Summary response paper - Essay Example

Rapid response team EB77 Implementation of a Successful Rapid Response Team: A Multidisciplinary Team Approach Saves Lives The purpose of the committee was to identify critically ill patients and conduct early assessment and intervention, which are likely to minimize the need for cardiopulmonary resuscitation while improving outcomes for patients. According to the committee, a Rapid Response Team (RRT) is likely to improve a patient’s outcome while at the same time, increase family, staff, as well as patient satisfaction (Critical Care Nurse, 1).

Therefore, the RRT goal is to prevent deaths recorded on patients who constantly fail outside the critical area. The RRT worked in Durham Regional Hospital where educational events were held for the purposes of instructing the hospital staff on the aims of RRT as well as the criteria for calling a rapid response. Further, the critical care unit (CCU) got trained on ways of assisting floor nurses asses and stabilize patients as well as on the means of communicating with physicians through Situation, Background, Assessment and Recommendation (SBAR) method (Critical Care Nurse, 1).

After education and update of policies, the RRT process was implemented and then later evaluation and review of the outcomes of the process. The review results indicated that the Rapid response calls had a significant increase while a decrease in the number of code blue calls. The findings facilitated the creation of action plans with a focus on safety and education. Additionally, according to the findings of the survey, there should be supplies that lead to standardized box placed at the bedside of every RRT call.

Consequently, staff and patient satisfaction was on the rise as outcomes improved (Critical Care Nurse, 1).EB78. Implementation of Postpyloric Enteral Feeding in Critical Care through shared Governance The aim of the program is to advocate and initiate enteral nutrition for critically ill patients within 24 to 48 hours as means of improving outcomes (Critical Care Nurse, 1). Feeding into stomach normally leads to suboptimal enteral intakes due to the feedings being held for gastric residual volumes (GRV) or can also lead to patient intolerance due to ileus.

The shared governance committee decided upon the use of an Electromagnetic Placement System (EMPS) to achieve safe enteral access beyond the pylorus. Postpyloric feeding is advantageous since it leads to greater enteral nutrition delivery to patients, as there are minimal interruptions of feeding (Critical Care Nurse, 1). Collaborative efforts also led to the establishment of a training program together with hands – on opportunities for bedside placement of the tube by the nurse. Furthermore, additional online support was availed on the hospital intranet with the implementation of the technology commencing after the training of six nurses.

Consequently, a train - the -trainer approach got adopted and helped in instructing nurses on the technique for tube placement. According to some researches, EMPS is safe, accurate and leads to a reduction in use of parental nutrition as well as costs (Critical Care Nurse, 1). The outcomes of the project include; the training of more than 35 critical nurses on the use of EMPS for enteral access, x – ray use, tip location as well as placement time (Critical Care Nurse, 1). Moreover, there is a steady improvement after training, reduction in time for tube placement, a rise in number of tubes placed beyond the pylorus and a decline in the use of x –ray, a reduction in costs among others.

Work CitedCritical Care Nurse. American Association of Critical-Care Nurses. Vol 32, No. 2, April 2012. Print.