What am I
I have no cardiopulmonary function
code
First notice something is wrong...
detection
This is a 75 year old male found unresponsive
situation
I am usually the first one there - I give basic background, history, and labs
Nurse
Difference between code and RR
hmm.....besides the letters?
I lost consciousness but I have a pulse
Second step of RR
Activation (call the team)
Patient needs to be intubated
Recommendation
I assess respiratory status, rate, rhythm, lung sounds, and may ventilate patient. I'll give nebulizers and help prepare for intubation
Respiratory therapist
The _____ made having RR teams a national patient safety goal.
Joint Comission
My patient's RR went down to 6
Rapid response
Third step of rapid response
response/assess/stabilize
analyze what's going on, problem solve, react
Patient is my friend
not SBAR, not relevant
I'm in charge
MD
Where RR started
Australia
My patient isn't breathing
code
What happened during the response, what should/could we do
Evaluation
Patient had surgery earlier
Background
I'll keep people out that shouldn't be in the room. I'll coordinate care and transfer if necessary. I may record what happened.
Supervisor
Goal of RR
to come to aid of patient before he/she deteriorates
My patient was shot in his hospital room
Rapid response (and police)
4th step of RR
Disposition
Pt has a BS of 323
Assessment
I'll assess the patient including the most recent VS, I'll put the patient on a cardiac monitor and check the rhythm. I'll check IV access and give IV meds
Rapid Response Nurse (usually ICU or ED)
What to never say or do during or after someone calls a RR
why did you bother