ccml IO again

[Biffink at cs.com]

Please allow me as an ENA member to quote verbatim from the ENA Position Statement: Family Presence at the Bedside During Invasive Procedures and Cardiopulmonary Resuscitation
1. EMERGENCY DEPARTMENTS support the OPTION of family presence during invasive procedures and cardiopulmonary resuscitation.

Please note this is in support of the option, in the ED, with the physicians agreement.  I managed a Level II trauma center.  We often had patients families in during "regular" CPR but NEVER during a trauma code.  CPR is the pervue of the ED physician, a Trauma Code is the pervue of the Trauma Surgeon.  

I have been a member of ENA for over 20 years and have never heard anything about forcing the surgeon to allow the family in the OR or Trauma Suite.

The Society of Trauma Nurses is what it says: Trauma nurses.  ENA is what it says: Emergency nurses.  We both have trauma courses. In the course titles STN uses Advanced, ENA uses Core It is a matter of preference which course an institution selects.

Thank you for allowing me to add my two cents
Bif

KMATTOX at aol.com wrote:

> 
>In a message dated 10/14/2006 7:00:29 P.M. Central Standard Time,  
>gabiford at hotmail.com writes:
>
>Take a  chill pill, K.  ;)
>
>
>Not required. 
> 
>1.    The predominant discussion at the AAST and the  ACS was that 
>prehospital  and emergency room post traumatic hypotension  care was to allow permissive 
>resuscitation and RESTRICT  fluids.     Aggressive fluids resulted in 
>repeated  documentation of unacceptable complications.    Should this be  true and 
>the predominance of evidence is that it is, then the need for IO and  other 
>large bore venous access for large volumes of fluid becomes a mute  point.   
> 
>2.    The last I checked, the predominant nursing  organization interacting 
>with trauma systems, trauma surgeons, and hospital  policy was the SOCIETY OF 
>TRAUMA NURSES, not the ENA.   AND the policy  regarding who is in the OR (or an 
>OR surrogate location such as the trauma  resuscitation area of the emergency 
>center), is the surgeon, not a national  nursing organization.  The trauma 
>surgeons have repeatedly stipulated that  the policy of having family members 
>present during surgery is NOT A GOOD  IDEA.   After the surgery is over (either 
>in the holding area of the  EC or the PACU) surgeons have no problem with the 
>family visiting the patient in  keeping with hospital policy.     
> 
>I would recommend that chill out pills are not needed by the surgeons, but  
>common sense pills are needed by other clip board carrying policy making do  
>gooders who have lost contact with reality.  
> 
>k
> 
> 
>I just returned from a local trauma course.  One of the topics was, of  
>course, intra osseous needles.
>The general opinion was that they were  being used more than in the past. 
>With the newish screw tips, people claimed  they were easy enough to insert.
>
>Two ER nurses in attendance stated they  had IOs placed and found the pain 
>related to the insertion to be minimal --  comparable to having an IV cath 
>placed.
>
>Also, was told that the  official position of the ENA (Emergency Nurses 
>Association) is in favor of  family's presence during codes.
>
>Take a chill pill, K.   ;)
>
>Gabi, RN
>
>
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