Sweets

Again, it depends on why you are giving the IV fluid bolus. Our Sepsis protocols orders the first of four liters of IV fluids to be delivered over 15 minutes, which is 4,000cc/hr.

Depends on why you're giving. If for shock with Sepsis or hypovolemia a pressure bag is the way to go. When you need it in really fast, even @999cc/hr which is the fastest most pumps will go, it will take an hour just to get 1 liter in.

I am a Rapid Response RN @ a large, acute care, level I hospital >700 beds that has been doing this NO ED Report practice for several years. The floor gets faxed or called a 15min. heads up, no info, just that they are heading out, then regardless of what's happening on the unit, the patient is brought. I would love to say gets better, but It stinks! After several years, ( 3 least,) it is still unsafe. The majority of our calls start with...…"I just got this one up from the ED...…" Even though we have reported & documented events, it seems to be all about thorough put & clearing the ED.

Addendum: I forgot to mention our hospital only has this team for emergencies. Our Rapid Response team for this 800 bed hospital also are the Code Blue & Code Stroke RN's, and assists visitors with emergencies.

Hello everyone, thank you for taking the time to read this and hopefully send feedback. Here's a brief run down of the situation: I work at a 800 bed teaching hospital, not University based, in NC. We have a dedicated, RN led, Rapid Response Team that uses a pre-approved order set/protocol, based on common emergencies. In the beginning, of course it was very basic & the order set/plan had to be presented & approved by our MAC (medical administration committee) before it was put into use. It was revised in 2009, and again had to be presented & approved, which it was. At that time we added an anaphylaxis reaction, sepsis, ACS & NPPV for respiratory distress subplan. We have been using the order set/protocols for the past 9 years without problems. Then, couple years ago, we acquired new critical care management who now feel we have too much autonomy, or so it seems. This director wants the team to have to call the physicians before initiating orders from our order set, such as ABG's w/lactate, NPPV, IV fluid bolus ect...Of course the physicians are paged as soon as possible but sometimes stopping to page instead of treating the emergency can literally mean the difference on whether that patient codes or not. So, my questions are, how does your Rapid Response Teams function? Do they have order sets they can institute prior to paging the physician? What is on them? Basically, tell me how your team functions at your hospital please. Thanks in advance.