Nurses 89% («=17) of nurses perceived resistance from

Nurses as Champions for Patient Safety and Interdisciplinary Problem Solving

RRT also referred to as Medical Emergency Team (MET) helps improve pt safety and reduce risk harm and save lives by quickly provide care before a medical emergency occurs to pts who are beginning to decline in health. It is one of the most important interventions set up to improve safety and promote efficiency in the health care setting.

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Members of RRT include, critical care Physicians, Nurses, Respiratory Therapist who are experts in providing critical care and always available when needed. RRT also help stabilize deteriorating pts as well as improve patient outcomes. Been a member of the rapid response team, certain protocols are circumvented in other to provide urgent care, assessment, and intervention especially when it is about saving lives.  The members of the rapid response team primary nurse and physician all work in partnership in providing appropriate care and intervention related to patient’s need.

Improvement Needs/Group Oversight.

Nurses are responsible for communicating with the primary physicians about the patient’s status and they have a certain time frame to make a judgment based on the patient’s change in condition before calling the rapid response team. “The role of a critical care nurse is to be able to identify Acute and/or persistent changes. (Brown and Anderson, & Hill, 2012). However, some nurses are skeptical and reluctant to make that call for fear of being wrong and they could be reprimanded by the physician or the hospital administration for making false calls. “Results indicated 89% («=17) of nurses perceived resistance from physicians when calling the RRT for their patients. Because members of the CIC perceived barriers existed for understanding and open communication when the RRT was being activated by nurses, effective strategies to resolve conflict were explored. Committee members used the literature to identify collaborative practices that may be effective in improving communication and patient care (McCaffrey et al., 2011; Schneider, 2012).”  Better communication and response from the physician will lead to activating RRT when in need by nurses. The RRT will help nurses evaluate and stabilize when a patient’s condition changes. This led to a massive improvement in saving the patient’s life based on the nurse’s judgement and also the fact that nurses were able to recognize and act quickly when patient’s conditions begin to deteriorate.  RRTs deliver effective care in other to act fast given initiate treatment and implementing intervention when patient’s condition starts to fail. Ultimately, due to effective communication, providers and primary physician is notified about the patient’s change in condition.

Nursing Implications

            As advocates of patient safety, nurses work actively to provide effective interdisciplinary results leading to an improvement in patient outcome. Creating a culture of safety, nurses act as caregivers, identify the patient deteriorating condition, and try to resolve issues. “Early recognition and management of patient status changes, combined with clear and accurate interdisciplinary

communication, promote a safe patient environment (Schneider, 2012).” Nurses provide effective communication among the different discipline working on the patient’s case.

            In conclusion, nurses document correct patient information which helps in providing effective interventions. Interdisciplinary committees are educated about their roles and they collaborate together to treat the patients. Physicians, nurses, and rapid response team communicate and work as a team provide support. Through dialogue, education, using interdisciplinary collaboration to resolve problems and working with the rapid response team. When activating the rapid response team, nursing judgements, critical thinking skills, good communication as well as being able to analyze situations are very essential and of utmost importance in providing a safe and effective treatment to the patients. Nurses feel a sense of relief with the implementation of the rapid response team serving as a back-up for nurses when in doubt and physicians cannot be reached on time. Subsequently, patients whose conditions are deteriorating receive quick interventions and treatments.

 

 

References

Allen, Danielle; Megan Weinhold,; Jenna Miller,; M. Joswiak,; April Bursiek,; Amanda Rubin,;

Sara O’Hara,; Pamela Grubbs,. “Nurses as Champions for Patient Safety and Interdisciplinary Problem Solving.” MedSurg Nursing. Jannetti Publications, Inc. 2015. Retrieved January 27, 2018 from HighBeam Research: https://www.highbeam.com/doc/1G1-411470269.html

Brown, S., Anderson, M., & Hill, P. (2012). Rapid response team in a rural hospital. Critical

Nurse Specialist, 26(2), 95-102. doi: 10.1097/NUR.0b013e31824590fb

Grissinger, M. (2010). Rapid response teams in hospitals increase patient safety. Pharmacy and

Therapeutics, 35(4), 191, 207.

McCaffrey, R.G., Hayes, R., Stuart, W., Cassel, A., Farrell, C., Miller-Reyes, S., & Donaldson,

A. (2011). An educational program to promote positive communication and collaboration between nurses and medical staff. Journal of Nurses in Staff Development, 27(3), 121-127.

Schneider, M.A. (2012). Nurse-physician collaboration: Its time has come. Nursing, 42(7), 50-

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