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Do nurses know when to summon emergency assistance?

K Daffurn, A Lee, K M Hillman

    Intensive & Critical Care Nursing
    |June 1, 1994
    PubMed
    Summary
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    A medical emergency team (MET) improved patient care, though awareness of its information booklet was low. Most nurses supported the MET, but some hesitated to call it for critical conditions like hypotension.

    Area of Science:

    • Medical Emergency Teams
    • Cardiopulmonary Arrest Management
    • Hospital Patient Care

    Background:

    • High mortality rates from cardiopulmonary arrest (71% general wards, 64% Emergency department) at Liverpool Hospital in 1989.
    • Establishment of a Medical Emergency Team (MET) to proactively identify and treat deteriorating patients, replacing the existing cardiac arrest team.

    Purpose of the Study:

    • To evaluate registered nurses' (RNs) opinions, knowledge, and utilization of the newly implemented MET system.
    • Assess the effectiveness and nurse perception of the MET protocol two years post-implementation.

    Main Methods:

    • A questionnaire survey distributed to 141 nurses on a designated study date.
    • Assessment of nurses' attitudes, knowledge of calling criteria, and reported use of the MET system through hypothetical scenarios.

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    Main Results:

    • Positive attitudes towards the MET were reported, with 53% of nurses having called the MET in the preceding 3 months.
    • Nurses demonstrated correct response rates of 17-73% in hypothetical situations, indicating variable understanding of calling criteria.
    • Low awareness of the MET information booklet was noted; some nurses incorrectly called residents instead of the MET for critically ill patients, even with severe deterioration or hypotension.

    Conclusions:

    • The MET system is generally well-regarded by nursing staff, with a high likelihood of reuse.
    • Gaps in knowledge and application of MET calling criteria exist, particularly concerning hypotension and severe patient distress.
    • Further education and improved accessibility of information regarding the MET are recommended to optimize its utilization and impact on patient outcomes.