As a Level I trauma center in Pennsylvania, Hahnemann University Hospital is required to maintain a trauma registry. Working behind the scenes at Hahnemann University Hospital's Charles C. Wolferth Trauma Center are two full-time trauma registrars. Trauma registrars — at Hahnemann and throughout the state — are a specialized group of people who follow a trauma patient from the time of injury until the time of discharge from the hospital, or death. Pennsylvania celebrates their support annually on May 15, which is marked in the state as Trauma Registrars Day.
By following the patient, the registrar captures data as required by the Pennsylvania Trauma Systems Foundation (PTSF), which is the accrediting agency for trauma centers in Pennsylvania. The trauma registry also submits data to the National Trauma Data Bank (NTDB), which contains the largest amount of data on trauma patients in the country, as well as the Trauma Quality Improvement Program (TQIP) started by the American College of Surgeons.
The data generated by the trauma registrars from the patient record is used for review of quality of care of the trauma patient, as well as providing data for research to increase the probability for survival and outcomes of the trauma patients. The registry must follow specific guidelines mandated by PTSF, NTDB and TQIP. The Hahnemann University Hospital's registry contains data on approximately 37,000 patients. Hundreds of data points are collected ranging from demographic, prehospital, list of injuries, scoring of injuries, all procedures administered to the patient and outcome data, just to name a few.
Our registrars have many years of experience. Lizann Scott, CSTR, is one of the original trauma registrars in the state, having worked at one of the hospitals that were accredited in early 1980s. Denise Nelinson has worked in the registry at Hahnemann for more than 15 years.