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Crisis Resource Management for Code Blue and Rapid Response Teams Simulator Course Objectives

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Keys to Teamwork Success. Leader established. Team structure established ... Performs full set of vital signs. Establishes IV access. Queries Team leader for ... – PowerPoint PPT presentation

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Title: Crisis Resource Management for Code Blue and Rapid Response Teams Simulator Course Objectives


1
Crisis Resource Management for Code Blue and
Rapid Response Teams Simulator Course Objectives
  • Upon completion of this course, each participant
    will be able to
  • 1. display their ability to use the acronym
    ABCD as an
  • assessment and treatment model, in order
    to stabilize and/or
  • resuscitate an acutely ill patient.
  • 2. perform the duties of each team member role,
    within the confines
  • and expectations of their own
    professional discipline, including
  • the roles of Team Leader,
    Airway/Breathing, Circulation/Meds,
  • and Documentation, in a manner which
    best utilizes available
  • team resources.
  • 3. incorporate professionalism into their team
    interactions, including
  • closed-loop communication, respect for
    patient and family, safe
  • patient hand off, debriefing as a means
    of assessing team
  • effectiveness, and accurate
    documentation.

2
Small Group Teamwork Principles for Success
  • Nathan White, MD

3
The Challenge
  • How to best evaluate and stabilize acutely ill
    hospitalized patients
  • How to best accomplish this task in an academic
    teaching hospital type environment

4
The Rapid Response Team
  • A small group of healthcare professionals which
    responds to acutely unwell non-ICU patients
  • Performs rapid assessment and stabilization
  • Physician (med resident or hospitalist), nursing
    supervisor, critical care nurse, nurse
    anesthetist, respiratory therapist, and
    pharmacist, and patients nurse

5
The Code Blue Team
  • A larger team of healthcare professionals which
    responds to resuscitate patients in cardiac
    arrest
  • Several physicians (med residents), nursing
    supervisor, respiratory therapist, anesthetist,
    pharmacist, and patients nurse

6
Keys to Teamwork Success
  • Leader established
  • Team structure established
  • Roles assigned to team members
  • Team members provide feedback to team leader
  • Roles and tasks are adjusted and reassigned by
    team leader, based on feedback

7
Conclusion Leaders must build a structure
within a resuscitation team in order for them to
perform effectively. An emergency leadership
training programme is essential to enhance the
performance of leaders and their teams.
8
Absence of leadership behaviour and absence of
explicit task distribution were associated with
poor team performance. Failure to translate
theoretical knowledge into effective team
activity appears to be a major problem.
9
Specific Team Member Roles
  • Team Leader
  • Airway/Breathing
  • Circulation/Medications
  • Documentation

10
Team Leader
Patients Nurse
Documentation
Circulation/Meds
Airway/Breathing
11
Feedback!Communication is Key
  • Information should flow freely both directions to
    and from the team leader
  • The team members assigned specific tasks must
    provide direct feedback to the team leader
    concerning their task status
  • All team members must actively participate in
    evaluating and treating the patient

12
Team Leader
  • Can be
  • 1st to arrive on scene
  • Most experienced person
  • Person who assumes leadership role
  • May be any hospital/medical personnel
  • May be reassigned as team members with more
    experience arrive on scene

13
Team Leader
  • Initiates Team Structure
  • Assigns Team Member Roles/Tasks
  • Reassigns roles as appropriate
  • THANKS person who called the Team

14
Team Leader
  • Avoids performing specific tasks concentrates
    on big picture - (lighthouse)
  • Establishes differential diagnosis and treatment
    plan
  • Makes final recommendations to primary team and
    disposition decisions
  • Conducts debriefing at end of event
  • Assures Record is faxed to QA Office

15
Role Assignment
  • Be specific (identify person and task)
  • Based on rapid assessment and stabilization
    principles
  • Remember the ABCDs
  • Airway/Breathing
  • Circulation/Meds
  • Documentation

16
Airway/Breathing
  • Assesses Airway and intervenes as appropriate
  • Measures Pulse Ox
  • Applies supplemental Oxygen
  • Suctions as needed
  • Listens to breath sounds
  • ABG/Labs
  • Relays Airway/Ventilation assessment to team
    leader

17
Circulation/Meds
  • Checks pulse
  • Connects patient to bedside monitor
  • Performs full set of vital signs
  • Establishes IV access
  • Queries Team leader for type of fluids
  • Draws blood for labs
  • Administers medications
  • Relays IV/Circulatory assessment to team leader

18
Documentation
  • Verifies ID band, correct chart, resuscitation
    status
  • Documents assessment and interventions
  • Asks Team Leader to review and sign Record
  • Fill out QA Form - asks entire Team for feedback
  • Faxes Record and QA Form to QA Office
  • Places Record in patient chart destroys QA Form

19
RRT Response Algorithm
Feedback Loop
Patient Assessment And Stabilization
Airway/ Breathing
Role/Task Assignment
Team Leader
Diagnosis And Disposition
Circulation/ Meds
Role/Task Assignment
Role/Task Assignment
Documentation
Feedback Loop
20
Review
  • Thank the person who called the Team
  • Establish Team Leader
  • Establish Team Structure
  • Airway/Breathing
  • Circulation/Medications
  • Documentation
  • Feedback, feedback, feedback!

21
Questions?
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