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Rapid Response Team & Transport

Rapid Response Teams (RRTs) are designed for early intervention for potentially unstable patients to prevent clinical deterioration. They aim to reduce cardiopulmonary arrests outside of ICU and ED and lower in-hospital mortality. RRTs consist of critical care nurses, respiratory therapists, and physician intensivists who provide professional consult services to nurses and doctors evaluating deteriorating patients. Their roles include assessing, stabilizing, assisting communication, educating staff, and helping with patient transfers when needed. Developing an early warning system using parameters like vital signs, respiratory status, and neurological changes can help identify at-risk patients for RRT activation. Transporting critical patients requires careful planning and attention to the 5Ps: planning, personnel, properties

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Hendra Hash Awo
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70 views

Rapid Response Team & Transport

Rapid Response Teams (RRTs) are designed for early intervention for potentially unstable patients to prevent clinical deterioration. They aim to reduce cardiopulmonary arrests outside of ICU and ED and lower in-hospital mortality. RRTs consist of critical care nurses, respiratory therapists, and physician intensivists who provide professional consult services to nurses and doctors evaluating deteriorating patients. Their roles include assessing, stabilizing, assisting communication, educating staff, and helping with patient transfers when needed. Developing an early warning system using parameters like vital signs, respiratory status, and neurological changes can help identify at-risk patients for RRT activation. Transporting critical patients requires careful planning and attention to the 5Ps: planning, personnel, properties

Uploaded by

Hendra Hash Awo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Rapid Response Team

&
Transport

Hendra Hasrianto
NPM : 220120160054
Rapid Response Team
RRT
What is RRT
A Team designed for early intervention
for potentially unstable patients
A Proactive approach to patient care
Mengapa Kita Membutuhkan Tim Respon
Cepat?

Orang tidak perlu mati setiap hari di


rumah sakit. Dengan penangan yang
cepat dan tepat seharusnya pasien
tidak meninggal saat dirawat di
rumah sakit
The goal is to respond to a spark
before it becomes a forest fire.
Masalah mendasar ini seringkali
bisa menyebabkan kegagalan
dalam peyelamatan

Tiga isu sistemik utama berkontribusi pada


masalah tsb:
Kegagalan dalam perencanaan (termasuk
penilaian, perawatan, dan tujuan)
Gagal berkomunikasi (pasien-ke-Ns, Ns ke Ns,
Ns ke dokter, dll.)
Gagal mengenali kondisi pasien yang
memburuk

Sir Brian Jarman, Emeritus Professor of Primary Health Care at Imperial College School of Medicine (London, UK),
Rapid Response Teams
Institute for Healthcare Improvement (IHI) in December 2004 launched
the One Million Lives campaign recommending Rapid Response
Teams (RRTs) be placed in hospitals

More than 3000 hospitals participated in the campaign

2005 RWJ funded learning networks for implementation

IHI unveiled Five Million Lives campaign expansion in 2006

2007 RRTs were in more than1500 US Hospitals

US News and World Report and the Wall Street Journal reported the
potential benefit of RRT

2008 Joint Commission added NPSG 16A


Rapid Response Teams
Tujuan Tim Respon Cepat:
Meningkatkan intervensi dan stabilisasi dini
untuk mencegah kemerosotan klinis sebelum
serangan jantung atau kejadian yang
mengancam jiwa lainnya
Menurunkan jumlah kardiopulmoner arrests
yang terjadi di luar ICU dan IGD
Mengurangi angka kematian di rumah sakit
Meningkatkan kepuasan pasien, keluarga, dan
staf
Team members:
Critical care nurses
Respiratory
Therapist
Physician Intensivist
Professional consult
service for nurses
and physicians
seeking evaluation
of a deteriorating
patient
Apa Peran Rapid Response
Teams?

Menilai
Stabilkan
Membantu komunikasi
Mendidik dan memberi dukungan
Membantu transfer, jika perlu
Tindak lanjut pasien yang
dipulangkan
Rapid Response Teams
Guideline: Develop an Early Warning
System:
1) Something isnt right
2) Heart rate: <40/>160
3) Blood pressure: Consider range of SBP <80/>180
or DBP >100
4) Respiratory status: Consider rate <8/>28 bpm
consider SpO2 <85-90% for more than 5 minutes
increasing O2 demand to maintain baseline SpO2
evidenced
by increased work of breathing or change in
breathing
pattern
5) Neurological status: Acute change in baseline neuro status
Rapid Response Teams
Guideline: Develop an Early Warning
System:
Some institutions use Early Warning Score: 3 or more
institutes activation of RRT
TRANSPOR
T
Transport pasien kritis harus dilakukan dengan persiapan
yang matang dan perhatian yang seksama dan detail pada
hal-hal yang harus diperhatikan.
Guideline atau pedoman sudah tersedia dan prinsip-prinsip
utama dalam melakukan transport pasien kritis meliputi 5P:
1. Planning
2. Personnel
3. Properties
4. Procedures
5. Passage

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