What makes a Trauma Patient "Pediatric"?
What makes a Trauma Patient "Pediatric"?
A survey of pediatric age trauma patient admission A survey of pediatric age trauma patient admission
practices practices
PRINCIPAL INVESTIGATORs PRINCIPAL INVESTIGATORs
· Samir M. Fakhry, MD, FACS; Center for Trauma and Acute Care Surgery Research, Nashville, TN
· Gina M. Berg, PhD, Wesley Medical Center, Wichita, Kansas
· Nina Y. Wilson, MSN, RN; Center for Trauma and Acute Care Surgery Research, Nashville, TN
STUDY PURPOSE STUDY PURPOSE
· The purpose of this survey is to understand the criteria your hospital utilizes to determine placement of inpatient pediatric trauma admissions. Simply put, what is the age cutoff and/or patient characteristics that determine whether a patient is admitted to a pediatric specific unit or to an adult unit?
PARTICIPATION OVERVIEW PARTICIPATION OVERVIEW
· We are asking you to participate in this study because you are involved in the care, management, or administration of trauma patients and/or work at a facility that treats trauma patients. Participation is completely voluntary. If you agree to participate, you will complete an anonymous online survey about pediatric
admission practices at your facility that will take about 10 minutes to complete.
You may skip any question you do not wish to answer and you can
stop participating at any time prior to submitting the survey. After you submit the survey, we cannot remove your responses because we will not know which
responses came from you. There will be no personal benefit to you for
participating in this survey, however it is hoped that the knowledge gained will aid in the care of trauma patients in the future.
· The survey is anonymous; this means no one will be able to link your responses back to you. Your responses to the survey will not be linked to your computer, email address, or other electronic identifiers. Please do not include your name, your facility name, or other data that could be used to identify you or your institution in your survey responses. Information provided in this survey can only be kept as secure as any other online communication. Information collected for this study will be published and possibly presented at scientific meetings. This survey is being sent out to three professional organizations. Please complete this
survey only ONCE even if you receive invitations from more than one organization.
· If you have questions about this study you may contact the Principal
Investigator Samir Fakhry, MD, of the Center for Trauma and Acute Care Surgery Research, Nashville, TN at [email protected] or (615)295-6844.
For questions or concerns about your rights as a study subject or to speak with someone other than the Principal Investigator about the study, please contact:
David Vulcano, Vice-President for Research Compliance, HCA Healthcare, [email protected] or (615) 344-5260.
STATEMENT OF CONSENT STATEMENT OF CONSENT
· I have read this information and have been given contact information for questions. By clicking on the “Next” button below I am agreeing to participate in this research. If I do not wish to participate I can click the “Exit” button or simply close my internet browser.
What makes a Trauma Patient "Pediatric"?
What makes a Trauma Patient "Pediatric"?
A survey of pediatric age trauma patient admission A survey of pediatric age trauma patient admission
practices practices
1. Please choose oneone professional title that bestbest describes your current role:
Trauma Medical Director
Trauma Program Manager/Director Adult Trauma Surgeon
Pediatric Trauma Surgeon Mid-Level Provider (i.e. NP/PA) Registered Nurse
Researcher Administrator
Other (please specify)
2. Years of Experience in Current Role
0-2 3-5 6-10 11-15 >15
3. Years of Experience in Profession
0-2 3-5 6-10 11-15 >15
4. Which type of patients do you predominately work with?
Adult Pediatric Adult and Pediatric Equally Not applicable
5. What is your gender?
Male Female Non-binary Prefer not to answer
6. What is your age?
20-29 30-39 40-49 50-59 60+ Prefer not to answer
7. Location of Your Institution (Type)
Urban Suburban Rural
8. Location of your institution (Select state if in US or Select "County" and specify name of country in comments if non-US
9. Type of Institution
Non-Profit or Not-for-Profit For Profit Unsure
10. Number of total beds at your institution
1-99 100-199 200-299 300-399 400-499 >500
Unsure
11. Number of Pediatric beds at your institution
12. Is your institution a Children's Hospital?
Yes, it is a freestanding Children’s Hospital
Yes, it is a Children’s Hospital within a General Hospital No, it is not a Children’s Hospital Unsure
Other (please specify)
13. Does your institution have In-training Physicians (interns/residents/fellows)?
Yes No Unsure
State Designation only ACS Verification Only Both State Designation and ACS Verification
Level I Level II Level III Level IV None
14. What is your ADULTADULT Trauma Center Level and status?
15. Approximately how many ADULT trauma activations trauma activations (full and partial) does your institution have annually?
State Designation only ACS Verification Only Both State Designation and ACS Verification
Level I Level II Level III Level IV None
16. What is your PEDIATRICPEDIATRIC Trauma Center Level and status?
17. Approximately how many PEDIATRIC trauma activations (full and partial) does your institution have annually?
Adult Surgeon Pediatric Surgeon Varies Unsure
Weekday Daytime Weekday
Evenings/Nights Weekend
Daytime Weekend
Evenings/Nights
18. What type of Surgeon is the primary responder to pediatric trauma activations in your institution?
19. Do you have a Pediatric Trauma Service team that is distinct from the Adult Trauma Service.
Yes No Don't Know
20. What type of age cutoff criteria does your institution use for selecting an admission unit for a pediatric patient?
Mandatory age cutoff Suggested age cutoff Age Cutoff at provider’s discretion Unsure Other (please specify)
21. If mandatory or suggested, what is the cutoff age?
n/a 10 11 12 13 14 15 16 17 18
19 20 21
Other (please specify)
22. The rationale for this age cutoff choice is based on (check all those that apply):
Scientific data Professional society standard
Institutional
experience/tradition
Physician preference Nursing preference
Administration/Leadership preference
No basis that I am aware of
Unsure
Other (please specify)
23. How consistent is the adherence to the above referenced age cutoff practice in your institution?
Always Usually Sometimes Rarely Never
Comment (optional)
24. What are the exceptions wherein a Pediatric age patient may be admitted to an Adult unit? (check all those that apply):
Pediatric age patient sustaining penetrating trauma may be admitted to an ICU bed Pediatric age patient sustaining penetrating trauma may be admitted to a Non-ICU bed Pediatric age patient with weight above a specific threshold
Pediatric age patient in police custody (under arrest)
A Pediatric age patient with a dangerous social history (e.g. gang membership, drug addiction)
A Pediatric age patient requiring equipment only available on an Adult unit An emancipated minor (e.g. A Pediatric age patient who has given birth) None
N/A
Other (please specify)
Comment (What do you specifically agree/disagree with concerning your institution's age cut- off practices?)
25. Do you personally agree with your institution's age cutoff practices for pediatric age trauma admissions?
Yes No Unsure N/A
What makes a Trauma Patient "Pediatric"?
What makes a Trauma Patient "Pediatric"?
A survey of pediatric age trauma patient admission A survey of pediatric age trauma patient admission
practices practices
Adult Step-ICU/
down
Pediatric Step-ICU/
down Adult
Floor Pediatric
Floor Other Unsure
A 17 year old male, 5’5”, 120 pounds, with a Gunshot wound to the abdomen, status post exploratory laparotomy, with an open abdomen
A 12 year old male, 5’5”, 120 pounds, with a Gunshot wound to the abdomen, status post exploratory laparotomy, with an open abdomen
A 17 year old female, 5’2”, 120 pounds, with a stab wound to the chest, with a chest tube placed for large hemothorax
A 14 year old female, 5’2”, 120 pounds, with a stab wound to the chest, with a chest tube placed for large hemothorax
A 17 year old male, 5’9, 150 pounds, with a grade IV liver injury after an ATV rollover
A 14 year old male, 5’9, 150 pounds, with a grade IV liver injury after an ATV rollover
26. For the following scenarios, please check where this patient would be admittedFor the following scenarios, please check where this patient would be admitted according to standard practice at your institution, not your personal preference according to standard practice at your institution, not your personal preference..
27. Please add any comments you would care to make if your opinion on the above differs from common practice at your institution.
28. Please add any comments you would care to make that might be of value to the researchers in understanding the topic under investigation.
