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Fri Jul 17 15:28:36 BST 2009

We are Level I trauma center staffed by trauma surgeons, fellows,
residents, medical students from two medical schools (working together
as one team not separately). The hospital is state supported, and covers
the SE part of Louisiana (toe of the boot) 10 counties. I will be happy
to talk to you offline if you think our experiences can be helpful

Norman

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Julie Beaver
Sent: Friday, July 17, 2009 9:26 AM
To: trauma-list at trauma.org
Subject: structure of (non-teaching) trauma centers

Hello all.

We are a Level II Trauma Center.  We are a non-profit private hospital
and we currently do not have intensivists in the ICUs or residents.  We
are brainstorming different ideas regarding the organization of our
trauma department, and would like to see how many responses we can get
to these questions in order to find the best way to design our program
to optimize patient outcomes.

Any information you can pass to us would be very helpful.  Thank you.

 1.  What level trauma center are you?
 2.  Are you a teaching vs. non-teaching hospital?
 3.  What is your annual volume? Do you count same level hip fractures
in these numbers?
 4.  Does your program utilize Nurse Practitioners or Physician
Assistants?
If so how many?
Who do they report to?
Are they employed by the hospital?

 1.   Do you have intensivists in SICU/MICU?

 1.  What type of physicians?  Pulmonologist/Surgeon/Anesthesiologists

 1.   Who does the team consist of physician, mid-level, and other
staff?

 1.  What hours do they work?  Is there 24 hour in house coverage?

 1.  If Mid-levels are utilized, who are they employed by?

 1.  Is there a physician admission team?

 1.  If so, do they turn over care the next morning to the physician
group that would have normally admitted the patient?

 1.  If there is an intensivist team, do they assist in the admission
processes/team?

Julie Beaver RN, BSN, CCRN
Trauma Outcomes Coordinator
Covenant Medical Center-Lubbock
806-725-0495 (o)
806-535-4123 (c)
806-725-0131 (fax)
Beaverj1 at covhs.org<mailto:Beaverj1 at covhs.org>

"Great minds discuss ideas; Average minds  discuss events; Small minds
discuss people"

Eleanor Roosevelt

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structure of (non-teaching) trauma centers