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

journal contribution
posted on 2024-11-01, 04:11 authored by Ian Baldwin
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.

History

Journal

Acute Kidney Injury

Volume

156

Start page

191

End page

196

Total pages

6

Publisher

Karger

Place published

Basel

Language

English

Copyright

© 2008 S. Karger AG, Basel

Former Identifier

2006005826

Esploro creation date

2020-06-22

Fedora creation date

2011-01-07

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