Learning Objective 1: The learner will be able to reflect the evidence in support of implementation of Rapid Response Teams in the acute care environment.
Learning Objective 2: The learner will be able to describe the process for implementation of an Obstetrical Rapid Response Team.
The goals for establishing an OB RRT were: to empower each staff member to activate the OB RRT; to bring a multidisciplinary group of expert healthcare providers to the bedside in the case of deteriorating maternal/fetal status and improve maternal and neonatal outcomes. The multidisciplinary Planning Committee established the clinical criteria of a crisis and determined the appropriate response team members and roles of the team. Practice drills were performed and debriefing sessions were held to discuss positive and negative challenges encountered during the activation.
Within one week of implementation the OBRRT was activated three times with excellent patient outcomes and a high degree of staff satisfaction. Many avenues were utilized to ensure successful education including online education, in-services and low and high fidelity simulation. Every activation or non-activation of the OBRRT is reviewed by the Planning Committee and reported to the Obstetric/Gynecologic Service Committee. Each activation is evaluated for the accuracy of the group page, team’s response time, the reason for the activation, interventions made and patient outcome. In conclusion, the use of multidisciplinary planning teams, teamwork, thorough planning and ongoing evaluation can lay the foundation for a successful OB RRT.
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