The critical components of the quick response afferent limb are clinical judgement and evaluation abilities. Therefore, the cornerstone to triggering the RRT (rapid reaction team) and achieving a successful patient result is clinical competence, combined with the nurse's capacity to notice indicators of clinical deterioration, analyse assessment data, and arrive at sound clinical judgement rapidly. Determine the factors that affect the nurses' decision to activate RRT; identify the reason for referrals in various areas/units; ascertain the prevalence of RRT activation as compared to code blue; ascertain the impact of RRT; and design or enhance the current RRT protocol were the other objectives of this study. It uses both quantitative and qualitative methods. The results of this study's data indicate that senior nurses have demonstrated confidence and the capacity to recognise symptoms of clinical deterioration, giving them the ability to initiate RRT when necessary. Before opting to activate RRT and intervene, younger nurses typically validate clinical evaluations with senior nurses. Both intuitive and analytical decision-making models were utilised by the study's nurses. The discovered themes include nurses' clinical expertise, emotional reactions, and the impact and influence of RRT. One of the triggers to act and activate RRT is thought to be knowledge of the criterion. Albeit explicit institutional norms and well-defined criteria abridge process of decision making and decide prompt action; consequently, promotes good patient result. The MEWS activation requirements are included in the enhanced RRT route along with patient relative involvement and pathway restriction to the accountable physician.
Author(s) Details:
Glezzeelyne Pascual Pascua,
King Fahad Hospital Madina, Madina, Saudi Arabia and Lyceum of the Philippines University, Batangas City, Philippines.
Please see the link here: https://stm.bookpi.org/NHMMR-V11/article/view/7140
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