From the Field: Visit to a Trauma Hospital

Patients’ journey in trauma centre starts from arriving in an ambulance, sorting them according to the severity of injury, providing initial treatments to - going back home, shifting into ward, ICU or death. During one such observation we were directed to the Triage area where patients come, vitals are tested and are then sorted to GREEN, YELLOW and RED areas.

With doctors running to attend emergency cases, nurses to assist them, attenders to get the right equipments the right time, this was an active scenario for the Fellows observation.

We were observing a nurse attending her patients in the one of the wards. We enquired her about the Triage activity and the process taken to treat an incoming trauma.

The nurse told us that, 'Patients in this ward are given primary treatment and various injuries examined. The patient is then attended by specific department experts based on the type of trauma. You will appreciate and understand the trauma procedure better when you also visit other wards.

'Understanding the context, the process- before, during and after of an incident, makes for a more informed observation, this will make you a better observer.'

We went to different wards and immersed ourselves in it. Slowly we could see some patterns unfold, how similar things operate and how dissimilar things operate. Learning by comparison actually helped us in collecting information better.

Observing the problems we found in one centre, were made more clear once we saw them in other hospitals and clinics. Some observations were one of cases, some one common occurrences in all centres. This helped us identify real problems.

….from the notebook of Karthik P B & Asish Mohandas