Family Initiated Pediatric Rapid Response
Family Initiated Pediatric Rapid Response
Over the past decade, most hospitals across the country have implemented Rapid Response (RR) system as a modality to provide timely assessment and interventions for patients deteriorating outside the Intensive Care Unit (ICU). Bedside clinicians and nurses are the common providers who call for the RR team when needed. However at times, families recognize clinical deterioration of their child before the bedside providers. In this situation, empowering the families to activate a Family Initiated Rapid Response (FIRR) could lead to reduction in mortality and cardiopulmonary arrests outside ICU.
Background
Over the past decade, most hospitals across the country have implemented Rapid Response (RR) system as a modality to provide timely assessment and interventions for patients deteriorating outside the Intensive Care Unit (ICU). Bedside clinicians and nurses are the common providers who call for the RR team when needed. However at times, families recognize clinical deterioration of their child before the bedside providers. In this situation, empowering the families to activate a Family Initiated Rapid Response (FIRR) could lead to reduction in mortality and cardiopulmonary arrests outside ICU.
Aims of Service Change
Empower families to seek additional medical attention for their ill child.
Provide resources to families to utilize the RR system.
Details of Innovation
At Texas Children's Hospital (TCH) we provide an admission information packet with resources to guide families on "how, when and why" to activate RR.
Personnel with advanced knowledge and critical care skills arrive to bedside in response to FIRR.
The families are encouraged for being forthcoming in expressing their concerns and get opportunity to provide feedback about RR system efficacy.
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