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What Is the Role of the Staff Nurse on a Medical Emergency Team?

By Sylvia Foley, AJN senior editor

There is strong evidence that a hospital’s use of a medical emergency team (MET) helps to decrease the rates of in-hospital cardiac arrests, unplanned ICU admissions, and overall hospital mortality. (A MET is similar to a rapid response team, but is typically led by a physician rather than by a nurse.)

But our understanding of such teams is incomplete. Nurse researcher Margaret Pusateri and colleagues set out to explore, in particular, the role of non-ICU staff nurses during a MET call. They wanted to better understand such nurses’ familiarity with and perceptions of the MET, and possibly, to increase the team’s effectiveness. So they sent a survey to 388 non-ICU staff nurses at a large urban teaching hospital; 131 nurses (34%) responded.

The authors report on the results in May’s CE feature (for optimum reading, open the PDF version). Among their findings:

  • Nearly three-quarters of the respondents had participated in a MET call.
  • The most common actions they reported taking during the call included relaying patient history, initiating the call, and documenting MET data.
  • But fewer than half of the respondents agreed or strongly agreed with the statements “I feel comfortable with my role as a member of the MET” and “I know what my role as a member of the MET is.” […]
2016-11-21T13:12:55-05:00May 25th, 2011|nursing perspective, nursing research|1 Comment
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Meeting Nightingale in Alabama; Where Were the Young Nurses? Further Notes from the Disaster Zone

Sue Hassmiller has been blogging from the tornado-damaged area in Alabama, where she’s volunteering for the Red Cross. This and all other posts in this series are collected on a separate page for easy reference.—JM, senior editor/blog editor

Finishing up some very difficult hospital visits with victims and family members at the University of Alabama–Birmingham Medical Center today, I saw the sign for the school of nursing. I remembered Dean Dodi Harper telling me last year of a man who had donated to her school what might be the largest grouping of original Florence Nightingale letters. A priceless gift indeed! Her intent was to transcribe the letters and eventually have an exhibit. As I saw the School of Nursing sign, the conversation all came back to me . . . and then I realized it was May 12, Nightingale’s actual birthday, the day we celebrate Nurses Day! Too good to be true: I e-mailed the dean and got an immediate response (I love those type A personalities!). She was away, but the assistant dean for clinical affairs and partnerships, Cindy Selleck, would welcome me—and indeed on this occasion the letters were on display in a temporary exhibit. Having been on a special Nightingale tour last year to England and Istanbul/Scutari, the words of this great mentor had taken on a whole new meaning for me (here’s the blog series I wrote at the time). 

Seeing this very special exhibit and Nightingale’s words on her very […]

2016-11-21T13:13:15-05:00May 13th, 2011|Nursing, Public health|1 Comment
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Dispatch #3 from the Alabama Tornado Zone: A Tight-Knit Community, the Red Cross ‘CSI’ Unit, Public Health Nursing

Sue Hassmiller, the Robert Wood Johnson Foundation Senior Adviser for Nursing, has been blogging from the area in Alabama recently devastated by tornadoes, where she’s volunteering with the Red Cross. This and all previous posts in this series are being collected on a separate page for easy reference.—JM, senior editor/blog editor

Hackleburg Is Gone!
Picture yourself in your present surroundings; take a look around at the buildings, the houses—and now try to picture them completely gone, with you standing right in the middle of it. That is what Hackleburg went through on April 27. Ninety percent of the small town is gone. You can tell that people lived there by the personal items strewn about, but you can hardly tell where the houses once stood. They have all been flattened. This is very different from the aftermath of the flood following Hurricane Katrina, when the flood-soaked houses were pretty much left standing.

Standing there in the middle of the rubble with family members, it’s hard for me to imagine how anyone survived this. But they did . . . at least most of them. This is a close-knit, church-going town, […]

2016-11-21T13:13:16-05:00May 9th, 2011|nursing perspective|1 Comment
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Into the Alabama Tornado Zone: First Dispatches from a Red Cross Volunteer

Last summer, Susan Hassmiller, PhD, RN, FAAN, the Robert Wood Johnson Foundation Senior Adviser for Nursing, wrote a series of posts for this blog as she spent her summer vacation  retracing the steps of Florence Nightingale in England and Turkey. Now she’s gone to Alabama as a Red Cross volunteer in the wake of a series of devastating tornadoes. You can read Susan’s daily on-the-go entries here. The accounts from the first two days—of her family’s history with the Red Cross in other disasters, and of arriving and settling in to less-than-ideal sleeping arrangements—are below. New updates (some of it quite moving and disturbing) will soon follow, and all updates will be collected on a separate page for easy reference.—Jacob Molyneux, senior editor/blog editor
Sue Hassmiller

Monday, May 2: Duty calls
I have been involved with the Red Cross for 36 years now, ever since the organization helped me find my parents when they were victims of an earthquake while vacationing in Mexico City. It was the day my parents made it home safely that I made a silent pledge to myself that I would find a way to repay my gratitude to this wonderful organization. As a young nurse, I signed up with the Red Cross in my college town of Tallahassee. I went on quite a few disasters in my single days, but these days, […]

2016-11-21T13:13:17-05:00May 6th, 2011|Nursing|5 Comments
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Bearing Witness: April’s ‘Art of Nursing’ and Cover Art

By Sylvia Foley, AJN senior editor

In “Palm Sunday,” the poem featured in this month’s Art of Nursing, nurse and poet Rachel Betesh evokes the prolonged anguish of those who tend the dying. A man lies “sick and stained” in a bed, leaves his food untouched, and “hardly speaks anymore.” His wife and sons lament “the sin of the too-long moment”; time does not heal, but gapes like an “open wound between sickness and dying.”

A lesser poem might have slipped into sentimentality. But Betesh’s characters are a lively, indomitable bunch. “Pop!” the man’s sons say, visiting; you can feel their vigor. His wife remembers a baked potato he’d once given her, and her response: “You gonna marry me or what?” Indeed, it’s through witnessing, hearing the family’s stories, that the nurses can offer some comfort. They cannot heal the man, but they can “pack the wound, and listen.” (Art of Nursing is always free online—just click through to the PDF file.)

This month’s cover art, a work of embroidery by nurse and fiber artist Paula Giovanini-Morris, explores the concept of memory and illustrates its mechanisms, the neurons and synapses through which the brain registers, encodes, and retrieves events. The piece, titled “Windows and Doors,” was prompted by another kind of witnessing: the artist’s visits to her mother, who was suffering from the early stages of dementia.

AJN senior editorial coordinator Alison Bulman spoke with […]

2016-11-21T13:13:33-05:00April 14th, 2011|nursing perspective, patient engagement, Patients|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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