Quote from heart queen
My understanding of the purpose of this... is to;
1. free up the hands of a VERY busy floor nurse
2. lend an extra helping hand in assessing a pt. by a nurse more familiar with the "pt. crumping routine"
3. have that extra set of hands to hang drips, push meds.. maybe not allowed on a particular unit, look at an ekg, draw a blood gas... hook up to a portible monitor (which many floor nurses are not trained to read).. and get the whole picture to present to a doc.
4. That nurse can now call the primary doc and give an assessment (not that afloor nurse can't... but the stat nurse has additional skills to not only aid the doc on the phone in a diagnosis... but help treat emergent situations... that fllor nurses not only don't have the time for... but might not be allowed to provide.. regardless of their knowlege or skill level.
ie. your pt's crumping.. you call the stat nurse, they arrive.. you give them the MAR, chart and a quick report.... you can now attend to your other UMPTEEN pt's and let that nurse handle the crisis. You check in as frequently as possible. Your sick pt. now has an ICU nurse at the bedside... you aren't two hours behind and ALLLLLL the patients continue to receive care!
I would take each interaction as indepedent. A stat nurse with a crappy attitude twords you can be pulled aside post situation, or a note to their manager. Consider the learning possible if you actually have time to be in the room and assist in the process.
If this plan is presented in this way.... the way it SHOULD work... with and additional plan for ego's... you'll have immediate buy in by the floor nurse staff.
ps. this stat nurse CANNOT have patients in the ICU. they should be utilized for IV service, educational classes, and an ICU pair of hands during off need time. IF NOT, this is doomed for failure.
try to keep an open mind as how this can REALLY free you up and give the best care possible to all the patients.
I disagree. I feel it would be dumb for the RRT to 'free up a busy nurse'. That would 1)be dumping on the RRT 2) would not allow the floor nurse the 'experience' of handling a crisis, 3) could potentially screw things up if dealing with a doc (ie on the phone) because the floor nurse would know many details of this pt the RRT would not (especially if only a brief report, a look at the MAR's, and the floor nurse away attending other things)....
The purpose (in theory) is that the RRT will assist/collaborate and simply be a 'brainstorming group' (in conjunction with the floor nurse/nurses) with the capacity to 'take over' if the condition deteriorates into a code.
Your idea about a floaty-jack-of-all-critical-care-trades-iv-startin-code-goin-stud-nurse who's sole purpose is to be available and not take patients is a good one i suppose...but not realistic. At least in most hospitals (or the ones with a budget). In a code, the ICU nurse leaves her patients. IF a RRT is called, the ICU can leave her pt's...with the other nurses covering while she's out. If this seems impracticle(sp?), it's basically the same thing when a code is called...ICU nurse leaves and others pick up slack/assist.
The idea of insulting, demeaning, or underutilizing a floor nurse is a potentially big problem with an RRT. If this team (as you say) swoops in, takes over at the bedside, and Sends The Floor Nurse On Her Merry Way to look after her other patients, you'll be doing just that.