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Rapid response teams (RRTs) are composed of critical care nurses, doctors, and respiratory therapists who respond to patients exhibiting signs of clinical deterioration outside of critical care units. Research shows that a patient's condition can start deteriorating hours before an unexpected event like cardiac arrest, and that RRTs help prevent avoidable deaths and unnecessary transfers to critical care by recognizing warning signs early and providing interventions. The document then lists specific criteria that would trigger an RRT call, including changes in respiratory rate, oxygen needs, blood pressure, heart rate, level of consciousness, bleeding, and signs of sepsis.

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Rapid response team The use of RRTs was identified as an evidence-based, lifesaving strategy that would improve patient outcomes by preventing avoidable patient deaths outside the critical care areas. Research has shown that a patients condition can start to deteriorate about 6.5 hours before an unexpected critical event or actual cardiac arrest and that 70% of these events are preventable. Early recognition of warning signs of clinical deterioration and interventions by an RRT helps provide better outcomes for general medical-surgical patients and may also decrease the number of unnecessary transfers to a critical care unit. Critical care nurse Doctor RRT Team composed of Respiratory therapist Criteria for RRTs difficulty breathing, increased use of accessory muscles to breathe changes in respiratory rateaccess for respiratory rate sustained at less than 10 beats/minute or greater than 30 beats/minute pulse oximetry readings less than 85% for more than 5 minutes not responding to oxygen therapy or escalating oxygen requirements, bleeding into the airway new onset chest pain or chest pain not relieved with nitroglycerin hypotension with systolic less than 90 mm Hg, not responding to I.V. fluid orders hypertension with systolic greater than 200 mm Hg or diastolic greater than 120 mm Hg bradycardia, sustained, less than 50 beats per minute tachycardia, sustained, greater than 130 beats per minute mottling or cyanosis of an extremity change in level of consciousness or seizure stroke symptomschanges in vision, loss of speech, weakness of an extremity sepsis or systemic inflammatory response syndrome (SIRS) uncontrolled bleeding from the surgical site or lower GI tract. Reference- Lippincott critical care Nursing

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RRT.doc

  • 1. Rapid response team The use of RRTs was identified as an evidence-based, lifesaving strategy that would improve patient outcomes by preventing avoidable patient deaths outside the critical care areas. Research has shown that a patients condition can start to deteriorate about 6.5 hours before an unexpected critical event or actual cardiac arrest and that 70% of these events are preventable. Early recognition of warning signs of clinical deterioration and interventions by an RRT helps provide better outcomes for general medical-surgical patients and may also decrease the number of unnecessary transfers to a critical care unit. Critical care nurse Doctor RRT Team composed of Respiratory therapist Criteria for RRTs difficulty breathing, increased use of accessory muscles to breathe changes in respiratory rateaccess for respiratory rate sustained at less than 10 beats/minute or greater than 30 beats/minute pulse oximetry readings less than 85% for more than 5 minutes not responding to oxygen therapy or escalating oxygen requirements, bleeding into the airway new onset chest pain or chest pain not relieved with nitroglycerin hypotension with systolic less than 90 mm Hg, not responding to I.V. fluid orders hypertension with systolic greater than 200 mm Hg or diastolic greater than 120 mm Hg bradycardia, sustained, less than 50 beats per minute tachycardia, sustained, greater than 130 beats per minute mottling or cyanosis of an extremity change in level of consciousness or seizure stroke symptomschanges in vision, loss of speech, weakness of an extremity sepsis or systemic inflammatory response syndrome (SIRS) uncontrolled bleeding from the surgical site or lower GI tract. Reference- Lippincott critical care Nursing