout the trauma care team and organization.

3. Manage program data, evaluation and improvement efforts

• Work closely with the Trauma Program to ensure data is accurately abstracted and reported to support continuous improvement in Trauma patient care and for compliance with American College of Surgeons requirements
• Actively work with unit leaders, educators and other care team members in pursuit of performance excellence and improvement.
• Collaborate with the Trauma Program team to prepare the organization for Trauma Site verification

Experience:

One year of emergency or intensive care experience or six months of high acuity trauma center experience required.

Three years of trauma center experience within the last five years strongly preferred.

Current applicable state RN license required.

Trauma Nursing Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN) certification required.

Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) required within six months of hire.

Pediatric Advanced Life Support (PALS) certification required before hire date.

Specialty National Certifications including Certified Emergency Nurse (CEN), Critical Care RN (CCRN), Certified Pediatric Emergency Nurse (CPEN), and Trauma Certified Registered Nurse (TCRN) preferred.

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If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you