The Nurse Gwenny Podcast
Rapid Response Calls That Never Should Have Happened | Early Warning Signs, Shock Index & Bedside Report On the Nurse Gwenny Podcast, Sarah Lorenzini, friend and contributor to The Nurse Gwenny Library joins Nurse Gwenny for the final episode of season one. Sarah, TheRapidResponseRN, explains what “rapid responses that never should have happened” look like. These two powerhouse nursing educators discuss scenarios where warning signs were present for hours or staff concerns weren’t heard. TheRapidResponseRN describes critical care experience and certifications often needed for rapid response work and how her dedicated team both responds to and tries to prevent emergencies using tools like MEWS. Sarah walks through two cases: a patient with worsening tachycardia and hypotension who was treated with metoprolol and fluids without timely reassessment, later found in septic shock requiring vasopressors, ICU care, ARDS, CRRT, and weeks of hospitalization; and an ortho patient who likely developed a brain bleed overnight after missed bedside shift reports and assessments, ultimately dying despite a tech escalating concerns. Nurse Gwenny and Sarah Lorenzini emphasize shock index, full patient assessment, relying on techs, normalization of deviance, and speaking up for patients. Find more of Sarah Lorenzini's work in The Nurse Gwenny Library and her own site www.RapidResponseAndRescue.com [http://www.RapidResponseAndRescue.com] or on Instagram as TheRapidResponseRN. 00:00 See The Human First 01:29 Meet TheRapidResponseRN , Sarah Lorenzini 02:19 What Rapid Response Means 03:49 Building The RRT Team 04:19 Proactive Rounds And MEWS 05:32 Grace For Med Surg Reality 08:44 Flight Ready In Person Class Announcement 09:08 Case One Warning Signs Missed 13:30 Septic Shock Takeaways 15:31 Shock Index And Teamwork 20:18 ICU Outcome And Advocacy 22:10 Advocating Beyond Tasks 23:14 Swiss Cheese Handoff Fail 26:17 Missed Neuro Decline 27:51 Why Bedside Report Matters 29:49 Normalization of Deviance 32:59 Trust Your Nursing Gut 35:48 Triage and Eyeballing Patients 37:52 New Nurse Pattern Recognition 38:41 Proud Moment Self Care 40:42 Podcast Wrap and Resources
10 episodios
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