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RES232
An Early Nursing Intervention Team, a Preemptive Nurse-led rapid response model an its effect on patient outcomes
By: Mary Lu Daly; General Hospital; NY
For further information, please contact: marylu.daly@viahealth.org
Purpose: This study was conducted to examine the effect of a nurse-led Rapid Response Team model, the Early Nursing Intervention Team (ENIT) on cardiac arrest rate outside the Intensive Care Unit (ICU), mortality rate, length of stay (LOS), and time to transfer patients to the ICU.
Background/Significance: This study was conducted to examine the effect of a nurse-led Rapid Response Team model, the Early Nursing Intervention Team (ENIT) on cardiac arrest rate outside the Intensive Care Unit (ICU), mortality rate, length of stay (LOS), and time to transfer patients to the ICU.
Methods: The ENIT model is a critical care nurse-led model that provides twice daily rounding, on general care units, in addition to responding to calls. The study used a before and after design. Data obtained during a baseline phase and during the study phase were compared. During the baseline phase, 100 charts were reviewed retrospectively from patients who were transferred to the MICU secondary to clinical decline. During the study phase, data were collected for the first 100 patients transferred to the ICU as a result of ENIT activation. Data collected included cardiac arrest rate outside the ICU, mortality rate, LOS, and time to transfer to the ICU.
Results: : Cardiac arrests outside the ICU have dropped from a monthly rate of 3.93 at baseline to 2.25 during the study (p=0.029). Mortality rate has dropped from 45.4 percent at baseline to 31.6 percent during the study (p=0.033). LOS increased, but did not reach the level of significance from 26.71 days at baseline to 20.14 days during the study (p=0.153). Time to transfer the patient to the ICU dropped from 242.12 minutes at baseline to 88.65 minutes during the study (p=0.000).
Conclusions: Our nurse-led model has shown an improvement in patient outcomes in our hospital. It has been equally effective as other team designs reported in the literature. LOS may have increased because patients who previously would have died have survived to discharge.
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