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CS385
MET to the Rescue!! Overcoming Stagnant Outcomes through Expansion and Education
By: Soudi Bogert, Carmen Ferrell, Tammy Alvarez, & Vivian Norman, St. Joseph's Hospital, Orange, CA
For further information, please contact: Soudi.Bogert@stjoe.org
Purpose: Medical Emergency Team (MET), a rapid response team, was developed in 2004. MET outcomes progressively improved Code Blue and mortality statistics. MET calls plateaued in 2006. To continue growth and improve processes, we identified potential contributing factors to the stall.
Description: We expanded our MET Committee and formalized respondent application criteria. We conducted a survey of medical/surgical nurses to assess knowledge and attitudes toward MET. Questions on MET purpose, guidelines, perception, attitudes and overall experiences were included. The results validated medical/surgical nurse discomfort with critical care nurse attitude, leading us to implement needed team education and a change in culture surrounding MET team activities. MET committee members started “Adopt A Department.” Each member provided resources to his/her assigned area including quarterly MET/Code data. Revised documentation efficiently captures and reviews processes, incorporating early signs of sepsis into MET baseline assessment. We began our “Save A Life Campaign,” educating with posters, having MET members available to teach, and encouraging collaboration between MET and medical/surgical nurses. The campaign involved raffle events with great prizes. In keeping with our theme, staff who activate a MET call receive lifesaver pins “I Saved A Life” and thank you notes.
Evaluations/Outcome: Med-Surg and Critical Care partnerships and true collaboration resulted. Nurses are proud to be MET respondents and part of the team’s growth. The adopted departments welcome MET liaisons and resources. “Save A Life Campaign” was a hit; lifesaver pins are coveted. More importantly, mortality has decreased from a high of 1.8 (late 2006) to as low as 1.0 in less than a year. MET calls are up and out of unit Code Blues are decreasing.
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