SCOTT & WHITE MEMORIAL HOSPITAL
Trauma Center
Texas A&M Health Science Center
TOPIC:
Trauma Resuscitation Videotaping
APPROVED BY:
TS Policy:
TS.006
Proposed:
1/96
Approved:
3/96
Reviewed:
6/98
12/99
10/00
7/04
2/05
9/06
11/07
Revised:
6/98
10/00
7/04
2/05
9/06
3/08
Michael Craun, M.D.
Trauma Medical Director
___________________________________
Terry Valentino, RN, EMT-P
Trauma Program Nursing Director
This is a guideline only and is not intended to substitute for or override the
professional medical judgment of the individual practitioner.
I.
Purpose:
Video review allows for accurate quality assessment of trauma resuscitation and related
procedures. In this capacity, system errors can be identified and continuous performance
improvement can be facilitated. Recordings of trauma resuscitation are:




Used to facilitate physician education.
Adjuncts for physician education and self critique.
An opportunity for direct observation of clinical performance and
system review during trauma resuscitation.
A mechanism to evaluate and monitor adherence to the
recommended trauma protocols/guidelines.
II.
Scope:
All healthcare providers caring for trauma patients in the Emergency Department at Scott &
Memorial Hospital.
III.
Policy:
All Level 1Trauma Team Activations will be digitally recorded in the Emergency Department.
These recordings will be reviewed by the Trauma Program Nursing Director, Trauma
Program Manager and/or the Trauma Medical Director. The recordings and information
gathered will be used for quality improvement purpose.
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IV.
Digital Recording Procedure:
1. The digital video recording system will be activated for all Level 1Trauma Team
Activations by the scribe nurse or his/her designee in the following manner:
i. Before initiation of recording, verify that the stretcher is located within the
designated area and the overhead surgical lamps do not obstruct the cameras
view.
ii. To start the recording, locate the activation button in the appropriate resuscitation
room and push in the button. The button will turn red confirming the recording
system has been activated and is recording.
iii. Once the initial resuscitation phase has ended, push in the button to stop the
recording; the button will return to clear confirming that the recording had been
stopped.
V.
Review Process:
1. Access to the digital recordings will only be available through the Trauma Program
Nursing Directors computer.
2. The digital recordings will be reviewed by the Trauma Medical Director, Trauma Program
Nursing Director or Trauma Program Manager as required.
3. Critique forms will be completed on each video reviewed.
4. Issues that require further review will be discussed at the appropriate level. This may
include:
i. System Performance Improvement Committee
ii. Trauma Surgeon Performance Improvement Committee
iii. Trauma Peer Review Committee
iv. Trauma M&M Conference
v. Primary Review (Trauma Medical Director and/or Trauma Manager Review)
VI.
Confidentiality:
1. The digital video will not, under any circumstances, become a part of the patient's
medical record.
2. All recordings are erased immediately after review unless they are used for training
purposes, in which case all efforts to remove identifying information will be implemented.
3. All discs and recordings will be destroyed within 24 hours unless undergoing a review
process. All reviews must be completed within 30 days, after which any tape will be
erased.
4. A sign will be posted in the Emergency Department informing the community that video
recording may be occurring when emergency services are provided (as per JACHO
requirements).
PATIENT CONSENT:
General consent for this procedure is obtained on admission to the emergency
department.
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