Trauma systems operate on the principle that people with severe injuri
es require special medical capabilities if they are to have their best
chance of recovery. However, optimal trauma care is threatened by the
problems of inadequate financial reimbursement. This threatens the ab
ility to deliver trauma patient care, A variety of strategies is neces
sary to continue to provide care. Two specific nursing role innovation
s provide the opportunity to improve the ability to provide coordinate
d, efficient, and cost-effective quality care.