Advanced Practice Nursing SIG

The Advanced Practice Trauma Nursing SIG is open to all members with an interest in APNs and trauma and addresses the needs and concerns of trauma advanced practice nurses.

Annual Meeting

The next AP SIG meeting will occur at TraumaCon 2017 in St. Louis on Wednesday April 5_ at 9:00 am. The location is TBD. The meeting will start with three presentations and offer one hour of continuing nursing education. Following the presentations will be an opportunity to discuss involvement in the SIG and current initiatives. This year’s presentations include:
  • Rose Milano, DNP, ACNP-BC – Oregon Health & Science University
    Fluid Resuscitation in the Adult Trauma Patient

  • Maria Bautista-Durand, MSN, FNP-C, PNP – Childrens Hospital of Los Angeles
    Two case presentation of missed injuries in pediatric trauma

  • Deb Hassler, MSN, ACNP-BC – Christiana Hospital, Delaware
    Case presentation of a trauma patient with serotonin syndrome vs. neuroleptic malignant syndrome

Members

  • Joan Pirrung, MSN, APRN, ACNS-BC
  • Jonathan Messing, MSN, ACNP-BC, CCRN, TCRN
  • Jasmine Garces-King, DNP, RN, ACNP-BC, CCRN, TCRN

EAST Collaboration

The Society of Trauma Nurses and the Eastern Association for the Surgery of Trauma have long shared a desire to better the care of the acutely injured patient. Naturally, the advanced practice nurses of STN and the advanced practitioners (nurses, physician assistants, and surgeons) of EAST have also shared this interest. Therefore, the STN special interest group on advanced practitioners and the EAST section on advanced practitioners regularly collaborate on educating, mentoring, and supporting these valuable healthcare providers. In 2016, a joint task force between EAST and STN formed to develop a three-part workshop targeting professional and clinical development of advanced practitioners.

Practice Changes

The Association of periOperative Registered Nurses published a new position statement on advance practice nurses working in the perioperative environment in 2014. This involves many APNs in trauma. Click here to read their position statements.

Noteworthy Articles

New to practice? Or simply looking for a great review? Here are some well-written studies and review articles addressing commonly cared for patient populations under trauma, critical care, and emergency general surgery.

Trauma
Feinberg M, Mai JC, Ecklund J: Neurosurgical management in traumatic brain injury. Semin Neurol 2015; 35(1): 50-6.

Radomski M, Zettervall S, Schroeder ME, et al: Critical care for the patient with multiple trauma. J Intensive Care Med 2015.

Stevens RD, Sutter R: Prognosis in severe brain injury. Crit Care Med 2013; 41(4):1104-23.

Critical Care
Kotloff RM, Blosser S, Fulda GJ, et al: Management of the potential organ donor in the ICU: society of critical care medicine/American college of chest physicians/association of organ procurement organizations consensus statement. Crit Care Med 2015; 34(6):1291-325.

Stawicki SP, Goyal M, Sarani B: High frequency oscillatory ventilation and airway pressure release ventilation: a pracitical guide. J Intensive Care Med 2009; 24(4):215-29.

Emergency General Surgery
Clair DG, Beach JM: Mesenteric Ischemia. NEJM 2016; 374(10): 959-68.

Kirkpatrick AW, Roberts DJ, Waele JD, et al: Intraabdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the world society of the abdominal compartment syndrome. Intensive Care Med 2013; 39:1190-1206

Morris AM, Regenbogen SE, Hardiman KM, et al: Sigmoid diverticulitis: a systematic review. JAMA 2014; 311(3): 287-97.

Peitzman AB, Watson GA, Marsh JW: Acute cholecystitis: when to operate and how to do it safely. J Trauma Acute Care Surg 2015; 78(1).

Salminen P, Paajanen H, Rautio T, et al: Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. JAMA 2015; 313: 2340-8.

Sarani B, Strong M, Pascual J, et al: Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg 2009; 208(2):279-88.

Nursing and Advanced Practice Nursing
Collins TA, Sicoutris CP, McNicholas A, et al: Advanced practitioners are peers in trauma performance improvement peer review. J Trauma Nurs 2016; 23(2): 72-6.

West SK: Advanced practice nursing committee on process improvement in trauma: an innovative application of the Strong model. J Trauma Nurs 2016; 23(4): 227-30.

Transition to Practice Programs
A growing number of new-to-practice nurse practitioners are seeking additional educational opportunities in trauma and critical care before seeking permanent employment. Here is a list of current programs (please note that other programs may exist – you may email bdoty@traumanurses.org for those to be added):

Carolina’s Healthcare System
Emory Healthcare
George Washington University Hospital, Washington, DC
Intermountain Medical Center, Utah
St. Luke’s University Health Network, Bethlehem, Pennsylvania
University of Maryland

Important Links

Eastern Association for the Surgery of Trauma
Focused Assessment with Sonography in Trauma
American Association of Surgical Physician Assistants
American Nurses Credentialing Center
Association of Perioperative Registered Nurses


Involvement

Advance practice nurses interested in joining the AP special interest group should email bdoty@traumanurses.org to express how they wish to contribute to the group. Opportunities include:
  • Webpage manager: reviewing and maintaining accurate information to display on the STN SIG page. Communicating with STN to manage updates and changes.
  • EAST AP Section Liaison – member of both the EAST AP section and STN AP SIG. Assists in building relationship between two groups and is actively involved in the EAST-STN Task Force.
  • Practice update representative: identifying three to five articles each quarter to share with AP SIG members. Examples of articles would include topics in trauma, general surgery, critical care, nursing, and others. This member would also update and maintain the list of articles posted on the AP SIG page.
  • Scope of practice representative: member who monitors and updates scope-of-practice changes based on state, ANCC, or other.
  • Newsletter manager: drafting and submitting a quarterly newsletter addressing APN topics. Will include practices updates provided by above members, upcoming conferences and educational opportunities, etc.