Four nurses on staff at the Heart of Texas Memorial Hospital joined 11 others from as far away as Denison in completing a 16-hour trauma nursing core course that will assist them in a more knowledgeable assessment of trauma victims at the local hospital. The two-day course was taught by Peggy Helbert, the emergency room nurse director of the Titus County Hospital in Mount Pleasant, and two of her staff members. This particular course has been offered three other times since it first began in 1994. The program is conducted by the Emergency Nurses Association and serves as a basis for a standardized approach to initial trauma care. The Heart of Texas Memorial Hospital is a Level IV trauma facility. This rural hospital is designed with a specific purpose’to stabilize trauma patients and get them transported to the appropriate hospital for them to receive advanced care. Trauma by definition is a major threat to the immediate and often long-term health of individuals. The optimal care of the trauma patient is best accomplished within a framework in which all members of the trauma team use a systematic, standardized approach to the care of the injured patient. The purpose of this program is to present core-level knowledge and psychomotor skills associated with implementing the trauma nursing process. By doing this in similated situations, the course enhances the nurses ability to rapidly and accurately assess the patient’s responses to the trauma event. The basic design of this program is to ultimately decrease the morbidity and mortality associated with trauma.