Table of Contents
Most of the developed rapid response teams have shown improvement and assistance in safeguarding and rescuing the interest of patients. In small hospitals, the team may only have one person or as many as six team members. Such teams may include a nurse with experience in critical care, a physician either an intensivist or hospitalist, pharmacist, respiratory therapist, and physician assistant (Bellomo, 2004). There are key features of the team members such as the team member should be able to respond when needed for emergency and not limited by any competing responsibility or task, care should be taken/considered to allow or ensure that patients assigned to respective responders are taken care of to allow easy follow of shifts, the members of the team must always be onsite and accessible all the team members should have critical care skills and knowledge obtained from training and the responders should be selected carefully, wiling to respond fast to situations as well as educate mentor staff when needed.
The following key characteristics should be portrayed by members of emergency medical team: willing to work at their best levels, the best members are those with capabilities of being responders and educators, should be able to examine the culture and resources that help to conduct emergency situations (Goldsmith, 2009).
The role of the Respiratory Therapist requires the routine of those duties connected with the grade entitlement of Respiratory Therapist and the capability to labor therapeutically with patients.
The respiratory therapist will be accountable for the management of all sort of mechanical ventilation including High Frequency Oscillatory ventilation, BiPap, and CPAP, as well as countless types of aerosolized medication treatments including incessant Pentamadine and nebulization therapy. The Emergency Response Respiratory Therapist performs sputum orientation / gathering and be in charge for the release of respiratory services to patients, including all sort of chest physical therapy(mechanical and manual percussion); arterial blood gas infections as demanded; administration of simulated airways; and suctioning of airways (Golhill, 2007).
The respiratory therapist is accountable for aptly put into practice those respiratory procedures as well as monitoring actions connected with the ICU Protocol as well as the Management of Nitric Oxide (NO) in the Cardiac Catherization.
The respiratory therapist is also responsible for the suitable footage of respiratory services issued to patients. Responsible for the precise and total certification of all patients’ treatments, oxygen support, and equipment. The respiratory therapist in an emergency team is responsible for the appropriate collection, sterilizing and dispensation of respiratory tools and devices as well as minor conservation.
The respiratory therapist is in charge of the performance of therapeutic modalities, patient assessments, and certification linked with departmentally established protocols. As a member of the Rapid Response Team, the respiratory therapist provides a clinical respiratory assessment of patients and makes appropriate respiratory interventional recommendations as the patient’s condition warrants (Resar, 2007).
The respiratory therapist provides cardiopulmonary teaching to patients and patient’s family as well as caregivers as needed. The respiratory therapist, when assigned or directed by the Lead emergency response team, respiratory therapist will be responsible for the perception and orientation of new team responders.
The intensivist must converse with the referring emergency team and clarify the precedence for admittance, in a reasonable and scientific way. The presence of written protocols showing how patient admissions will be determined is highlighted. During emergence discharging a patient from the ICU, the intensivist should be contented that the patient is fit for transfer out of the ICU and should converse with the referring emergency physician.
A main responsibility of the intensivist is to ensure that any variance is avoided, without compromising protection standards and by guarantying that standard practice protocols and guidelines are instituted in the concern of the patient (Resar, 2007).
During an emergency, the intensivist plays the role of assuring that the quality of medical services offered are adhered to as well as making sure that the patients well being is administered without any problem. He/she also formularizes the discharge or the patient after the medical physician approves the patient’s discharge.
Communication is the sharing of information amongst people. Medical communication is the transfer of information amongst medical practitioners in this case; the communication between emergency response team should be vivid so as to reduce the clinical risks. Communication officer plays the role in the emergency team is to provide internal team communication, make communication link with NDMS systems and issue team messages to member’s home before and after deployment (Rozich, 2009).
Communication officer also assures that the patients communicate effectively with the medical professional well and so to their families. The communication process can also be coordinated by the logistic member of the team in case of communication officers absence.
Emergency Medical Technician- A paramedic
This person is responsible for making medical assessments, performs several difficult, complex, diversified health care activities such as full range of life support and functions for critical patients who got injuries during a disaster or during a major emergency. This member also provides advice on the kind of action to take in case of an emergency since emergencies differ.
This member plays the role of coordinating and managing the logistics of the emergency response team during operation. He/she also performs other staff support services that involve transportation, communication, safety and security, and sanitation as well as environmental activities. In addition to the above responsibilities the logistic officer plays the role of providing and collecting timely information relating to the readiness of aforementioned services. In most cases, this team member has fewer appearances (Simmonds, 2011).
Critical Care Nursing Practitioner
Plays the role of reporting to the head of the emergency team and attending to the physician. This stance provides the provision of critical care for all the patients who underwent serious injuries as a result of disaster or emergency. The member also provides leadership and problem solving differentiating between abnormal and normal findings. He/she also provides knowledge and skills as directed by the supervisors during emergency. The critical care services are also offered by the named member of the emergency response team these services include administration and provision of drugs to disaster or emergency patients.
This individual offers/provides direct medical diagnosis, medical care, and administers treatment to individuals with injuries or become ill as a result of emergency or disaster. This is the first member to directly offer medical assistance to an emergency patient (Goldsmith, 2009).
He/she is responsible for compounding prescriptions from licensed practitioners and physicians at the site of emergency or disaster. The pharmacist plays the role of prescribing the drugs to be taken by the patients. He/she also advices the logistical support officer on the kind of drugs to order and supply to an emergency area (Bellomo, 2004).
Emergency concern is not a normal medical operation hence the response team needs to be equipped with relevant skills and knowledge that can help them to effectively care for patients. Thus, emergency response team members should be well trained to conduct potential crises (Resar, 2007). The members should beware of toxic risks in the workplace and able to judge as well as make decisions where necessary. The team members should be able to offer first aid including self-contained breathing apparatus (SCBA) and cardiopulmonary resuscitation (CPR), able to know the OSHA bloodborne standards and able to search and administer emergency procedures.