Quote from MoopleRN
That's a tough one. The pt's primary nurse was contacting the PCP instead of calling a rapid response so obviously she was aware/dealing with the situation. I assume she has more experience than you since you say you're a new nurse. She may have had this pt for days/know their hx more than you/know the PCP's parameters... It sounds like the primary nurse was handling the situation as she saw fit at the time. I'd need more info to give a more informed opinion.
How do you know for sure if a rapid response had been called the pt would have been transferred right away/treated by the MD? Not all rapid response calls get transferred.
It's hard to respond to this one without more info..... You're asking good questions, though, and it's obvious you care.
Thank you for the reply! I guess I assume the pt would have been transferred to ICU faster had a rapid response been called because the doctor did order the pt to be transferred to ICU after he assessed him.
To give more details... This particular pt was supposedly stabilized and awaiting discharge. No IV access, performing his own ADLs, q 8 hr V/S and all WNL, etc. Has history of cardiac problems including a cardiac arrest 2 months ago. This day, the pt suddenly c/o stabbing chest pain and tightness, stated he couldn't breathe, respiratory rate went to 45 breaths per minute and very shallow, O2 sat in high 80s on room air when normally in high 90s on room air, pulse was in 140s. BP and temp were okay. Once O2 was applied, his O2 sat went back up to about 95%, but he continued to have CP, tachycardia, and abnormal breathing.
To me, this situation warranted a much faster response and treatment than he received, hence I would have called a rapid response if I had been his nurse. It was obvious something "bad" was happening (PE, MI, who knows) with this patient which needed prompt diagnosis and treatment. I believe it took 30 minutes or so for the doctor to come assess him, 90 minutes or so to get him to the ICU and he didn't even have an EKG done or an IV placed by that time (stat labs had been drawn, no results posted, and that's it). It drove me crazy to watch the whole thing and not do anything. I know that if the rapid response team had come, all of this would have been done within a matter of minutes.
Again, this whole situation really bothered me to watch and I keep thinking about it. The guy was clearly in distress and it seemed nothing was being done fast enough. I don't have a lot of experience yet, so maybe I am overreacting a bit... Do you think that a rapid response was warranted in this situation?
Thank you so much for sharing your thoughts/opinions on this!