Medical emergency teams: graduate nurses interactions, attitudes and perceptions during resuscitation events in the non-critical care environment.
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Paper presented at the ANZICS/ACCCN Intensive Care Annual Scientific Meeting, Rotorua, New Zealand, 26th October 2007.
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Medical emergency teams: graduate nurses interactions, attitudes and perceptions during resuscitation events in the non-critical care environment.
- 1. MEDICAL EMERGENCY TEAMS: graduate nurses interactions, attitudes and perceptions during resuscitation events in the non-critical care environment Jamie Ranse Research Coordinator Intensive Care Unit The Canberra Hospital
- 3. Purpose
- 4. Methods
- 5. Findings
- 6. Discussion
- 8. Bystanders
- 9. Laypersons
- 11. Junior doctors
- 12. Critical care nurses and
- 13. General nurses
- 18. Having to act
- 21. FINDINGS: having to act … [I was] unsure as to the first step to take … (Ali) … I will just try, do the best that I can, but don’t expect me to have the knowledge and the skill. (Liz) You secure yourself in that role, like you were as a student … I have no responsibility here. (Zoe) … I found it [a simulated resuscitation event] was similar to a real code (resuscitation event), it’s kind of chaotic … (Zoe)
- 22. FINDINGS: feeling connected I just wanted to run the other way. (Megan) … I felt very, very stressed … [the patient in cardiac arrest] was lying in the corridor, I had just pushed the emergency trolley down [to the patients location] and [I decided] I will get the oxygen and the mask. So I ran to a patient’s bedside to grab a mask … I didn’t even think it’s in the trolley that I have just pushed. (Zoe) … they’re interesting ... an amazing experience, sometimes you think that was great. (Liz) It was exciting … and gave me a lot more confidence. (Jess)
- 23. FINDINGS: being supported … the MET team comes and everyone disappears … everyone goes and you’re stuck there … [the MET] need things and you can’t go because you are scribing … (Megan) … [ward nurses will support you] if you are in tears. (Megan)
- 25. Similar experience to other cohort
- 26. Lack of an opportunity to debrief
- 27. Resuscitation events are chaotic
- 28. Decision making
- 30. Strategies should be employed to ensure an optimal number of people are involved
- 32. Extend beyond basic life support
Editor's Notes
- Decision making – without resources, push trolley to patient and don’t use equipment. Don’t feel publically tested – no expectations of knowledge