-: My name is Mark Holfing and I am a nurse.
I work as the Trauma Program Manager
at Community Hospital in Anderson, Indiana.
Trauma Program Manager position
is a job that has a lot of diversity to it.
So I do everything from injury prevention,
we try to cover the whole scope of injury prevention
and treatment in the community.
And so, injury prevention all the way into working
with EMS and fire and emergency services type people.
Spend a lot of time working with folks
in the emergency department and the surgery team
all the way as patients visit the ICU
and out on the floors of the hospital
then through rehab and discharge.
For more severe injuries we have a highest level
activation, but for a typical fall those patients
will receive a lower level activation
which kind of alerts our team in the
emergency department to be ready for when they come in.
And then when they get there you kind of do a quick
assessment of how serious do things look
right at the beginning of things.
Is the patient conscious?
All those types of things.
And so, once the patient comes in, gets a
brief assessment, usually those patients go
straight to the CT scanner.
We wanna get a good picture of the inside
of their head pretty quickly to see
if there's bleeding going on,
if there's fractures in places...
And that really determines a lot of things.
If they're lucid, if they're alert and oriented,
they don't have bleeding into their head,
we'll watch 'em for a little while
and see what other injuries they may have.
If they do have bleeding into their head,
and so sort of the other end of the spectrum
is those patients will get a really quick
neurosurgical consult.
Usually the neurosurgeon will look at the films,
come in evaluate the patient,
and will try to be in the operating room
within an hour, hour and a half.
Some weeks I have three or four days
where I'm out at meetings either over in Muncie
or down in Indianapolis.
Whether it's injury prevention meetings
or state trauma care committee meetings.
So I kind of have to handle that end of things.
I'm out meeting with people in the community.
There's injury prevention classes,
there's a class called Stepping On,
which we're getting ready to launch
which is oriented around falls prevention
in the elderly population.
I do spend a decent amount of time sitting
behind a desk looking at cases and reviewing cases
for quality, doing process improvement.
And then there's a number of just projects
that are sort of always ongoing.
Things that we're trying to take to the next level
in our hospital.
Again, I touch a lot of different areas.
Whether it's related to massive transfusions
or ultra sound exams in the emergency department...
Lots of different, lots of different things there.