Indiana Trauma Registry Training Materials

This section allows the capture of the location of the injury, cause of injury (using E-Codes), and any protective equipment that may or may not have been used by the patient during the incident.

Indiana Patient Registry Training - Injury

The pre-hospital section includes information as how the patient got to the hospital, barriers to caring for the patient, and EMS run sheet information including: dates and times of dispatch, arrival to scene, and departure from scene, as well as initial vital signs recorded by the EMS provider.

Indiana Patient Registry Training - Pre-Hospital

The referring hospital section is only used if the patient was transferred from an initial hospital to another hospital.  If the patient was transferred and information was received from the initial hospital, the patient's vital signs, procedures performed, and medications administered while at the initial hospital can be captured here.

Indiana Patient Registry Training - Referring

The ED/Acute Care section allows the entry of the date and time the patient arrived and left the ED, Trauma Team Activation information, where the patient went after leaving the ED, and if transferred, where they were transferred to.

Indiana Patient Registry Training - ED and Acute Care

The Initial Assessment section captures the initial vital signs in the ED, blood bank information, radiology information (such as CT scans and abdominal ultrasounds), and laboratory information (BAC and drug use).

Indiana Patient Registry Training - Initial Assessment

The patient's diagnosis codes are entered using both an ICD-10 code format, as well as an AIS code format.  Codes can be looked up using keywords or drop-down menus.  When AIS codes are entered, the ISS score is calculated.

Indiana Patient Registry Training - Diagnosis

If the patient has a comorbid condition, a condition from the national list can be chosen or a condition can be typed in.  Additional notes can also be made about the condition.

Indiana Patient Registry Training - Comorbidity

The procedures tab allows the capture of the procedures the patient had while in the hospital (ICD-10 code format), where the procedure was performed, the date and time the procedure was performed, and who performed the procedure.

Indiana Patient Registry Training - Procedures

The Complications/PI section is used for those facilities working on performance improvement measures and which want to document corrective actions the facility is taking.

Indiana Patient Registry Training - Complications and PI

This training explains the 'Incident Information' box located at the top of each incident on every tab.

Indiana Patient Registry Training - Incident Information Box

The icon manual is a quick reference tool that explains all of the icons used throughout the Indiana Trauma Registry.

Indiana Patient Registry Training - Icon Manual