Te TBI diagnosis was based on diagnostic results of either a
computed tomography scan or a magnetic resonance imaging scan,
mechanism of injury with either an associated loss of consciousness,
altered mental status, behavioral or mood change in all patients
22 years of age and older by the trauma surgeon. Te primary care
nurse and the nursing assistant and/or ancillary staff member had
defined responsibilities in the implementation of the evidence-based
protocol for TBI patient management. Te unit selection was based on
volume of patient sitter usage and TBI admissions. Prior to program
implementation, there were a total of 58 TBI patients admitted to the
intermediate care unit. Of the 58 patients, a total of 30 sitter sessions
were utilized. Te number of sitter sessions was obtained from the
nursing department staffing statistics. Te intermediate care unit
holds a capacity of 24 patients, of which 6-7 beds are occupied by TBI
patients at any given time. Program implementation followed the Iowa
Model, and the patients were managed according to the evidence-based
protocols designed for this program. Te protocol followed by the
primary nurse and the ancillary staff consisted of:
Te TBI diagnosis was based on diagnostic results of either a
computed tomography scan or a magnetic resonance imaging scan,
mechanism of injury with either an associated loss of consciousness,
altered mental status, behavioral or mood change in all patients
22 years of age and older by the trauma surgeon. Te primary care
nurse and the nursing assistant and/or ancillary staff member had
defined responsibilities in the implementation of the evidence-based
protocol for TBI patient management. Te unit selection was based on
volume of patient sitter usage and TBI admissions. Prior to program
implementation, there were a total of 58 TBI patients admitted to the
intermediate care unit. Of the 58 patients, a total of 30 sitter sessions
were utilized. Te number of sitter sessions was obtained from the
nursing department staffing statistics. Te intermediate care unit
holds a capacity of 24 patients, of which 6-7 beds are occupied by TBI
patients at any given time. Program implementation followed the Iowa
Model, and the patients were managed according to the evidence-based
protocols designed for this program. Te protocol followed by the
primary nurse and the ancillary staff consisted of:
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