[Grumpy's Girl]

Our Rapid Response Team (RRT) is about one year old. It has been a success. The nurses on the med surg units have appreciated the assist.

Part of the JACHO requirements for the Rapid Response Team is to involve the pt/families, allowing them to call the RRT themselves. Has anyone started this aspect of the team function?

I don't want this to be a taddling on their nurse or underminding the pt's nurse. I want it to be part of the pt's orientation to the room/unit. Given positively and part of encouraging the pt's participation in their care. Ex: do your I.S. DB/C and call the RRT if you feel like you are in a crisis and your nurse hasn't been able to help. Talk with your nurse first.
We have the Joint Commission "Speak Up" posters everywhere and it would play into that theme.

Do you have a family handout?

Who receives the call from the pt/family? The team itself? A "screener" like the nursing supervisor - to screen out irritation calls? (no one is answering the call bell fast enough).

[Dinith88]

Originally Posted by Grumpy's Girl

[b]Part of the JACHO requirements for the Rapid Response Team is to involve the pt/families, allowing them to call the RRT themselves. ).

Are you serious? Your hospital is allowing FAMILIES to call RRT? That's (for lack of a better term) stupid. S.T.U.P.I.D.

I almost didnt want to respond to this...and i hope you're not serious.

[NRSKarenRN]

Check out UPMC's successful program:

Rapid Response System Empowers Patients And Families To Seek Help ...

http://www.josieking.org/page.cfm?pageID=18

Condition H: Follow-up Questionnaire Used at UPMC Shadyside

[Dinith88]

Originally Posted by NRSKarenRN

Check out UPMC's successful program:

Rapid Response System Empowers Patients And Families To Seek Help ...

http://www.josieking.org/page.cfm?pageID=18

Condition H: Follow-up Questionnaire Used at UPMC Shadyside

Whatever. Call it a 'successful program'....I call it a well intentioned but misguided over-kill knee-jerk response to a tragic event.

I doubt this will ever take hold in the vast majority of hospitals...At least the ones that trust in their floor-nurses and are confident in their abilities.

...get the code team all lathered-up and sprinting to a room...just because a patient/family wants more narcotics...(for example). A waste of resources and time...

and S.T.U.P.I.D.

In my opinion.

[traumaRUs]

It is actually well-publicized in the area where I live. I am on staff at five hospitals and all of them have it and the patients love it. Most of the pts I see are in the ICU and even those families talk about it.

[missionary]

Being a nurse and also being a family member at times, I would think it would be great. I know while I am working, I can't be everywhere at once. And call lights do not elicit emergency help. Better the RRT than having them pull the Code light, right?

If family member err much, it may be that they don't ask for help soon enough -- d/t denial, fear, ignorance. And if they call prematurely and patient is stable, there's no harm done.

[eamon66]

Originally Posted by Dinith88

Are you serious? Your hospital is allowing FAMILIES to call RRT? That's (for lack of a better term) stupid. S.T.U.P.I.D.

I almost didnt want to respond to this...and i hope you're not serious.

Heh well said! Without undermining the patient, the reality of the situation is that patients often do have unfounded concerns. If you can't identify a potentially adverse situation or help to alleviate their concerns or liase directly with the RRT then maybe nursing isn't for you. The RRT must be getting called every 5 seconds which would be a waste of their time. I'm sorry but the initiative needs to be taken by the nurse NOT the patient/family. I didn't do 4 yrs training for nothing!

[traumaRUs]

If you think that the families don't know what's going on, then you must work in a wonderful hospital with wonderful nurse/pt ratios. My grandson has been in the hospital (two different ones) in the last year. At the first (small) hospital,(he was 6 weeks old with RSV) the nurses giggled over him. Said how quiet he was, how little, etc.. I got there, realized he was pale and listless from hypoxia and asked for some oxygen! These nurses were clueless. They didn't want to put an IV in him "because he's so little." Four months later, he was in a large hospital with rotovirus. The nurses didn't want to come in because "he's in isolation."

The frustrations felt by family members is huge. It is important to remember they KNOW the patient better than us. It has nothing to do with being a good or bad nurse. It is the ability to be in all your rooms at the same time, seeing everything.

[Dinith88]

Originally Posted by eamon66

Heh well said! Without undermining the patient, the reality of the situation is that patients often do have unfounded concerns. If you can't identify a potentially adverse situation or help to alleviate their concerns or liase directly with the RRT then maybe nursing isn't for you. The RRT must be getting called every 5 seconds which would be a waste of their time. I'm sorry but the initiative needs to be taken by the nurse NOT the patient/family. I didn't do 4 yrs training for nothing!

eamon66, Thank you for agreeing! (though i wager you'll soon be showered with cyber pies-in-the-face for agreeing with me)
I think the link provided was an interesting article in that it showed a system-wide (in that particular facility) mis-trust or lack-of-faith of the nursing-staff's judgement and/or ability. If a family has a serious concern they should approach the nurse...not have access to some 'panic button' that mobilizes a team of critical-care practicioners...which takes them a away from their patients...and.

It's a good (but misguided) idea. But for any hospital to assume that families are potentially better at assessing patients is ...well...stupid. Unless of course the nursing staff in these hospitals really IS really bad. ...ummm...

[blueheaven]

Originally Posted by missionary

Being a nurse and also being a family member at times, I would think it would be great. I know while I am working, I can't be everywhere at once. And call lights do not elicit emergency help. Better the RRT than having them pull the Code light, right?

If family member err much, it may be that they don't ask for help soon enough -- d/t denial, fear, ignorance. And if they call prematurely and patient is stable, there's no harm done.

I know of too many times that if a family could have called the RRT in, code situations may have been avoided. On a personal note, a friend of mine (who is a nurse) was staying with his father in the hospital post cardiac bypass surgery. His dad wasn't acting right and complaining of abd. and flank pain. After being nice and notifying the nurse twice, and being told "It's OK, it's normal" nothing was done...anyway finally he had to get very verbal, threaten to call the attending himself (which he did) and found that his dad had a large retroperitoneal bleed. If a RRT was available, much anxiety and hassle would have been avoided. I shudder to think what would have happened if he hadn't stayed with his dad.