crowd control

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Not sure how I feel being listed in the same sentence as "high school aged
"shadowers". Having said that, RT is a very functional part of the trauma
team at our institution, assisting with all airway management, resuscitation
and critical care transport.

We have very specific personnel assignments, and responsibilities. We use a
system where all communications regarding the primary survey are funneled
through the "microphone" who is a person specifically tasked with relaying
this information to the trauma chief and recorder in a reasonable tone of
voice. This minimizes "noise" and confusion. As the secondary survey
commences, and some of the non-essential people start to leave, depending on
the severity of injury etc. this becomes even more manageable.

Now, I can tell you that this doesn't always work the way it is designed. We
have our moments as well. We are a teaching level one center, so we have our
share of students of every shape and variety. At times we do have to send
people packing, while remembering and being tolerant of the fact that we
have a responsibility to teach.

Overall this system works well for us, and is ever evolving. Maybe some of
the lurkers on this list from my institution could comment.

Keith

Keith D. Lamb, RCP, RRT
Newark, Delaware, USA






On Fri, Oct 3, 2008 at 5:18 PM, <rwolfer at aol.com> wrote:

> Does anyone else have problems regarding "crowd control" at traumas.? It
> seems that at our institutions everytime a bad trauma comes in with
> impressive injuries, ie open skull fracures, brain extruding, knifes left in
> ect, everyone and their brother shows up to "watch" and just get in the
> way.? the othher day i had? a really bad case of a yound child and every
> medicine, fp resident and med student as well as housekeeper, nurse RT and
> high school age "shadowers" showed up and I had a hard time gettiing them
> all to get out of the was so my team could treat pt.? One actually had the
> gall to state the shadowers had "THE RIGHT" to be there and wathcning.? what
> do others do in these cases or is it just here that has the problem.? i
> tried the HIPPA card, privacy and human decency but no one seemed to listen
> rw
>
>

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