QR Codes for Rapid Responses: Improved Clinical Operations and DEI Insight

Improving data collection of RRTs for quality improvement

The method we use to track rapid response team (RRT) data has evolved on our health campus at Mount Sinai Queens. Just a few years ago we were using paper logs; now we use electronic logs accessed by a QR code. The goal initially has been to become paperless and collect data to analyze our rapid responses for clinical insight. The greater data collection with the QR code process has in turn allowed for analysis, including a closer examination of diversity, equity, and inclusion (DEI) variables. 

About our rapid response team

Our RRT consists of the ICU charge nurse, ICU attending, respiratory therapist, and the nurse manager or the evening/night nursing administrator. They are called upon when there is a significant change in a patient’s condition that requires critical care expertise at the bedside. After hearing the overhead call for a rapid response, the responding ICU RN scans the RRT QR code using a smart phone. The QR code is displayed within the ICU nurses station for easy access. Depending on the type of rapid response, the responding RN can enter data into the RRT electronic log as care progresses and/or at the conclusion of the response.

Crumbled Walls: A Transformative Caregiving Journey

Confronting fragility: a perfectionist father’s illness.

“Nurses make horrible patients,” my dad’s words echoed in my mind as I stood beside his hospital bed. Confined to this cold and sterile room, he, once a seasoned nurse, now teetered between worlds, fighting to maintain control of his crumbling body and the walls that had always surrounded him.

My father took pride in his immaculate exterior wall. He kept a well-manicured lawn and showcased three exemplary children and a life partner we referred to as our “uncle” when outside the wall. The inside structure was sharp and less forgiving. Within the confines of his perfectly controlled life, I was subjected to restrictive diets and forced to starve myself, all in pursuit of fitting his external vision of a perfect 16-year-old girl. I didn’t match his mural, but at least I had “a pretty face.”

In this hospital bed, my father’s wall became brittle and translucent. Machines whirred, extending their tentacles, both charging him with life and subtly stealing it away. Weakened by the long-term use of prednisone, his body bore the weight of cancer’s progression, leaving him moon-faced and unrecognizable. His once unblemished mural, now in ruins, left him dependent and vulnerable, requiring nursing assistance for basic tasks like toileting and bathing.

In his time of greatest […]

2023-06-13T07:28:49-04:00June 6th, 2023|end of life, Nursing, nursing career|4 Comments

The Hidden Crisis: Unveiling the Mental Health Struggles of Teen Boys

In today’s world, teenage boys are facing a crisis that often goes unnoticed: their mental health. Anxiety, depression, despair, and even suicidal thoughts plague young boys and young men alike. Shockingly, teenage boys and young men in the United States are more than twice as likely, and sometimes up to four times as likely, to die by suicide compared to their female counterparts. They are also at a higher risk of gun violence and drug overdoses. It’s time to shed light on this crucial issue that often remains overlooked by both the public and health care professionals.

The increase in youth mental health issues has garnered considerable attention in recent times, with the U.S. surgeon general calling it “the defining public health crisis of our time.” But a lot of this has focused on the struggles of adolescent girls and LGBTQ+ teens.

Undoubtedly, these issues deserve our utmost attention and support. However, it is a mistake to assume that teenage boys and young men are faring well. As someone who writes and speaks about boys and has personal experience raising four sons, I understand that male depression and anxiety often manifest as irritability, rage, or anger. Many young males turn to alcohol or drugs as a […]

2023-06-01T07:53:32-04:00June 1st, 2023|mental illness, Nursing|0 Comments

Recommended Reading from the June Issue of AJN

A virtual RN provides support for a bedside RN on an inpatient unit. The June issue of AJN is now live. Here are some articles in this issue that we’d like to highlight. Note that some may be free only to subscribers.

Initiating Virtual Nursing in General Inpatient Care

This article describes how one hospital developed a virtual RN role for experienced nurses to support bedside RNs and patients on designated general care inpatient units. The photo on our cover this month shows a bedside nurse presenting educational material to her patient, the importance of which a virtual RN looking on from the tablet will help explain and reinforce.

Original Research: Patient Perception of Fall Risk in the Acute Care Setting

This study reveals the disconnect between hospitalized patients’ fall risk assessment results and their own perceptions of their fall risk.

Original Research: The Impact of COVID-19 on Pain Care Among Older Adults

These study findings highlight the many challenges pain management nurses faced, as well as opportunities to improve the health system and enhance nursing practice.

Hospice Nurse Ethics and Institutional Policies Toward Medical Aid in Dying

This article reviews the ethics of requiring nurses to leave […]

Just One Braid: The Power of Small Gestures to Restore Patient Dignity

Have you ever found yourself walking around your unit, overwhelmed by the prospect of managing your ever-growing workload? It sometimes feels like a never-ending cycle of assessments, medications, admissions, and discharges. I believe I’m not the only nurse who has experienced this frustration.

It is difficult to admit that, when COVID-19 entered our hospital doors, these thoughts consumed me. We witnessed the first casualties—not just of lives, but also of hope and intimacy—as we struggled to provide care and overcome our own anxieties amidst a scarcity of personal protective equipment (PPE).

Over time, we all learned a great deal about adapting to and managing a pandemic, and I have become more aware of my role within our flawed health care system. Focusing on my own fears and needs was valuable, of course, but these years opened my eyes to the injustices patients face. A significant proportion of the lives lost from COVID-19 due to ill-prepared infrastructure were from vulnerable communities. These realities transformed my perception of these injustices from distant awareness to concrete urgency.

Braiding a patient’s hair, restoring a sense of self.

The question of injustice brings to mind a recent encounter with a patient that deeply impacted me. This particular patient was young […]

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