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Nurse Role In Emergency Situations
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Identify the purpose of the rapid response team
The rapid response team (RRT) main purpose is to save lives and decreases the risk for harm by providing care to patients before a respiratory or cardiac arrest occurs (Ignatavicius, 2013). All facilities have different protocols when it comes to activating the Rapid Response Team and Code Team. The rapid response team are on-site and always available, the rapid response team usually includes ICU nurses, intensivist, respiratory therapist, and a hospitalist. In most cases a nurse will call for the rapid response team, but the patient’s family also have the authority to activate the rapid response team. A nurse may activate the rapid response team if the patient has an acute change in heart
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A nurse providing patient centered care will focus on the culture, values and needs of the patient. The nurse will provide information related to care and encourage the patient to be fully involved in their care. Informatics refers to the use of information and technology to communicate, manage knowledge, mitigate error, and support decision making (Ignatavicius, 2013) . Evidence based practice involves investigation and evaluation of patient care, appraisal, and assimilation of scientific evidence, and improvements in patient care. Interdisciplinary communication involves effective information exchange and working with patients, their families, and other health professionals. Quality improvement focuses on “using data to monitor the outcomes of the care processes and use improvement methods to design and test changes to continuously improve the quality and safety of the health care system” (Ignatavicius, 2013). Safety is focused on proper medication administration, fall prevention, preventing errors and complication, and clearly communicating patient data and clinical …show more content…
Before resulting to using a restraint on a patient, it is advised that the nurse assess the patient for possible reasons for the patient’s agitation. After assessing the patient the nurse should try to use alternative methods i.e distractions, reorientation, provide a calm environment, and reassess for basic needs. The nurse should document all alternative method attempts and outcomes. If the alternative methods didn’t work, the nurse may request a prescription for a restraint ( the least restrictive first). If the restraint request is approved, the nurse will need to check the patient’s restraint ever 30-60 minutes for possible chafing or injury, and remove the restraint every 2 hours for turning, repositioning and toileting (Ignatavicius, 2013). Some facilities require the prescription for restraint use to be re-evaluated
...mental changes of transforming health care organizations to support interprofessional collaboration and interprofessional education will create a highly functional nursing workforce that is capable of working with other health care professionals to ensure successful health outcomes (Chan et al., 2010). Thus, Administrators and policymakers may use the research of this interprofessional framework to address the crucial need to implement the interprofessional collaboration recommendations to improve the knowledge and skills of interprofessional collaborative teams to coordinate patient-center care. Consequently, there must be collaborative trust and support among all stakeholders in order for interprofessional collaborative practice to advance and have an optimal impact on the quality of patient centered care, healthcare professionals and health care organizations.
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.
Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders.
The treatment priorities of the registered nurse upon admission to the emergency department are as follows; within the first 10 minutes of Mr. Bronson’s arrival to the emergency department begin a 12 lead ECG. Assess Mr. Bronson’s vitals heart rate, blood pressure, respiratory rate, oxygen saturation, and administer oxygen 2-4 liters via nasal cannula (Sen, B., McNab, A., & Burdess, C., 2009, p. 19). Assess any pre hospital medications, and if he has done cocaine in the last 24 hours. At this time, the nurse should assess Mr. Bronson’s pain quality, location, duration, radiation, and intensity. Timing of onset of current episode that brought him to the emergency room, any precipitating factors, and what relieves his chest pain.
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
Recognition, response and treatment of deteriorating patients are essential elements of improving patient outcomes and reducing unanticipated inpatient hospital deaths (Fuhrmann et al 2009; Mitchell et al 2010) appropriate management of the deteriorating patient is often insufficient when not managed in a timely fashion (Fuhrmann et al 2009; Naeem et al 2005; Goldhill 2001). Detection of these clinical changes, coupled with early accurate intervention may avoid adverse outcomes, including cardiac arrest and deaths (Subbe et al. 2003).
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
Urden, L. D., K. M. Stacy, and M. E. Lough. Critical care nursing, diagnosis and management. Mosby Inc, 2010. eBook.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
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,
A Rapid Response Team (RRT) is a group of healthcare providers that are called upon when a patient is showing signs of rapid deterioration due to cardiac or respiratory problems. One of the concepts of a RRT is to provide the fastest response possible to an emergent situation, allowing any healthcare employee, being a patient care assistant, nurse, medical technician, or unit coordinator, to call a rapid response if a patient is suspected of going into cardiac arrest or any life-threating situation. By providing a RRT to a hospital, the risk of a serious adverse event is decreased. A serious adverse event is when there is a delay in medical care to a patient that increases risk of death or disability (Jones, 2011)
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.