p.a.r.t.y.—prevent alcohol and risk-related trauma in youth
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he same goals of improving performance and patientutcomes.
eywords: Leadership; Strategic planning; Communication;atient outcomes
oi:10.1016/j.aenj.2010.08.284
urviving 4-hour rule—–A tertiary ED’s experience
elly-Ann Hahn, Joanne Wilson, Janice Power
Royal Perth Hospital, GPO BOX X2213, Perth, WA, 6847,ustralia
In November 2008 the WA Minister for Health and a num-er of health delegates attended a study tour of the UK tovaluate the NHS 4-hour rule model. Following that tour theinister for Health and Cabinet endorsed a 4-hour rule pro-ram for WA on the 27/01/2008. Changes for this whole ofealth initiative were commenced in April 2009. Individualospitals were given a period of planning (12 months) todentify strategies to meet the first target of 85% of patientso be admitted, discharged or transferred within 4 h of pre-entation to an Emergency Department by April 2010. Thisarget is then followed by an incremental increase with thenal target of 98% to be achieved by April 2011. This pro-ess has resulted in changes at both hospital and ED level.he purpose of this paper is to discuss the 4-hour initia-ives implemented in the Emergency Department at Royalerth Hospital (an adult, tertiary, level one state traumaentre), and to evaluate their impact and effectiveness onoth patients and staff.
eywords: Targets; Team based care; Pod leaders; 4-hourule
oi:10.1016/j.aenj.2010.08.285
rauma 3B
.A.R.T.Y.—–Prevent alcohol and risk-related trauma inouth
ue Smith, Jennifer Thompson, Chris Batey
Sue Smith Alfred Hospital, Commercial Road, Prahran, Mel-ourne, Victoria, Australia
-mail addresses: [email protected] (S. Smith),[email protected] (J. Thompson),[email protected] (C. Batey).
PARTY stands for Prevent Alcohol and Risk Relatedrauma in Youth. Currently offered in 83 sites worldwide,009 saw it implemented for the first time in Victoria at Thelfred hospital. This full day, in hospital program is targetedowards school aged students. It focuses on the importancef making smart choices. The program is facilitated in theospital where students meet trauma survivors, their fami-ies, along with some of the he health care team who careor these patients. The aim is to expose the students to the
eal traumatic and often devastating consequences of riskelated behaviour.Students visit area of the hospital to witness first hand thehort and long-term consequences of risk taking behaviour.
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Conference Abstracts
tudents are given the opportunity to speak directly to cur-ent and past patients, who will often shed stark light on theeality of trauma. Clinical scenarios, along with other pre-entations and activities are utilised in the delivery of therogram.
Feedback from the students, teachers and their par-nts has been overwhelmingly positive. Anecdotally, therogram appears to have a huge impact on participants,ith early analysis of both the pre and post-programata supporting this. Current and future research hopeso demonstrate the long and short-term impact of therogram.
Future plans will see the program extend beyond thelfred and Melbourne. It will also be piloted by a Youngffenders program in association with Victoria’s criminal
ustice system.It is anticipated that PARTY will have over 1900 partici-
ants in the next 2 years.
oi:10.1016/j.aenj.2010.08.286
ntroducing the Westmead post-traumatic amnesia scale:ur journey and lessons learnt
ulie McCabe, Karon McDonell
St Vincent’s Hospital, Trauma Service, 390 Victoria Street,arlinghurst, NSW 2010, Australia
-mail addresses: [email protected] (J. McCabe),[email protected] (K. McDonell).
Traumatic brain injury is common. Each year hos-itals alike are faced with the challenging task ofiagnosing, treating and managing these patients. Trau-atic brain injury is categorised into mild, moderate and
evere and the literature supports post-traumatic amne-ia as an emerging gold standard for determining theeverity of injury. Here in Australia, the Westmead Post-raumatic Amnesia Scale and the Abbreviated-Westmeadost-Traumatic Amnesia Scale are the widely recognisednd accepted scales for use. The current literature exten-ively focuses on post-traumatic amnesia however; littleesearch has focussed upon teaching nurses how to apply thecale.
Introducing the application of the Westmead Post-raumatic Amnesia Scale and the Abbreviated-Westmeadost-Traumatic Amnesia Scale to nursing staff is the plat-orm for this paper. In 2009, the introduction of these scaleso nursing staff was undertaken as a project with the Traumaervice. A systematic review of current literature and aetrospective audit of 30% of the medical records for allatients admitted to St. Vincent’s Hospital in 2008 withhead injury were undertaken. Current practices within
t. Vincent’s Hospital relating to post-traumatic amnesiaesting were evaluated and formalised education program,esources folders, hospital forms, information brochures andhe development of a policy and procedure were achieved.ducation for nurses and preliminary evaluations are in
rogress.This paper is a descriptive account of the pro-ess undertaken, the positive response, the lessonsearnt along the way relating to the educational ini-