A nurse in a level III trauma center is preparing her patient for transport to a level I trauma center. How should the nurse describe a level I trauma center to the patient and family?

A) Basic trauma services are available, but the center is not involved in community education programs.
B) Basic trauma services are available, but 24-hour surgical services may not be available.
C) Trauma and specialty surgical services are available; center provides trauma education to staff.
D) Trauma and specialty surgical services are available; provides trauma and injury prevention education to community.


D) Trauma and specialty surgical services are available; provides trauma and injury prevention education to community.

Explanation: A) A level V trauma center is able to provide basic trauma level services but may not have 24-hour coverage for surgical services. A level V trauma center generally is not involved in continuing or community-level educational activities.
B) A level IV trauma center is able to provide basic trauma emergency services with around-the-clock laboratory services. It may not be able to provide 24-hour coverage of surgical services.
C) In a level II trauma center, trauma care is available at all hours with specialty surgical services available. A level II center provides education on trauma and injury prevention to institutional staff and may need to refer patients to a Level I facility after initial stabilization.
D) In a level I trauma center, trauma care is available at all hours with specialty surgical services available. A level I trauma center has a system in place for substance abuse screening and intervention. It also provides system leadership and oversight and education to the surrounding community on trauma and injury prevention.

Nursing

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To conduct assessment of the internal environment, the strategic planning team for Pacific Hospital:

a. Invites community members and staff of the hospital to an evening focus group session. b. Discusses what it sees as the primary threats and opportunities in demographic shifts affecting the hospital. c. Invites all levels of staff to focus groups on the effectiveness of the hospital envi-ronment, including information systems and staffing. d. Asks the board to provide a summary of major opportunities for the future.

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