Rapid Response
Documentation of Rapid Response interventions is located where in the EMR?
Notes Section of the EMR
One staff member from each unit will respond
Code Grey
Shortness of breath and Tachypnea
Respiratory Distress
Should be initiated within 20 minutes of stroke symptom onset?
non-contrast CT
For a Code Stroke, why is a CT ordered?
To rule out a bleed
The RR Nurse will report to the identified location within how many minutes of the initial phone call?
15 minutes
Fingerstick Glucose Check is the first lab to be checked
Code Stroke
Associated with organ dysfunction, hypoperfusion or hypotension
Severe Sepsis
Blood cultures X2, Lactate, CBC with Diff, CMP, PT/PTT, Oximetry, antibiotics & IV Fluids
Sepsis 1-Hour Bundle
How often should a Port dressing be changed?
Every 7 days
Name the Smart Phrase for Rapid Response Intervention Documentation.
RRT Event Note
What is to be completed for each BH code grey?
Event report
Associated with a presumed or confirmed infectious process
Sepsis
How often is the NIHSS performed on Acute Stroke/TIA Patients?
on admission, at 24 hours after admission, at discharge, and for any acute changes.
You should reassess effectiveness of IV pain medication
15 minutes after administration
Number for Rapid Response Team
5284
If a Code Blue occurs on an isolation patient what items MUST remain outside the patient room?
crash cart, intubation box and IV tray
(One team member will remain outside the room to handover whatever is needed from the crash cart to the team inside the room)
A clinical response arising from a nonspecific insult, with a HR of 103 and a WBC of 12,000
SIRS
How often should the lactate be drawn if abnormal?
Every 4hrs STAT until Normalized
How do you administer a Tube Feeding bolus?
Using Kangaroo pump, intermittent dosing
What MEWS score requires notification of the Rapid Response team?
MEWS 3 for consecutive assessment
Or
MEWS 4 or more
Staff should monitor exits and public areas
Code Pink
Refractory Hypotension despite fluid resuscitation
Septic shock
Vital Signs and Neuro checks: every 15 minutes for 2 hours, then Q 30 minutes for 6 hours, then Q 1 hour for 16 hours.
after starting Alteplase infusion
Name 3 medications that require a second signature
Heparin, insulin, Alteplase, any pediatric IV medication, PCA, TPN, any narcotic waste