Is there a need for a nurse emergency team for continuous renal replacement therapy?

Baldwin, I 2007, 'Is there a need for a nurse emergency team for continuous renal replacement therapy?', Acute Kidney Injury, vol. 156, pp. 191-196.


Document type: Journal Article
Collection: Journal Articles

Title Is there a need for a nurse emergency team for continuous renal replacement therapy?
Author(s) Baldwin, I
Year 2007
Journal name Acute Kidney Injury
Volume number 156
Start page 191
End page 196
Total pages 6
Publisher Karger
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 (~2 min); air detection alarm; blood leakage; sudden circuit pressure changes - transmembrane pressure (>200mmHg) or venous pressure (>200mmHg) or arterial pressure negative (ge100mmHg); 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.
Subject Clinical Nursing: Secondary (Acute Care)
Keyword(s) Critically Ill
Mortality
Dialysis
Failure
Copyright notice © 2008 S. Karger AG, Basel
ISSN 0302-5144
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