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Rapid Response Team

What is a Rapid Response Team?  A Rapid Response Team, or RRT, is a team of healthcare professionals that can be called to a hospitalized patient’s bedside at any time when the nurse or family member is concerned that something is not right with the patient, when the patient’s condition is deteriorating, and when immediate help is needed.

      

The Rapid Response Team helps the bedside nurse in the care of a patient when the nurse or family member is concerned that something is not right with the patient, when the patient’s condition is deteriorating, and when immediate help is needed.  The Adult RRT is made of specially-trained healthcare professionals:  an Advanced Cardiac Life Support (ACLS) trained critical care nurse, a respiratory therapist, an IV nurse, and the attending or consult doctor.  Likewise, the Pediatric RRT (PRRT) includes a Pediatric Advanced Life Support (PALS) trained pediatric critical care nurse, a respiratory therapist, and a pediatric intensive care unit (PICU) resident (doctor).  All RRT members have flexible duties in the hospital that allow them to be available when needed.

 

Staff or family can call the RRT to evaluate a patient at the first signs of something going wrong with the patient, and the team will respond to the patient’s bedside within 5 minutes of notification.  The Rapid Response Teams are available 24 hours a day, 7 days a week to provide support to all nursing units.  After an RRT intervention, the physician and the team discuss what level of care the patient requires. 

 

  • Baystate Medical Center was the first BH facility to begin a Rapid Response Team after an initial pilot in July 2005.  The family activation component was adopted in 2009.
  • BMC has ongoing hospital-wide education of all staff is conducted regarding the purpose, scope and use of the Rapid Response Team.
  • Both our overall rate of code blues and the number of out of critical care codes have decreased significantly. 
  • Staff feedback has been extremely favorable; the team is viewed as an effective tool to rescue and support patients in any situation. 

 

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  • Patients and families are educated on their ability to summon the RRT; instructional posters are displayed in patient rooms and clinical areas.
  • The Rapid Response Team has been expanded to the outpatient service areas, such as radiology, laboratory, and rehabilitation.  Twenty-five percent of the RRT calls are to these areas.
  • The Mental Health Unit continues to be the department most likely to use the RRT.
  • Education is provided in welcome packets and via posters regarding family-activated rapid response.

 

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  • A pocket guide to calling the RRT has been provided for staff detailing parameters to guide their decision making.
  • A letter of recognition is sent to the person calling the RRT thanking them for their dedication to patient care.
  • Staff feedback has been extremely favorable; the team is viewed as an effective tool to rescue and support patients.

 

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For more information on Quality at Baystate Health

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For more information on Baystate Children’s Hospital

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  • The Pediatric RRT (PRRT) was started in September 2007.
  • Family activation of the PRRT began in July 2008. 
  • Staff feedback is given after each call and has been extremely favorable.

 

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For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital

For more information on Baystate Children’s Hospital

For more information on the Institute for Healthcare Improvement