2.50
Hdl Handle:
http://hdl.handle.net/10755/182721
Category:
Abstract
Type:
Presentation
Title:
Nurse-Led Rapid Response Team: Supporting Nurses and Saving Lives
Author(s):
Daly, Mary Lu; Orto, Vicky
Author Details:
Mary Lu Daly, MS, RN, CCRN, CCNS, Rochester General Hospital, Rochester, New York, USA, email: marylu.daly@viahealth.org; Vicky Orto, MS, RN, CNAA, BC
Abstract:
Podium Presentation: BRIEF DESCRIPTION: Share the journey taken by one hospital in developing and implementing an innovative rapid response team model. Discover how an Early Nursing Intervention Team that provides twice daily rounding on all general care units benefits patients and nurses. ABSTRACT: Modeled after Rapid Response Teams (RRTs), an Early Nursing Intervention Team (ENIT), was developed to improve patient outcomes. It is a nurse-led team comprised of the critical-care nurse and the general duty nurse. ENIT takes the RRT concept a step further by "rounding" daily on patient care units. The purpose of ENIT is twofold: to increase nursing staff satisfaction by bringing critical-care expertise to general duty units thus supporting the general duty nurse, and to improve patient outcomes by facilitating early transfer to the medical intensive care unit thereby reducing adverse events. Rounding provides what is known in the United Kingdom as "critical care outreach" identifying at-risk patients in a pre-emptive manner. Such nurse-to-nurse consultation, a key component of ENIT, reinforces the program and focuses earlier attention on any patient care issues. Rounding also has promoted relationship-building between general duty nurses and critical care nurses. Content will include a general overview of the RRT concept, development and implementation of a nurse-led model, benefits of preemptive rounding, and the results achieved. Patient outcomes to be presented include mortality and cardiac arrest rate figures. Nursing outcomes to be highlighted include nurse-to-nurse collaboration as well as recruitment and retention of both ICU nurses and general staff nurses. The presentation will share the journey taken to establish an evidence-based program that was a good fit for our organization. A study was undertaken to determine whether there was any definitive benefit to the implementation of this nurse-led model. We found that patients were transferred to the ICU quicker and that cardiac arrest events outside ICU were reduced. In addition to these results, we have made anecdotal observations about nursing staff benefits. The general staff nurse has received support, validation, and nurturance from the ICU nurse. Since ENIT program implementation, an increased desire to seek professional development in the form of certification and baccalaureate education among the ICU staff has occurred. Another observation is that recruitment into the ICU from within our hospital has increased and ICU nurse vacancy rate has dropped. REFERENCES: DeVita, MA, Bellomo, R, Hillman, K, et al. Findings of the First International Consensus Conference on Medical Emergency Teams. Crit Care Med. 2006; 34: 2463-2478. Daly, ML, Power, J, Orto, V, et al. Leading the Way: An Innovative Approach to Support Nurses on General Care Units With an Early Nursing Intervention Team. DCCN 2007; 26:15-20.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNurse-Led Rapid Response Team: Supporting Nurses and Saving Livesen_GB
dc.contributor.authorDaly, Mary Luen_US
dc.contributor.authorOrto, Vickyen_US
dc.author.detailsMary Lu Daly, MS, RN, CCRN, CCNS, Rochester General Hospital, Rochester, New York, USA, email: marylu.daly@viahealth.org; Vicky Orto, MS, RN, CNAA, BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/182721-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: Share the journey taken by one hospital in developing and implementing an innovative rapid response team model. Discover how an Early Nursing Intervention Team that provides twice daily rounding on all general care units benefits patients and nurses. ABSTRACT: Modeled after Rapid Response Teams (RRTs), an Early Nursing Intervention Team (ENIT), was developed to improve patient outcomes. It is a nurse-led team comprised of the critical-care nurse and the general duty nurse. ENIT takes the RRT concept a step further by "rounding" daily on patient care units. The purpose of ENIT is twofold: to increase nursing staff satisfaction by bringing critical-care expertise to general duty units thus supporting the general duty nurse, and to improve patient outcomes by facilitating early transfer to the medical intensive care unit thereby reducing adverse events. Rounding provides what is known in the United Kingdom as "critical care outreach" identifying at-risk patients in a pre-emptive manner. Such nurse-to-nurse consultation, a key component of ENIT, reinforces the program and focuses earlier attention on any patient care issues. Rounding also has promoted relationship-building between general duty nurses and critical care nurses. Content will include a general overview of the RRT concept, development and implementation of a nurse-led model, benefits of preemptive rounding, and the results achieved. Patient outcomes to be presented include mortality and cardiac arrest rate figures. Nursing outcomes to be highlighted include nurse-to-nurse collaboration as well as recruitment and retention of both ICU nurses and general staff nurses. The presentation will share the journey taken to establish an evidence-based program that was a good fit for our organization. A study was undertaken to determine whether there was any definitive benefit to the implementation of this nurse-led model. We found that patients were transferred to the ICU quicker and that cardiac arrest events outside ICU were reduced. In addition to these results, we have made anecdotal observations about nursing staff benefits. The general staff nurse has received support, validation, and nurturance from the ICU nurse. Since ENIT program implementation, an increased desire to seek professional development in the form of certification and baccalaureate education among the ICU staff has occurred. Another observation is that recruitment into the ICU from within our hospital has increased and ICU nurse vacancy rate has dropped. REFERENCES: DeVita, MA, Bellomo, R, Hillman, K, et al. Findings of the First International Consensus Conference on Medical Emergency Teams. Crit Care Med. 2006; 34: 2463-2478. Daly, ML, Power, J, Orto, V, et al. Leading the Way: An Innovative Approach to Support Nurses on General Care Units With an Early Nursing Intervention Team. DCCN 2007; 26:15-20.en_GB
dc.date.available2011-10-28T15:37:10Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:37:10Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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