I work in the ER of a level 1. We don't have dedicated trauma nurses. We go to huddle in the morning and get our assignment (acute pods, fast track, triage, float, critical/trauma) and it changes each shift. Our critical pod gets all of the traumas. We have 8 beds. When they call a level one, surgeons are standing outside the doors from trauma, neurosurgery, vascular surgery, ortho surgery, etc go see who is needed). In a lot of cases with hemorraging level ones we start a massive transfusion protocol which means we literally get coolers full of blood to infuse immediately, and a lot of the times I end up having my patients in the OR in the first 30 minutes and then they go to shock trauma ICU. As an ER nurse, it's all hands on deck to keep the patient alive for that 30 minutes or so(which us why we chart traumas on paper). The STICU nurses usually get them in a mess and never complain. They are amazing! They transition them from being covered in dirt and leaves and grass to being presentable for families all while managing the vents, drips, chest tubes, foleys, art lines, etc. that we just started in the ER and took off running down the hall with!