R Squared
The primary purpose of Rapid Response.
What is mobilizing a multidisciplinary team to intervene when a patient is deteriorating?
You are caring for a 5-month-old patient who begins to seize, he appears to be breathing. How do you activate a rapid response?
What is push STAFF ASSIST?
These roles/people always responds to rapid response.
Who is Charge Nurse, Critical Care Team, PCA, Lead Physician?
Quick: Give us a made up SBARD on a patient with severe inspiratory and expiratory stridor who you have called a rapid response on!
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How would you describe rapid response to a family?
What is, "Rapid Response team is designed to bring a lot of people together to work quickly to help their child."
A situation not appropriate to activate a rapid response for.
What is cardiac or respiratory arrest?
You are caring for a patient who is febrile, lethargic with delayed cap refill. What response will you activate? How?
Name three additional roles might be called to help with rapid response if needed.
CCON, ED RT, ED SW, IV Team, ED Pharmacist, Blood collections/lab
Quick: Give us a made up SBAR on a patient who is febrile and having a seizure who you pushed staff assist to activate a rapid response for.
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You are orientating a family to their patient room. What do you tell them about how to get help while they wait.
The wall buttons staff assist and code blue are for medical emergencies. If your child is seizing, unresponsive or not breathing, please use them. If you need assistance or to speak with the nurse, press the red button at the end of the call bell.
How is the response different if you push STAFF ASSIST versus when you Urgent Broadcast "Rapid Response" over Vocera.
Staff assist give you an alarm and patient team call room lights.
Vocera does not.
Both give you the same initial personnel response (critical care team, PCA + physician).
A patient is unresponsive and does not appear to be breathing. What kind of response do you call? How?
What is CODE BLUE!
Push the code blue button or call 7111.
Who brings the airway box to the rapid response?
Charge nurse
You pushed staff assist in T1-110 for a patient with low saturations and a high PRAM score. The rapid response team arrives, tell us why we're here!
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True or false. Parents and caregivers should be removed from the room when rapid response is activated to allow the team to do their work.
FALSE
Allowing family and caregivers to comfort, console and be near their child to the greatest extent possible is an evidence-based, family centered approach.
I am the nurse in T1-109 and I push staff assist for a rapid response. I'm not on the critical care team. What is my role?
Give a succinct summary of your concerns, highlighting your observations and why you pushed staff assist.
Depending on the clinical situation, the critical care team may take over care entirely so that you can return to care for your other patients. Or, you may stay and support necessary interventions along with the critical care team.
True or False: A trauma 2 patient could have a have a rapid response instead of a Trauma activation.
What is FALSE! Please continue to follow your trauma activation pathways!
Refer to your rapid response protocol, as TNL for a rapid response, your documentation includes this.
Time of rapid response activation, time of provider notification, vital signs/PEWS q5 minutes, GCS/mental status q10 mins, time, success and patient tolerance of interventions, changes in patient condition.
You Vocera overhead: "Rapid Response to room T1-127" for a lethargic & febrile neonate. You realize after you actually want a code sepsis. How do you tell the arriving team?
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A family reports that they have an emergency treatment letter from their metabolic specialist. Their child is pale, listless and has been vomiting. What are your actions?
Call a Rapid Response!
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A unwell appearing patient is brought by parents after a window fall. Can this patient be a rapid response?
No! Trauma patients continue to follow trauma activation processes.
In addition to the trauma call-out, if you want to gather the critical care team quickly the charge nurse may consider Urgent Broadcast Vocera "Trauma 1 to room 106."
A rapid response is called for a patient with respiratory distress and as part of the interventions needed for this child you must begin IV heparin. You are unfamiliar with this infusion. These people are your resources.
Who are CRNs, pharmacist, CCON.
A family member is distraught regarding their child's health status during a rapid response activation. Who can support this family member?
SW, another nurse, CLS
A 6 year old with wheeze and vomiting is in room 108 after ingesting peanuts. How will you activate a Rapid Response? What will you say when the team arrives.
Push staff assist or Urgent Broadcast: Rapid Response to T1-108.
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The patient is stabilized after initial interventions and the critical care team is leaving the room. Describe the next steps to the family.
Something like..."Your child seems to have responded well to our interventions. We will continue to closely monitor your child."