scholarly journals Impact of a Simulation-Based Training on Self Assessed Nursing Performance in Anaphylactic Shock Management: A Pre-Post Educational Intervention Study

2021 ◽  
Author(s):  
Qi Ren ◽  
Fang Chen ◽  
Huijuan Zhang ◽  
Juanhua Tu ◽  
Xiaowei Xu ◽  
...  
Keyword(s):  
Intravenous Infusion ◽  
Anaphylactic Shock ◽  
Signs And Symptoms ◽  
Rapid Response Team ◽  
Clinical Competency ◽  
Simulation Design ◽  
Structured Interviews ◽  
Airway Patency ◽  
Simulation Based ◽  
Response Team

Abstract Background: The New Nurses who lack the ability to recognize and manage anaphylactic shock can endanger the patients. In this study, we explored the effect of a simulated scenario designed to improve nurses’ understanding of their roles and responsibilities during the rescue of a patient with anaphylactic shock.Methods: The program of a simulation-based training was designed to teach learners to recognize the signs and symptoms of anaphylactic shock, place the patient in the correct position, stop ongoing intravenous infusion of the antibiotic which trigger the anaphylactic shock, restart an intravenous infusion on a new infusion apparatus, give 100% oxygen via a nasal cannula or mask, preserve airway patency, call the rapid response team (RRT), and correctly administer the medications prescribed by the clinician. Instructors evaluated each learner’s skills and behaviors by using a clinical competency questionnaire. All learners then completed the Chinese version of the Simulation Design Scale (SDS) and participated in semi-structured interviews with their instructors after the training.Results: All learners showed significant improvements in the 6 competencies assessed by the clinical competency questionnaire after the simulation-based training (all P<0.001). Scores on the SDS revealed that the learners were highly satisfied with all aspects of the simulation-based training (the 20 satisfaction rates were all above 90.00%). During the semi-structured interviews, new graduated nurses reported that simulation-based training in the management of anaphylactic shock was extremely important and would guide them in clinical practice.Conclusions: The simulation-based training in anaphylactic shock is a potentially viable and effective method to teach new registered nurses to manage clinical incidents.

scholarly journals Impact of A Simulation-Based Training on Self Assessed Nursing Performance in Anaphylactic Shock Management: A Pre-Post Educational Intervention Study

2021 ◽  
Author(s):  
Qi Ren ◽  
Fang Chen ◽  
Huijuan Zhang ◽  
Juanhua Tu ◽  
Xiaowei Xu ◽  
...  
Keyword(s):  
Intravenous Infusion ◽  
Anaphylactic Shock ◽  
Signs And Symptoms ◽  
Rapid Response Team ◽  
Clinical Competency ◽  
Simulation Design ◽  
Structured Interviews ◽  
Airway Patency ◽  
New Nurses ◽  
Simulation Based

Abstract Background The New Nurses who lack the ability to recognize and manage anaphylactic shock can endanger the patients. In this study, we explored the effect of a simulated scenario designed to improve nurses’ understanding of their roles and responsibilities during the rescue of a patient with anaphylactic shock. Methods The program of a simulation-based training was designed to teach learners to recognize the signs and symptoms of anaphylactic shock, place the patient in the correct position, stop ongoing intravenous infusion of the antibiotic which trigger the anaphylactic shock, restart an intravenous infusion on a new infusion apparatus, give 100% oxygen via a nasal cannula or mask, preserve airway patency, call the rapid response team (RRT), and correctly administer the medications prescribed by the clinician. Instructors evaluated each learner’s skills and behaviors by using a clinical competency questionnaire. All learners then completed the Chinese version of the Simulation Design Scale (SDS) and participated in semi-structured interviews with their instructors after the training. Results All learners showed significant improvements in the 6 competencies assessed by the clinical competency questionnaire after the simulation-based training (all P<0.001). Scores on the SDS revealed that the learners were highly satisfied with all aspects of the simulation-based training (the 20 satisfaction rates were all above 90.00%). During the semi-structured interviews, new graduated nurses reported that simulation-based training in the management of anaphylactic shock was extremely important and would guide them in clinical practice. Conclusions The simulation-based training in anaphylactic shock is a potentially viable and effective method to teach new registered nurses to manage clinical incidents.

Respiratory Failure and Hypoxemia (DRAFT)

2018 ◽  
Author(s):  
Jeffrey K. Javed ◽  
Jason E. Moore
Keyword(s):  
Respiratory Failure ◽  
Work Of Breathing ◽  
Rapid Response Team ◽  
Clinical Approach ◽  
Airway Patency ◽  
Therapeutic Modalities ◽  
Patient Deterioration ◽  
Effective Care ◽  
Response Team ◽  
Treatment Priorities

Respiratory failure and hypoxemia are among the most common problems encountered by the rapid response team (RRT) and can lead to rapid patient deterioration and arrest. A brief, systematic approach focusing on treatment priorities such as airway patency, correcting hypoxemia, and supporting work of breathing, allows RRT responders to quickly provide the appropriate level of supportive care and narrow the complex differential diagnosis of acute respiratory failure. This chapter reviews a logical and efficient clinical diagnostic evaluation, therapeutic modalities including rescue treatments and mechanical ventilation, and transport considerations for this patient group. The pragmatic, problem-based clinical approach discussed in this chapter will help RRTs provide effective care for this group of patients.

scholarly journals Inside the Mind of a Rapid Response Activator

2011 ◽  
Author(s):  
Gail Mosher
Keyword(s):  
Care Delivery ◽  
Rapid Response Team ◽  
Health Care Delivery System ◽  
Rapid Response ◽  
Staff Nurse ◽  
Structured Interviews ◽  
Surgical Nurses ◽  
Response Team ◽  
The Mind ◽  
Study Participants

<p>The health care delivery system in this nation continues to spiral out of control. Statistics report on the shocking number of people who are harmed or die due to medical errors. This project will focus on one process in the armamentarium, the Rapid Response Team (RRT). The purpose of the study was to explore staff nurse perceived barriers and enhancers to an effective RRT. Qualitative design was employed and individual semi-structured interviews were conducted at a 359 bed community hospital. The sample consisted of 15 medical-surgical nurses who had experienced a rapid response (RR) event at this site. Potential subjects were excluded if they had worked in the emergency department or a critical care unit or if they stated a belief that they had not been significantly affected by a RR event. Findings showed that the study participants were exceptionally appreciative of their RRT. They encountered minimal barriers and shared some poignant suggestions that may make valuable contributions to the institution's RRT. Participants expressed a significant desire for more education to develop their self-efficacy and skills in these emergency events. Conclusions and implications for advanced practice are identified and discussed.</p>

Mise en place et organisation d’une équipe médicale mobile de réponse précoce aux urgences intra-hospitalières (Rapid Response Team)

2020 ◽  
Author(s):  
Boris Jung ◽  
Gerald Chanques ◽  
Samir Jaber ◽  
Kada Klouche
Keyword(s):  
Rapid Response Team ◽  
Rapid Response ◽  
Prise En Charge ◽  
Response Team

La mise en place d’une Rapid Response Team a pour objectif la mise en place d’une structure de réponse hospitalièrepour la prise en charge des urgences vitales et surtout une réponse précoce à la dégradation clinique des patientshospitalisés avant que l’urgence vitale ne survienne. Nous discutons dans ce manuscrit le rationnel et le niveau depreuve motivant la mise en place d’une Rapid Response Team ainsi que les freins qui doivent être surmontés pour lesuccès de cette mise en place.

Etiology and Timing of Postoperative Rapid Response Team Activations

2021 ◽  
Vol 45 (8) ◽  
Author(s):  
Jeremy P. Walco ◽  
Dorothee A. Mueller ◽  
Sameer Lakha ◽  
Liza M. Weavind ◽  
Jacob C. Clifton ◽  
...  
Keyword(s):  
Rapid Response Team ◽  
Rapid Response ◽  
Response Team

scholarly journals Which triggers could support timely identification of primary antibody deficiency? A qualitative study using the patient perspective

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lisanne M. A. Janssen ◽  
Kim van den Akker ◽  
Mohamed A. Boussihmad ◽  
Esther de Vries
Keyword(s):  
Respiratory Infections ◽  
Diagnostic Delay ◽  
Signs And Symptoms ◽  
Negative Influence ◽  
Primary Antibody ◽  
Emotional Impact ◽  
Structured Interviews ◽  
Timely Treatment ◽  
The Way

Abstract Background Patients with predominantly (primary) antibody deficiencies (PADs) commonly develop recurrent respiratory infections which can lead to bronchiectasis, long-term morbidity and increased mortality. Recognizing symptoms and making a diagnosis is vital to enable timely treatment. Studies on disease presentation have mainly been conducted using medical files rather than direct contact with PAD patients. Our study aims to analyze how patients appraised their symptoms and which factors were involved in a decision to seek medical care. Methods 14 PAD-patients (11 women; median 44, range 16-68 years) were analyzed using semi-structured interviews until saturation of key emergent themes was achieved. Results Being always ill featured in all participant stories. Often from childhood onwards periods of illness were felt to be too numerous, too bad, too long-lasting, or antibiotics were always needed to get better. Recurrent or persistent respiratory infections were the main triggers for patients to seek care. All participants developed an extreme fatigue, described as a feeling of physical and mental exhaustion and thus an extreme burden on daily life that was not solved by taking rest. Despite this, participants tended to normalize their symptoms and carry on with usual activities. Non-immunologists, as well as patients, misattributed the presenting signs and symptoms to common, self-limiting illnesses or other ‘innocent’ explanations. Participants in a way understood the long diagnostic delay. They know that the disease is rare and that doctors have to cover a broad medical area. But they were more critical about the way the doctors communicate with them. They feel that doctors often don’t listen very well to their patients. The participants’ symptoms as well as the interpretation of these symptoms by their social environment and doctors had a major emotional impact on the participants and a negative influence on their future perspectives. Conclusions To timely identify PAD, ‘pattern recognition’ should not only focus on the medical ‘red flags’, but also on less differentiating symptoms, such as ‘being always ill’ and ‘worn out’ and the way patients cope with these problems. And, most important, making time to really listen to the patient remains the key.

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