Citation

Schedler PA, Neely S. Int. J. Trauma Nurs. 1996; 2(1): 13-21.

Affiliation

University of Wisconsin Hospital and Clinics, Madison, USA.

Copyright

(Copyright © 1996, Emergency Nurses Association, Publisher Elsevier Publishing)

DOI

unavailable

PMID

9079325

Abstract

The Standardized Trauma Admission Orders (STAOs) were developed in collaboration with the trauma team. Data supporting the development of the STAOs consisted of a retrospective chart review (group 1, n = 30) and a user satisfaction survey before the implementation of STAOs. A user satisfaction survey was administered before and after the STAOs were implemented. Both surveys showed a positive response to using the STAOs. STAOs were implemented in a surgical-trauma intensive care unit to reduce in-patient admission laboratory charges, the frequency of missed admission orders, and physician ordering variability. The difference between group 1 and group 2 (n = 30, STAOs) in-patient admission laboratory charges was significant. There was a $345 per patient reduction in the mean score between group 1 and group 2. Of the selected orders reviewed, completeness of orders was significantly improved in 5 of 21 orders. Survey results show that 11 (79%) of the staff surveyed were in favor of using the STAOs. The majority agreed that in-patient admission orders needs were being met. The STAOs are still being used in the surgical-trauma intensive care unit with some minor changes. Efforts are being directed toward the development of standardized admission orders for the neurosurgical intensive care unit and the trauma floor.

Language: en