Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
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Teamwork and communication between healthcare workers are vital for patient safety in the high-risk environment of health care. The purpose of this descriptive study was to measure the teamwork among members of the rapid response team (RRT) to design teamwork communication training for team members. Data were collected via live observation of RRT events and from RRT team member ratings of teamwork during events.
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In this research project, the response times to chest compressions, first defibrillation, and first dose of epinephrine in cardiac arrest were measured over a 3-month period through retrospective chart reviews. All nursing staff then participated in random, unannounced mock code blue drills using a high-fidelity patient simulator. ⋯ At the conclusion of this study, the response times for start of chest compressions and epinephrine administration improved significantly; the response time to defibrillation did not improve significantly. The response times were measured for an additional 3-month period to assess if the improvement was sustained.
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The purpose of this descriptive study was to evaluate knowledge retention over time and clinical application of basic arrhythmia knowledge following exposure to an orientation program. Data showed significant differences in knowledge retention at 4 weeks and clinical application in rhythm identification using simulation at 3 months.
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The authors describe how simulation training was used to improve rapid response team activation in a nonteaching, nonprofit community hospital. Goals were established, and a scenario was developed to educate the healthcare team on the importance of early activation of the rapid response ream. Organizing and implementing a large-scale simulation required a solid commitment from the staff development department. The education from the simulation has led to increased knowledge and comfort levels of clinical staff, resulting in an increased use of the rapid response team.