2012 OPEN FORUM Abstracts
THE IMPACT OF THE ADULT CRITICAL CARE RESPONSE TEAM ON PATIENT CARE AND ICU STAFFING.
Angela T. Ellis, John W. Brinson, Linda Croff-Poole; Respiratory Care, University of MS Medical Center, Jackson, MS
Background: The Adult Critical Care Response Team (ACCRT) was implemented at the University of Mississippi Medical Center (UMC) in Jackson, Mississippi in October 2009. UMC is the only level one trauma center and teaching facility in Mississippi. The adult critical care tower of UMC houses 70 intensive care beds dedicated to Surgical, Medical, Cardiac, and Neurological services. The initial goal of the ACCRT is to continue the advanced level of care to critically ill patients outside the critical care unit/setting (i.e. MRI, CT, and Interventional Radiology). Method: Over the past fifteen years, UMC has seen a tremendous increase in the number of critically-ill, mechanically ventilated patients being transported to procedures throughout the hospital. These procedures created a stressful dilemma for the ICU staff. The ICU had to shuffle assignments to relieve a nurse and respiratory therapist for a procedural transport. This resulted in a staffing shortage in the ICU. To alleviate the stress involved in these transports, UMCs Respiratory Department created the ACCRT. The Adult Critical Care Response Team was developed in October 2009 at UMC to transport and assume the responsibility of care for critically ill patients in specialty areas (MRI, CT and nuclear medicine). Results: The ACCRT is composed of Registered Respiratory Therapists and Registered Nurses with a minimum of two years critical care experience, BLS, and ACLS certifications. In addition, each team member must complete the Adult Airway Management Program and cross train between the two disciplines. Some of the shared roles of the ACCRT are intubations and difficult airways, intraosseous access, peripheral vascular access and mechanical ventilation. A year after initiation of the team, the demand had grown and additional staff was added for night coverage. The extension of the department and hours of operation led to an expansion of the teams responsibilities. In addition to transporting critically ill patients, the ACCRT is also serving as primary team members of the Code Blue, Adult Rapid Response, Code STEMI and intra- hospital Code Stroke (Gray) teams. Conclusion: As of June 2011, the ACCRT has performed more than 3,000 critical transports. This equates to over 2,400 hours, or an average of 6 hours per day. The number of Rapid Responses that turned into a code blue has been on the decline since the inclusion of the ACCRT. Sponsored Research - None The Impact of the Adult Critical Care Response Team on Patient Care and ICU Staffing