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News Letter 8-JPNATC

News Letter 8-JPNATC

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Informal JPNATC newsletter & formal ISTAC newsletter:) Afer a year of hiatus!
Informal JPNATC newsletter & formal ISTAC newsletter:) Afer a year of hiatus!

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Published by: Jpna Trauma Centre Aiims on Apr 03, 2012
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JPN Apex Trauma Centre Newsletter
managed to change the contractor and imposeour terms so that now (wef April 2011) allDEO’s at JPNATC get minimum of Rs 6000/month with option of PPF deduction & ESIhealth insurance. The new contractor gets8900/person/month which is a negligible in-crease in outgo for AIIMS. I believe that ifwe want to improve the functioning of AIIMS,we have to involve people at all levels and haveinclusive growth at all levels.
Insidethis issue:
2Annual Conferenceof Physiotherapy3Department Of Fo-cus-Anesthesia De-partment4Research Papers 5,6Nurse InformaticsSpecialist Program 8AIIMS Ultra SoundTrauma Life SupportCourse(AUTLS)9Audits & Statistics(JPNATC Website)10
HIGHLIGH TS S TCMar ylandnursesvisit Discover Yourself 
an-Feb 2012 VOLUM 4,SSU 8 
Although the practice of slavery has officiallyended in India with the ending of British rule, weunfortunately continue to devise new methods tokeep fellow citizens in slavery like conditions. Withoutsourcing of various services like security, clean-ing & data entry, contractors fleece poor peopleand intimidate them if they raise their voice fortheir rights. I was appalled to know that data entryoperators (DEO’s) at JPNATC were being paid Rs4000/- (which is even less than Sulabh workers),desspite the contractor getting approx. Rs 8500/person/month. These people were also devoid ofstatuary benefits like PPF and health insurance.After fighting for their rights for two years, we
 (ISAC) wasfoundedbylikemindedindividualsfor improving the trauma &acutecareinourcountry.Using JPNACasamodelforimple-mentingchangesandinnovations,ISAChascomealong wayin thelast5yearsand Iamglad tosay thatJPNA rauma Centrefulfilsthe mandategiventoitfor beingthe apex institutionintrauma &criticalcare,besidesbeingtheleaderin researchintrauma careinour Country. Iwelcome the team from ShocktraumaCentre, Baltimoreand amsure thatcon-tinuingexchangeofideas andexperiences cancatalyse the changes requiredto makeJPNAC aworldleaderintraumacare. T he last yearhasbeenvery reward-ing forISAC ingeneralandJPNAC inparticular.Continuouseducationalactivi-tiesforNurses havebeenconducted bythesocietyaswellas by in-house teams andthishaspaidoffinimproved patientcareandresearch.nurseshavebought laurelstothe centre and to the nursingcommunityatlargebywinning numerousawardsintheyear 2011.Itisindeedhearteningtoseedoctors,nurses,techni-ciansandotherhealthcare professionsworkinginharmonyforthelarger benefit ofpatients.Iwish allISACmembersaveryfruitfuland eventfulyear ahead.
ISTAC Newsletter
Message-MC Misra, President, ISTAC
ters in this part of the world. On ofthe main pillars for improving pa-tient care are the nurses and ournurses have done us proud by win-ning accolades across the globe fortheir research and patient care ac-tivities. This issue is dedicated toall the nurses who have fully em-braced change to make this traumacenter a better place for patients,relatives and all healthcare workersDeepak Agrawal
Inside this issue:
Nursing collaborationwithSTC,MARYLAND
SAPNA– Hope forunknown/poor pa-
My days at JPNATC‘Discover Yourself’
To be a Nurse...
What is loveabout...
an-Feb 2012 VOLUM4,SSU8 
It gives me immense pleas-ure in editing the inauguralissue of ISTAC newslet-ter. The society has been doing excel-lent work for improvement in traumacare as well as in educational & aca-demic activities.The focus of this issue is JPNA TraumaCentre which has been the nidus and‘Alma-mater’ for ISTAC. JPNA Traumacentre has been striving for improve-ment in all spheres of patient care andis arguably one of the best trauma cen-
 F oc u s - J P NA TC 
Karen received her her BSN andMSN in Trauma/Critical Care Nurs-ing from the University of MarylandSchool of Nursing
Karen has lectured on neurological and trauma topicsat numerous regional, national, and international conferences.. She hasalso mentored other nurses as speakers and authors.
Karen has reviewedand edited numerous manuscripts and served as lead editor for thetext
“Trauma Nursing: From Resuscitation Through Rehabilitation
” (3rdand 4th editions). She has served as principle investigator or co-investigator on a number of studies exploring various aspects of traumanursing care. For her work Karen has received multiple awards and honorsand was selected as a fellow in the American Academy of Nursing
Nursing collaboration with shock trauma centre,Maryland,USA
Associate Professor of Medicine
Done her graduation from All India Institute of Medical Sciences in1975.Completed the residency in internal medicine from Prince Georges Gen-eral Hospital And Medical Center,Maryland.Currently working as an associateprofessor of Medicine at Department of Medicine,Division of Infectious dis-eases cine,School of Medicine,RA Cowly Shock Trauma Center .She serves asa senior attendee in various departments teaching rounds.
Carla A Aresco
 CRNP(Clinical Program manager)
 Ms.Carla A Aresco gradu-ated with BSN in 1993,after working 1 year in amedical/surgical ICU started working at Shock Trauma in Baltimore. In 1998 she began her graduate studies as anadult nurse practitioner. She graduated in 2000and started working at Massachusetts General Hospital in Boston as a Trauma Nurse Practi-tioner. While there she went back to school toget post master certificate as an acute nurse practitioner. In 2002, she returned to Baltimoreand was one of the first Nurse Practitioners towork at Shock Trauma. She worked with theTrauma Neurosurgery Service. In 2010, shestarted working in the Trauma Intensive CareUnit.
As a part of the nursing collaboration with R A Cowly Shock Trauma Center,Baltymore and Jai Prakash Narain ApexTrauma Center one doctor and two nurses are visiting the JPNATC from 26th March to 3oth March 2012.This initiative willfocus on the nursing partnerships to use evidence based bedside interventions,infection prevention protocols etc.The collabo-ration mainly aimed on the uplifting of nursing in the trauma center..This collaboration help the nurses for con-tinuing professional competency and meets the needsof advanced practice nursing .This process of professional development is highly valuable to ad-vanced practice nurses and would like pro-vide professional knowledge and skills to safelytreat and improve patient health outcomes.The nurses who will be visiting are Ms.Karen McQuillan,Ms.Carla A Aresco and the doctorDr.Manjari Joshi.With Indias population boom and the rising number of trauma victims, thenew and sustained collaboration between Shock Trauma Center and JPNATC has potential foradvancing trauma care and emergency services.
Background and Objectives:
 Acute pain assessment andmanagement in trauma victims isoften overlooked in emergencydepartment (ED). Visual analoguescale is the preferred scale forassessment and management ofpain however, its role in a busyED is limited. The objective of this study was toevaluate the feasibility of verbal and visual analoguescale among emergency care providers.
The emergency care givers were instructedto use both pain scales wherever feasible forassessment, management and monitoring of pain in100 non consecutive alert patients. Separate pre-tested survey questionnaire addressing the feasibilityof each pain scales was surveyed among emergencycare provider (emergency physicians, nursing staff).
Research:To Evaluate the Feasibility of Verbal Analogue Scale among Emergency Care Providers in Assessment andManagement of Acute Pain in Trauma VictimsMs.Geeta Adhikari,Emergency Dept
war.Onbeing discharged,SAPNA provides the patientswith clothes, fare for travelling home ifthe patient can go on hisown, medicines, medicalaids likeSuctionMachines,Water Beds, Arm Slings and Wheelchairs etc. Wehave alsobeen helping patientsbyfinancing Vac- cumDressing
SAPNAis thankfultotheChief, JPNATCfor giving theirteam an office withinthecampusof theHospital.Along with theoffice has takenup the responsibility ofmanaging theWait- ingArea
SAPNAtakes care of the Sanitationand Cleanliness ofthe Waiting Area. Theoffice has allowedusto help patientsand their attendantsby guiding themwiththeprocedures oftheHospital.The office also helps us toextendsupporttothe poor patients as they now know where they canapproachus. Wetryto providethe poorest of thepoor patients with medicines, medicalaids andany other support thatthey need. Also for the past one monthwe arehelping extremely poor patientsby providingthem lunch coupons sothat theycan have at leastone squaremeal every day.SAPNAhelps to performthe Last Rites ofthedeceased who die while they areadmittedat the Trauma Centre.SAPNA alsofunds and arranges for thetransportation of thebodiesof the deceased patients whose families areknownand canbe contacted. Overall SAPNAtries tobeaSupport to theStaff and Doc- tors of theHospital.SAPNAalso triesto makethe stay of thepa- tients at the Hospital ascomfortableand hasslefree as possible.And SAPNA triesto help as manylives theycan.
Likert scale [from 1 to 5] was assessed forcooperativeness, availability of time for assessment,the format, the peak period feasibility, the monitoringease and the amount of work load. Binary scale [yesand no] was used to measure the overall utility inassessment and management of pain.
Out of 100 patients enrolled, verbal analoguescore was used in all patients and visual analogue scorewas used in 30 patients. The average likert scale scorefor verbal analogue score questionnaire was 1.7 andthe average likert scale score for visual analogue scorequestionnaire was 3.9. On the overall utility bothscales were found to be useful in all patients.
Both the scales were found to be useful inoverall assessment and management of pain. However,there was a favorable trend towards using verbalanalogue scale among emergency care providers.
SAPNA started working at theJai Prakash Narayan rauma Centre,AIIMS since2007with theaim of helpingthe un- known (Patients whose identities could not beknown), unattended andabandoned patients. On anaverage a total of 350-400such patients are sup-ported by SAPNA every year. SAPNA takes care ofthedailyneeds of thesepatients by providing them utilityitems like toothbrush,toothpaste, oil,clothes and anyotheritems needed by the patient.SAPNA alsotakesthe responsi- bility ofgettingthesepatients dischargedand arranges tosend their homes or rehabilitatingpatients to shelter homes.Ourwork- ers personallygo to dropall patients after they are discharged from the Hospital.A largenumberof patients who arerehabilitated are sent to the Home for SickandDestitute,Vijay Mandir, Alwar which is again an initiative of SAPNA. RecentlySAPNAhas also started rehabilitating Neuro Surgery Patients at theirhome inAl-
SAPNA-Hope of Life In Trauma Center

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