Critical Care Flashcards
institute for HC improvement (6 interventions)
1) deploy RRT
2) improve care of pts with AMI
3) prevent ADE with med reconciliation
4) prevent central line infections
5) prevent surgical site infections
6) prevent ventilator associated pneumonia
2016 joint commission
1) identify pt correctly
2) improve staff communication
3) use meds safely
4) prevent infection
5) identify pt safety risks
6) prevent mistakes in surgery
7) use alarms safely
who can initiate RRT call
any staff if pt meets criteria
who is on the RRT
critical care nurse, respiratory therapist, critical care physician
role of RRT
intervene quickly in emergencies
follow up on high risk pts
educate the staff
who are critical to the RR
bedside nurses as they initiate call
what are the highest priorities of RRT
BP and O2 sat
what will the RRT do
ABGs pulse ox ECG IV fluids oxygen basic labs
rapid response criteria
- HR >140 and < 40
- RR >28 or <8
- systolic BP >180 or <90
- O2 sat <90% with supplementation
- acute change in mental status
- urine output <50 cc in 4 hrs
- staff member has concern
- chest pain unrelieved by nitro
- threatened airway
- seizure
- uncontrolled pain
common time of RRT
night and change of shift
how long do RRT typically last
30-40 min
common reasons for RR
- altered mental state
- SOB
- staff worried
- hypotension
- hypoxemia
- tachycardia
- *rapid deterioration and too much care for floor setting
treatment of RRT
IV fluid bolus
meds changed
supplemental O2
what are common reasons RRT called for surgical pts
hypoxia
decrease in BP d/t dehydration
what to tell physician
diagnosis (med and surgical)
most recent labs
meds
