Abstract
Abstract
Rationale
Critical care nurses are an integral part of rapid response (RR) teams. The length of time they spend away from an intensive care unit (ICU) to attend RRs and how ICU nurses perceive the time away from the ICU has not been previously evaluated.
Objectives
To determine: (1) the time an ICU nurse spends at RRs; (2) ICU nurses’ view of nursing absence; and (3) RR characteristics associated with longer nursing time.
Methods
A prospective analysis of RRs in one 500-bed adult academic medical center over 1 year. Nurses’ perception was assessed through surveys and semistructured interviews.
Measurements and Main Results
There were 536 RRs. An ICU nurse was present for 20 minutes or less in 54% of the RRs, 21–40 minutes in 26%, 41–60 minutes in 11%, and more than 60 minutes in 9% of RRs. Compared with nursing time required in RRs for neurologic instability (median [Q1 first quartile {25th percentile}, Q3 third quartile {75th percentile}] = 15.0 [10.0, 27.0] min), nursing time was longer in RRs for hemodynamic instability (30.0 [15.0, 45.0] min) and respiratory failure (25.0 [12.0, 45.0] min; P
Conclusions
In this study of one midsized academic medical center, about half of critical care nurse involvement in RRs takes them away from their ICU patients for less than 20 minutes. Nevertheless, nurses felt that ICU care was compromised when an ICU nurse responded to an RR.