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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Tasks completed by nursing members of a teaching hospital Medical Emergency Team
Michelle Topple1, Brooke Ryan1, Ian Baldwin2
1Associate Nurse Unit Manager (ANUM), Australia.
Objectives:
To assess tasks completed by intensive care medical emergency team nurses.
Research Design:
Prospective observational study.
Setting:
Australian teaching hospital.
Main Outcome Measures:
Nursing-related technical and non-technical tasks and level of self-reported confidence and competence.
Results:
Amongst 400 calls, triggers and nursing tasks were captured in 93.5% and 77.3% of cases, respectively. The median patient age was 73 years. The four most common triggers were hypotension (22.0%), tachycardia (21.1%), low SpO2 (17.4%), and altered conscious state (10.1%). Non-technical skills included investigation review (33.7%), history acquisition (18.4%), contribution to the management plan (40.5%) and explanation to bedside nurses (78.3%), doctors (13.6%), allied health (3.9%) or patient/relative (39.5%). Technical tasks included examining the circulation (32%), conscious state (29.4%), and chest (26.5%). Additional tasks included adjusting oxygen (23.9%), humidification (8.4%), non-invasive ventilation (6.5%), performing an ECG (22%), and administrating fluid as a bolus (17.5%) or maintenance (16, 5.2%), or medication as a statim dose (16.8%) or infusion (5.2%). Self-reported competence and confidence appeared to be high overall amongst our MET nurses.
Conclusion:
Our findings provide important information on the tasks completed by Medical Emergency Team nurses and will guide future training.
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