A nurse is almost always one of the first responders to a patient’s declining health status, In these critical situations, a nurse must use his or her detailed training, highly specialized skills and intuition to respond, and to identify the needs and the demands of the individualized circumstances. During these acute care situations, a rapid response team that is usually composed of nurses from the intensive care unit, resident physicians, and respiratory therapists, is utilized to prevent further deterioration of the patient. Rapid response team utilization steadily increased about eleven years ago when organizations such as the Institute for Healthcare Improvement and the Joint Commission incorporated the use of rapid response teams into …show more content…
Sharpio, N. Donaldson, and M. Scott, further exploration of the data from Robert Wood Johnson Foundation is conducted. This evaluation also uses the same qualitative measures as the Robert Wood Johnson Foundation to assess how the nurses viewed the outcomes of the rapid response team. This evaluation based their evaluation on four topics: how the nurses felt before, during and after the initiation of the rapid response team, how the rapid response team affected the nurses’ care, what made the experience prosperous, and what obstacles occurred. Focus groups were the main qualitative method used. Fifty-six nurses with a variety of experience were sampled from eighteen hospitals in thirteen states. The average experience in nursing was fourteen years while the average number of years on a specific floor was nine. However, twenty-eight of the nurses had at most five years of experience in nursing and at most four years of experience on their specific floor. There was diversity of the number of people that composed each rapid response team, how each team functioned and what hours they were …show more content…
Another reason for the initiation is that the doctor could not be reached and the nurse strongly believed that urgent assessment and intervention was essential. The nurses concluded that the members of the rapid response team not only provided extra help for monitoring, obtaining orders, and providing interventions but also provided skilled knowledge. Nurses that had experience in a critical care or emergency setting had more freedom to use more advanced diagnostic procedures, treatment interventions, and could administer drugs that the acute care nurses could not. Concern for the patient and frustration as a result of not being able to contact the physician were the main issues before the rapid response team arrived. Relief and comfort followed the concern and frustration once the rapid response team initiated care. Post rapid response team care, the nurses expressed that they felt happy for the patient and felt justified in initiating the rapid response team. It is important to recognize that this validation occurred because the nurses reported that it facilitated them to give higher quality care to their patients on the
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
Featherstone, P., Prytherch, D., Schmidt, P., Smith, G. (2010). ViEWS: towards a national early warning score for detecting adult inpatient deterioration. Resuscitation, 81(8), 932-937.
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
She should have not made the assumption that there were no doctors available until 2100 hours. Instead, she should have sought clarifications on whether the Emergency Department (ED) doctor was prevailed on examining the patient. She should’ve escalated concerns to the Clinical Nurse Manager (CNM). She also should’ve not made the assumption that the administration of antibiotic would improve the patient’s condition and “recover” her from the “red zone”. Finally, she should have documented her observations and implement a care
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
JB McKenzie, et al. "STRATEGIES USED BY CRITICAL CARE NURSES TO IDENTIFY, INTERRUPT, AND CORRECT MEDICAL ERRORS." American Journal of Critical Care 19.6 (2010): 500-509. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
Studies have shown that an ideal patient care setting would be an all RN staffing, where the “safest care is delivered by the most-educated bedside nurse” (Bellury, Hodges, Camp, & Aduddell, 2016, p. 345). However, “Driven by competitive market practices hospital administrators are embracing restructuring. They are radically altering the skill mix… and thinning the ranks of their skilled registered nurses (RNs), often substituting cheaper, inexperienced, personnel and minimally trained unlicensed assistive” (Orne, Garland, O’Hara, Perfetto, & Stielau, 1998, p. 101). Hence, delegation of task has become a common practice where as cited in Learning House (2007), some aspects of care delivery are shared that
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
Quality improvement is critical in primary care services where patient-centered quality health care and safety are prioritized, to achieve improved patient experiences and outcomes, improve the health of the identified population, and reduce costs of health care. The collaboration of nurses with other medical professionals, quality improvement organizations, insurance companies, medical suppliers, and other stakeholders is critical to ensuring that primary care is of high quality. New skills are required, especially among nurses who are at the center of primary care to meet quality improvement goals and objectives. Some of the required skills are how to identify areas for improvement, understanding data, planning and implementing changes, as well as evaluating performance to inform quality improvement (Taylor et al.
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.