Clin Apps 3 Final Exam Rapid Response Team Questions and Answers 2023

Clin Apps 3 Final Exam Rapid Response Team Questions and Answers 2023 What's the difference between a rapid assessment team and a code team? a rapid assessment decreases morbidity but not mortality. a code team is who you call when a patient has stopped breathing or flat lined If a patient stopped breathing, would you call a rapid assessment or a code team? code team What does it mean when we say that rapid assessment teams decrease morbidity but not mortality? they don't prevent a patient from dying but they prevent more problems from occurring based and could help to prevent a code situation Rapid assessment teams are relatively new and have only come about within the last __________ 10 years If a patient came in with a stroke, who would we call? the rapid assessment team to prevent further damage What is the energy of the romo when a code is occurring? there is organized chaos; panic and pandemonium but if it's well organized there should be no screaming A code is when a patient goes into ____________ cardiac and/or pulmonary arrest OR a life threatening dysrhythmia that causes a loss of consciousness What are the 3 P's to having a successful code team? prevent, plan, practice What healthcare providers make up the code team in a hospital? physician, respiratory therapist, anesthesiologist/nurse anesthetist, ICU nurse, pharmacy, EKG technician, chaplain Why would a primary care technician be on a code team? to do the compressions When a code is occurring, who is the person in charge of delegating and commanding the room? the nurse who calls the code is initially in charge until an ACLS certified provider shows up During a code, what nurse needs to be in the room? the nurse who initially found the patient and knows the history of that patient In a code, everyone has a certain ______ that they are preassigned role Most people cannot do good quality CPR for more than _______ because it's so physically exhausting 2 minutes In a code, how many compressions are you supposed to do per minute? greater than 100 Failure to recognize changes in a patient's condition until major complications arise, including death failure to rescue Why were Rapid Response Teams originally implemented? to address changes in a patient's clinical condition before a cardiac and/or respiratory arrest occurs Ideally and due to good assessment, when should a nurse call a rapid response team? BEFORE cardiac/respiratory arrest occurs The Institute for Healthcare Improvement and The Joint Commission National Patient Safety Goals require hospitals to implement systems that enable healthcare workers to request additional assistance from a specially trained individual(s) when ______________. the patient's condition appears to be worsening What's the goal of a rapid response team (RRT)? to ensure that interventions are available quickly when patient conditions become unstable before an actual cardiac arrest Who is allowed to call a rapid response team (RRT)? anyone; even the family could do it if they felt like the individual wasn't do well What are some early signs of physiological deterioration of a pt which may warrant a call to the rapid response team (RRT)? changes in HR, systolic BP, respiratory rate, O2 saturation, mental status, urinary output, lab values If there is a ___% difference in any lab value on a patient, you can call a RRT. 20 Rapid response teams have been proven to be effective in reducing what? cardiac arrests, critical care unit length of stay, incidence of acute illness such as respiratory failure, stroke, severe sepsis, and acute kidney injury It's so important to know that while rapid assessment teams are very helpful in a hospital, they are NOT associated with what? lower mortality rates What are some terms frequently used in hospital settings to refer to emergency situations that require lifesaving resuscitation and interventions? code, code blue, code 99, Dr. Heart In a code, what are some of the lifesaving resuscitation interventions needed? BLS, AED, ACLS An organized approach to managing cardiopulmonary arrest code team On a code team, all team members must be trained in _________ ACLS protocols While a code team manages a code, what should the other healthcare workers be focused on? attending to the other patients The doctor running a code must be what? ACLS certified A code team performs their care based on what? ACLS protocol Who are the nurses present during a code? usually ICU or ER nurses. The primary nurse is the one who knows the patient. Secondary nurse gives meds and gets equipment from the crash cart. Another nurse is there to record events. Nursing supervisor provides traffic control and secures an ICU bed if necessary A good code team is comprised of how many people? 5-6; 20 is way too many During a code, who is in charge of intubation? anesthesiologist or nurse anesthetist In a code, what is the respiratory therapist in charge of? managing the airway, sometimes intubates In a code, what is a pharmacist sometimes there for? to prepare medications Who makes up a rapid assessment team? usually it's just 1 ICU nurse; probably the charge nurse What are the equipment pieces used in a code? crash cart, backboard, defibrillator/pacemaker, heart monitor, ambu bag, airway supplies/suction, meds, IV supplies, NG tube, BP cuff Regarding the crash cart on their unit, what is very important that nurses do? be familiar with how things are stored and where everything is Many institutions require nursing staff to participate in what to assist in maintaining life saving skills? mock codes What are some important things to know about the crash cart on your unit? where is it located? how do you unlock it? how do you check it per unit protocol? How can we provide breathing for a patient during a code? by mouth to mask or using an ambu bag The 2010 Guidelines for CPR recommend a change in the BLS sequence from what to what? ABCs to CAB (chest compressions, airway, breathing) What is the current recommended BLS sequence in a code? chest compressions, airway, breathing (CAB) What are the steps of ACLS protocol to do in a code? airway management (manual ventilation to intubation to delivery of tidal volume), start large bore IVs, administer meds, defibrillation Regarding ACLS protocol, what are the interventions to manage the airway? manual ventilation, intubation, delivery of tidal volume, suction, administer selected meds When preparing to intubate and/or keep a patient's airway open, what position do we want to put their head in? head tilt/chin lift and jaw thrust What's another name for an ambu bag? bag-valve-mask device