LETTER SEEKING EXPERT’S OPINION FOR CONTENT VALIDITY OF THE

TOOL USING FOR THE STUDY

From,
Ms. Patel Khushbu,
M.Sc. nursing,
Shri Anand college of nursing,
Rajkot.
To,
Forwarded Through,
Principal,
Shri Anand college of nursing Rajkot
Respected Sir/Madam,
I am student of M.Sc. (N) II year of Shri Anand College of Nursing & have selected the topic
mentioned below for the research project to be submitted to Saurashtra University, as a partial
fulfillment of Degree in Nursing.

Title of the topic:

“A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS
IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH THE VIEWS TO DEVELOPING INFORMATION BOOKLET IN
SELECTED HOSPITAL .”

I kindly request you to validate my research tools for its appropriateness and relevancy.
I would be highly obliged and remain thankful for your great help if you could validate and send it as
early as possible.

Enclosures:
 Statement & Objectives of study
 Research Tool

Date Yours Sincerely,

Place:
1. STATEMENT OF THE PROBLEM
”A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS

IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG

STAFF NURSE WITH THE VIEWS TO DEVELOPING IN FORMATION BOOKLET
INSELECTED HOSPITAL”

2. OBJECTIVES OF THE STUDY

 To evaluate the knowledge levels among staff nurses regarding the Revised Trauma
score and its significant impact on the prognosis of patients with multiple injuries.
 To find out association between selected demographics variables, pre-test and post test
knowledge regarding revised trauma score

3. RESEARCH TOOL
SECTION – A

DEMOGRAPHIC DATA:

1. Age group of staff nurses.

a)22-25yrs
b)26-29years
c)30 years above
2. Educational status of staff nurses.
a) GNM
b) B.Sc.
c) post B.Sc.
d) M.Sc.
3. previous experience of any educational section regarding trauma.
. a) yes
b) no

4.previous experience of care given to trauma patient?

a) yes
b) no

5.) previous knowledge about trauma care

a) yes
b) no

6. source of information
a) Books
B) Online
C) Mass Media
D) None
 A LESSON PLAN
REVISED TRAUM SCORE AND ITS
IMPACT ON MULTIPLE INJURY

SUBMITTED TO SUBMITTED BY
MIS. SUDESHNA BANERJEE DUTTA MS PATEL KHUSHBU
ASSISTANT PROFESSOR 2 YEAR M.Sc. NURSING
SAION, RAJKOT MEDICAL SURGICAL NURSING
STUDENT-TEACHER INFORMATION

 Name of student teacher: - MS. PATEL KHUSHBU

 Topic :- REVISED TRAUMA SCORE

AND ITS IMPACT ON MULTIPLE INJURY.

 A.V. Aids :- PPT

 Subject :- MEDICAL SURGICAL

NURSING

 Placement :- Selected hospital

Surat.
 Duration :- 30-40 minutes

 Date & time :-

 Method of teaching :- PPT

 Evaluating :- By asking questions

 Evaluator :-
 General Objective:
 At the end of planned teaching program, the staff nurses wil be able to gain

knowledge, about revised trauma score and impact multiple injury.

 Specific Objectives:
At the end of session, the nurses will be able to:
 Introduce topic.
 Define trauma, multiple injury
 Enumerate different types of trauma and multiple injury.
 Discuss about components of revised trauma score.
 Enlist the scoring system
 Describe the calculation
 State the application in trauma care
 Explain about the advantages
 List out the limitations
 Explain about the management of trauma.
 TEACHING
TIME SPECIFIC CONTENT LEARNING AV EVALUATION
OBJECTIVES ACTIVITIES AIDS

INTRODUCTION
The staff ppt
2MNTS lecture cum Introduced about
nurses will be The Revised Trauma Score (RTS) is discussion the RTS.
able to get a tool used in emergency medicine
information to assess the severity of a trauma
about trauma patient's injuries, particularly in the
score. context of multiple injuries. It is a
scoring system that combines three
physiological parameters: Glasgow
Coma Scale (GCS), systolic blood
pressure (SBP), and respiratory rate
(RR). Each of these components is
assigned a numerical value, which is
then summed to provide an overall
score that helps healthcare providers
make decisions about the priority of
treatment and transport.

TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
 OBJECTIVES ACTIVITIES AIDS

2mnts The Nurses DEFINITION

Trauma is an event you experience lecture cum defined about the
will be able to
ppt thalassemia
as harmful or life threatening. It has discussion
define trauma.
lasting adverse effects on your
mental, physical, emotional, social,
or spiritual well-being.
Trauma is less about the event and
more about how you responded. But
some events are more likely to lead
to trauma than others.
The feelings traumatic events leave
us with. Characterized by feeling
unsafe in one’s body, emotional
trauma can alter our brain
function and lead to an overarching
sense of hopelessness.
The nurses will TYPES OF TRAUMA
3mnts
be able to Emotional trauma: Characterized
lecture cum enumerate different
by feeling unsafe in one’s body,
enumerate ppt types of trauma.
emotional trauma can alter our brain discussion
different types function and lead to an overarching
sense of hopelessness.
of trauma
Complex trauma: A series of
traumatic events that can have a
lasting impact.
Secondary trauma: Also known as
vicarious trauma, secondary trauma
refers to being a witness to trauma.
Witnessing a traumatic event can
impact your emotional health and is
deserving of support, empathy, and
compassion.

TEACHING
TIM SPECIFIC CONTENT AV EVALUATIO
LEARNING
E OBJECTIVE AID N
S ACTIVITIE S
S
 Components of the Revised Trauma Score
5mnt The nurses lecture cum discussed
Ppt
s 1. Glasgow Coma Scale (GCS) about the RTS.
will be able discussion
 The GCS assesses a patient's level of
to discuss
consciousness based on eye opening, verbal
about response, and motor response.
components  Scores range from 3 (deeply unconscious) to 15
of revised (fully alert).

trauma score
2. Systolic Blood Pressure (SBP)

 This measures the pressure in the arteries when the

heart beats.
 Critical thresholds are used to assign scores, with
lower blood pressure indicating more severe
trauma.

3. Respiratory Rate (RR)

 This measures the number of breaths a patient takes
per minute.

 Abnormal respiratory rates can indicate severe

trauma or compromised respiratory function.

Glasgow Coma Scale (GCS)

 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

SCORING SYSTEM
lecture cum enlisted about the
The nurses will ppt
3mnts Each component of the RTS is scored as scoring system
discussion
be enlisting the follows:
scoring system
 GCS
o
13-15 = 4 points
o
9-12 = 3 points
o
6-8 = 2 points
o
4-5 = 1 point
o
3 = 0 points
 SBP (mmHg)
o 89 = 4 points
o 76-89 = 3 points
o 50-75 = 2 points
o 1-49 = 1 point
o 0 = 0 points
 RR (breaths/min)
o 10-29 = 4 points
o 29 = 3
points
o 6-9 = 2 points
o 1-5 = 1 point
o 0 = 0 points
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

7mnts The nurse will Calculating the Revised Trauma

Score lecture cum described about the
be able to ppt
calculating the RTS.
discussion
describe The RTS is calculated by adding the
thecalculation scores from each of the three
the RTS. components. The maximum possible
score is 12, indicating minimal or no
physiological derangement, and the
minimum score is 0, indicating
severe physiological derangement.
Example:
 A patient with a GCS of
13, SBP of 90 mmHg, and
RR of 20 breaths/min
would have the following
scores:
o GCS: 4 points
o SBP: 4 points
o RR: 4 points
 Total RTS: 4 + 4 + 4 = 12
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

Interpretation and Use

 Higher Scores (10-12):

Indicate less severe
injuries. Patients with
these scores may be
prioritized lower for
immediate intervention
but still require medical
attention.
 Moderate Scores (7-9):
Indicate moderate
severity. These patients
may need more urgent
intervention and close
monitoring.
 Lower Scores (<6):
Indicate severe injuries
with a high likelihood of
critical outcomes. These
patients require
immediate and advanced
trauma care.
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

APPLICATIONS IN TRAUMA
The nurses will CARE lecture cum Stated the
ppt
application in
be able to state discussion
5mnts  Triage: The RTS helps in trauma care.
the application triaging patients,
in trauma care especially in mass casualty
incidents, by identifying
. those who need immediate
care versus those who can
wait.
 Transport Decisions:
Helps in deciding the
mode and urgency of
transport. Patients with
lower RTS may need rapid
transport to a trauma
centre.

Treatment
Prioritization: Assists in
prioritizing surgical and
medical interventions
based on the severity of
the patient's condition
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

The nurses will Advantages of the RTS

3mnts. lecture cum explained about the
be explained ppt
advantages of RTS.
 Simplicity: The RTS is discussion
about the
advantages of straightforward to
RTS. calculate, making it
practical for use in pre-
hospital and emergency
settings.
 Objective: Relies on
objective physiological
measurements rather than
subjective assessments.
 Predictive Value:
Provides valuable
prognostic information
that can guide clinical
decision-making.
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

The nurses will Limitations of the RTS

lecture cum list out the
be able list out  Does Not Consider Age: ppt
3mnt limitations of the
discussion
the limitations The RTS does not account RTS.
of the RTS. for patient age, which can
influence trauma outcomes.
 Limited to Physiological
Parameters: It does not
consider anatomical injuries
or other factors like
comorbidities.
 Potential for
Misclassification: In cases
of certain types of injuries,
such as isolated head
injuries, the RTS may not
fully capture the severity of
the condition.
 TEACHING
TIME SPECIFIC CONTENT AV EVALUATION
LEARNING
OBJECTIVES AIDS
ACTIVITIES

The nurses will MANAGEMENT OF TRAUMA.

lecture cum explained about the
be able explain ppt
5mnt management of
TRAUMA THERAPY discussion
about the trauma
management of
trauma.
 Stabilization.
.
 Reprocessing.

 Reprogramming.

Alternative therapies for trauma

 acupuncture

 deep breathing exercises

 meditation

 progressive relaxation

techniques

 tai chi

 yoga

SECTION – B
 TEST KNOWLEDGE REGARDING REVISED TRAUMA SCORE
AND ITS IMPACT ON PROGNOSIS OF PATIENT WITH
MULTIPLE INJURY IN ICU AMONG STAFF NURSE.

INSTRUCTION:

1. THE FOLLOWING STATEMENTS SEEKS INFORMATION REGARDING

REVISED TRAUMA SCORE.

2. INFORMATION COLLECTED IS USED FOR EDUCATIONAL PURPOSE

ONLY.

3. PLEASE TICK YOUR PREFERENCES.

KNOWLEDGE QUESTIONARIES

1. What does the revised trauma score (RTS) primarily assess?

A) Organ function
B) Neurological function
C) Severity of injury
D) Pain level

2. Which components are included in the Revised Trauma Score?

A) Glasgow Coma Scale (GCS), respiratory rate, and blood pressure
B) Heart rate, respiratory rate, and blood pressure
C) Glasgow Coma Scale (GCS), respiratory rate, and systolic blood pressure
D) Temperature, heart rate, and Glasgow Coma Scale (GCS)

3. What is the maximum score on the Revised Trauma Score?

A) 12
B) 10
C) 15
D) 20

4. A Glasgow Coma Scale (GCS) score of 15 corresponds to which RTS value?

A) 4
B) 5
C) 6
D) 8

5. In the RTS, what does a respiratory rate of 10-29 breaths per minute score?
 A) 1
B) 2
C) 3
D) 4

6. A systolic blood pressure (SBP) of less than 89 mmHg in the RTS is scored as:
A) 0
B) 1
C) 2
D) 3

7. Which RTS score indicates the most severe injury?

A) 12
B) 4
C) 10
D) 2

8. How is the RTS used in triage?

A) To determine the type of surgical intervention
B) To prioritize patients for treatment
C) To diagnose specific injuries
D) To assess pain levels

9. What is the RTS score for a patient with a GCS of 13, RR of 24, and SBP of 90?
A) 10
B) 11
C) 12
D) 9

10. In the RTS, a GCS of 3 is scored as:

A) 0
B) 1
C) 2
D) 3

11. Why is the RTS an important tool in emergency medicine?

A) It is used to measure blood glucose levels
B) It helps in assessing the severity of trauma
C) It monitors heart rate variability
D) It determines the need for antibiotics

12. What RTS score should prompt immediate advanced trauma care?
 A) Less than 12

B) Less than 10

C) Less than 8

D) Less than 6

13. A patient with a GCS of 9, RR of 20, and SBP of 100 has an RTS of:

A) 10

B) 8

C) 9

D) 7

14. In RTS, what does a respiratory rate of >29 breaths per minute score?

A) 0

B) 1

C) 2

D) 3

15. What is the RTS score for a patient with a GCS of 8, RR of 30, and SBP of 70?

A) 3

B) 4

C) 5

D) 6

16.Which RTS component assesses neurological function?

A) Respiratory rate

B) Glasgow Coma Scale (GCS)

C) Systolic blood pressure

 D) Heart rate

17.What does a high RTS score indicate?

A) Severe injury

B) Mild injury

C) Moderate injury

D) No injury

18. In multiple injuries, why is the RTS useful?

A) It identifies specific organ injuries

B) It quantifies the overall severity of trauma

C) It measures chronic conditions

D) It diagnoses fractures

19. What is the RTS score for a patient with a GCS of 15, RR of 25, and SBP of 120?

A) 12

B) 11

C) 10

D) 9

20. How often should RTS be reassessed in a trauma patient?

A) Every 4 hours

B) Once daily

C) Continuously

D) As the patient's condition changes

21. Which RTS component is affected by both respiratory and cardiovascular function?
 A) Glasgow Coma Scale (GCS)

B) Respiratory rate

C) Systolic blood pressure

D) Heart rate

22. In the RTS, a GCS score of 6 corresponds to which value?

A) 0

B) 1

C) 2

D) 3

23 A systolic blood pressure of 70 mmHg scores how much in the RTS?

A) 0

B) 1

C) 2

D) 3

24 What is the significance of a decreasing RTS score?

A) Improvement in patient condition

B) Stabilization of vital signs

C) Worsening of patient condition

D) Indication for discharge

25. Which of the following is a limitation of the RTS?

A) It does not consider age

B) It is difficult to calculate

C) It requires advanced equipment

 D) It is not widely used

26. Why is systolic blood pressure included in the RTS?

A) To assess brain function

B) To monitor cardiac output

C) To evaluate circulatory status

D) To measure respiratory efficiency

27. Which RTS component is most affected by head injury?

A) Respiratory rate

B) Glasgow Coma Scale (GCS)

C) Systolic blood pressure

D) Heart rate

28. A patient with a GCS of 14, RR of 22, and SBP of 95 has an RTS of:

A) 12

B) 11

C) 10

D) 9

29. In a multiple injury scenario, why might the RTS be preferred over other scoring

systems?

A) It is more detailed

B) It is simpler and quicker to use

C) It is less expensive

D) It provides a definitive diagnosis

 30. What is the primary goal of using the RTS in trauma care?

A) To predict long-term outcomes

B) To identify the need for surgical intervention

C) To prioritize patient care and resource allocation

D) To determine the cause of injury

QUESTION ANSWER QUESTION ANSWER

NUMBER NUMBER

1 C 16 b
2 C 17 B
3 A 18 B
4 C 19 A
5 D 20 D
6 D 21 C
7 B 22 B
8 A 23 A
9 A 24 C
10 B 25 A
11 D 26 B
12 D 27 B
13 B 28 B
14 B 29 C
15 B 30 C

CRITERIA RATING SCALE FOR VALIDATING TOOL

 Respected Sir/ Madam,
Kindly go through the content and please tick mark (tick) against questionnaire in
the following columns. Kindly give your opinion in the remark columns.

Sr Very Need Not

Items Relevant Remarks
no relevant modification relevant

SECTION -A

1. :DEMOGRAPHIC
VARIABLES

Remarks:

SECTION –B :

“REVISED TRAUMA
SCORE AND ITS
IMPACT ON
2. PATIENT WITH
MULTIPLE
INJURY”

Remarks:
 CONTENT VALIDITY
CERTIFICATE

I hereby certify that I have validated the tool of Ms.Khushbu Patel, Who is undertaking
the following study.

“A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS

IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH THE VIEWS TO DEVELOPING INFORMATION BOOKLET IN
SELECTED HOSPITAL”

Place: Signature of expert

Date: Name and designation

(Seal)