Title: Crisis Resource Management for Code Blue and Rapid Response Teams Simulator Course Objectives
1Crisis Resource Management for Code Blue and
Rapid Response Teams Simulator Course Objectives
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- 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.
2Small Group Teamwork Principles for Success
3The Challenge
- How to best evaluate and stabilize acutely ill
hospitalized patients - How to best accomplish this task in an academic
teaching hospital type environment
4The 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
5The 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
6Keys 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
7Conclusion 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.
8Absence 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.
9Specific Team Member Roles
- Team Leader
- Airway/Breathing
- Circulation/Medications
- Documentation
10Team Leader
Patients Nurse
Documentation
Circulation/Meds
Airway/Breathing
11Feedback!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
12Team 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
13Team Leader
- Initiates Team Structure
- Assigns Team Member Roles/Tasks
- Reassigns roles as appropriate
- THANKS person who called the Team
14Team 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
15Role Assignment
- Be specific (identify person and task)
- Based on rapid assessment and stabilization
principles
- Remember the ABCDs
- Airway/Breathing
- Circulation/Meds
- Documentation
16Airway/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
17Circulation/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
18Documentation
- 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
19RRT 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
20Review
- Thank the person who called the Team
- Establish Team Leader
- Establish Team Structure
- Airway/Breathing
- Circulation/Medications
- Documentation
- Feedback, feedback, feedback!
21Questions?