Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10368
Title: Is there a need for a nurse emergency team for continuous renal replacement therapy?
Authors: Baldwin, Ian
Affiliation: Department of Intensive Care, Austin Hospital, and Department of Nursing and Health Sciences, RMIT University, Melbourne, Vic., Australia. ian.baldwin@austin.org.au
Issue Date: 2007
Citation: Contributions To Nephrology; 156(): 191-6
Abstract: The use of an emergency response team for unwell patients has provided an improvement in hospital care standards by reducing medical and postoperative adverse outcomes. Use of a nurse emergency team for patients treated with continuous renal replacement therapy (CRRT) also has potential to reduce adverse outcomes with CRRT, where staff may lack experience or find troubleshooting CRRT difficult in an ICU with many critically ill patients in their care. Differing nursing models are used to provide CRRT in the ICU, and all of these could benefit from a nursing response team at some time. The response must be immediate, with suitably available and CRRT-experienced nurses. As with medical emergency team use, the nursing emergency team for CRRT would be called when a deviation from a standard criterion list occurs. The list could include: prolonged blood pump stoppage (approximately 2 min); air detection alarm; blood leakage; sudden circuit pressure changes-transmembrane pressure (>200 mm Hg) or venous pressure (>200 mm Hg) or arterial pressure negative (>or=100 mm Hg); the need to override a fluid balance alarm 3 times in 5 min; patient hypotension; cardiac arrest or similar event, or the nurse is concerned that the machine is malfunctioning. The 'human resource' is the biggest challenge to developing a suitable response team 24/7, however where ICU and nephrology nurses work in a collaborative approach for CRRT, a response team would be more easily established and may not be required continuously.
Internal ID Number: 17464127
URI: http://ahro.austin.org.au/austinjspui/handle/1/10368
DOI: 10.1159/0000102083
URL: http://www.ncbi.nlm.nih.gov/pubmed/17464127
Type: Journal Article
Subjects: Acute Kidney Injury.therapy
Continuity of Patient Care
Emergency Medical Services.manpower
Equipment Failure
Humans
Intensive Care Units.manpower
Models, Nursing
Nurse's Role
Nursing Staff.education
Patient Care Team
Renal Replacement Therapy.nursing
Appears in Collections:Journal articles

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