Rapid Response Team Questions with correct Answers 2023

Rapid Response Team Questions with correct Answers 2023 Three systemic issues that contribute to mortality rates 1. failure in planning 2. failure in communication 3. failure to recognize RRT system. (three major components) 1. early recognition of the deteriorating patient 2. rapid response with swift provision of care by clinical staff 3. means by which to measure the system 10 RRT calling criteria 1. threatened loss of airway 2. RR less than 8 or greater than 28 3. HR less than 40 or greater than 130 4. BP greater than 180 or less than 90 5. Urine output less than 50ML over 4 hours 6. SpO2 less than 90% 7. Pt the nurse is worried about 8. Altered mental status 9. Angina unrelieved by nitro 10. Uncontrolled pain Roles of RRT 1. assess 2. stabilize 3. collect data 4. communicate 5. educate 6. assist with triage/transfer Early intervention of RRTs has been shown to decrease the incidence of cardiac arrest and improve mortality rates Two types of transport? inter (another hospital) and intra (another unit) What to consider with interfaculty transport? 1. method of transport 2. people involved in the process Sending physician role performs the patient assessment and determines the appropriate level of care during transfer Receiving physician role ensure that his or her facility is capable of providing necessary patient services to care for the patient The medical director of the critical care transportation agency must Provide medical direction during transport (minimal team composition, equipment requirement, education and practice) Who plays a big role in interfaculty transport? case managers If a patient is in an ambulance and things start to go wrong who do you call? medical director 2 main types of transport? 1. ground 2. air Things to consider with transportation 1. distance 2. safety 3. "out of hospital" time 4. weather 5. traffic 6. patient's condition Antidumping laws Cannot transfer a patient due to their inability to pay. A hospital MUST provide screening exams on all patients. Hospital must stabilize patients before transfer. There must be an accepting act on the receiving hospital. Transfer must be done by qualified personnel. What are some situations that the patient may not be stabilized, yet conditions allow a transfer? The risk of remaining at the initial facility are outweighed by the benefits of transfer, family requests, physician is not present at the initial facility and transfer occurs with appropriate equipment and qualified personnel. 2 key components of inter-facility transport 1. benefits of the transport outweigh the risks 2. specially trained transport team 5 phases of interfacility transport 1. Acceptance by the receiving facility 2. Preparation of the pt. by the transport team 3. Actual transport 4. Turnover of the patient to the receiving hospital 5. Continuous quality improvement monitoring after transport Another name for intrafacility transport? intrahospital transport lateral transport moving from different ICUs (CICU to MICU) Is moving a patient from ICU to step-down unit considered transport? no Is moving a patient from the CICU to a diagnostic procedure area? yes How can transport effect a patient? exacerbate their deterioration due to acute changes What can be used to help reduce adverse event risk? pretransport checklist Who decides a patient can move? ALL physicians on the team