Trauma IR (TIR) Activation Flow
Authors: Nicholas Carter, Maritza Rossini
Approval: April 2026- Namias, Shahid
TIR Alert (via page operator)
- Review imaging
- Discussion between Trauma and IR Attendings
TIR Activation (60-minute clock starts after Trauma and IR attendings talk)
IR Attending activates TIR
- JMH Anesthesia DTC Attending
- IR RN
- IR RT
- IR Attending
- Trauma Resus Charge Nurse
- Blood Bank
IR Nursing Team Responsibilities:
- Call Anesthesia Tech
- Begin room setup
- Begin basic sterile setup
- Bring rapid infuser supplies (stored outside room)
Blood Bank Responsibilities
Deliver initial blood products to IR Room 26:
- 4 PRBC
- 4 FFP
Additional products:
- Picked up by IR RN OR
- Sent via tube station (#46)
Anesthesia Tech / Trauma Resuscitation
- Immediately mobilize patient to IR Room 26
- Provide courtesy call to IR RN when en route
- Begin setup in IR Room 26
TIR Alert (via page operator)
- Review imaging
- Discussion between Trauma and IR Attendings
TIR Activation (60-minute clock starts after Trauma and IR attendings talk)
IR Attending activates TIR
- JMH Anesthesia DTC Attending
- IR RN
- IR RT
- IR Attending
- Trauma Resus Charge Nurse
- Blood Bank
IR Nursing Team Responsibilities:
- Call Anesthesia Tech
- Begin room setup
- Begin basic sterile setup
- Bring rapid infuser supplies (stored outside room)
Blood Bank Responsibilities
Deliver initial blood products to IR Room 26:
- 4 PRBC
- 4 FFP
Additional products:
- Picked up by IR RN OR
- Sent via tube station (#46)
Anesthesia Tech / Trauma Resuscitation
- Immediately mobilize patient to IR Room 26
- Provide courtesy call to IR RN when en route
- Begin setup in IR Room 26
