University of Virginia Health System Jbm6k@virginia.edu Data on utilization of the Rapid Response Team demonstrating increase over time (Calls/1000 discharges) Data on non-ICU code blues Performance Feedback as reported by requesting RN* Evaluation Forms Received Av. Response Time (1-10) Av. Clinical Competence (1-10) Av. Overall Impression (1-10) Performance Composite (3-30) SD Form Return Rate May'10 Jun Jul Aug Sep Oct Nov Dec 52 9.6 9.8 9.8 29.3 1.68 39 9.6 9.8 9.7 29.1 9.87 51 9.8 10.0 9.9 29.6 0.91 38 9.7 9.9 9.8 29.4 1.22 53 9.6 9.6 9.6 28.8 4.27 44 9.8 9.8 9.8 29.4 1.32 42 9.7 9.8 9.8 29.4 1.25 59 9.6 9.8 9.7 29.1 6.85 34.4% 26.5% 38.6% 30.2% 44.5% 30.8% 29.2% 39.3% Sample of comments from the feedback tool: “I could NOT live without our MET team!!!!! They are life support (no pun intended) to floor nurses who are not ICU trained. I personally had 6 other pt's to attend to when I picked up this pt and I am afraid of either what could have happened to him or my other pts' if the MET RN wasn't here. Please give them raises & give us more of these guys!!!” – A. W., RN 8/7/10 “Again, another amazing response to prevent what was quickly becoming a code situation.” – Acute Care RN 2/4/10 “The MET team is always professional and skilled. It is also very supportive towards staff. It is a wonderful resource. Thank you.” – Acute Care RN 8/2/10 [The competence of 10 had a "+" next to it – jbm] “With the night and the acuity of my pt load the support was overwhelming. I started out @1930 with a pt seizing and falling on the floor. [MET nurse] took pt to CT and ensured that she was stable before returning. My other pt was really an ICU pt and required q1hr NIH/VS + monitoring. She declined and without [MET nurse’s] help I would not have been able to provide the level of care that she and my other pts deserved and required. -- Outstanding!” – M. D., RN 4/24/10. “Great Job! I had 2 diff. pts. Going bad at the same time + it was very nice to have a very competent MET RN with my other pt. MET Team Rocks!” – L. S. RN, 5/10/10 “[MET nurse] is a highly-skilled critical care nurse with expansive first-responder experience. With this background, his assessment skills are finely and expertly developed. His in-depth understanding and command of the care delivery system enables him to act quickly and efficiently based on his clinical assessment. He utilizes a well-developed knowledge of clinical resources within the health care system to bring appropriate levels of care to the patients he assesses as a MET nurse.” – R. M., RN; NP 4/7/10 “Could not have asked for more!! [MET nurse] was cheerful, willing to do anything that was needed and helped keep the mood in the room upbeat. He asked questions and made suggestions in a very nonthreatening way. Even though he got called away, he spoke w/ the MD and had a plan in place "just in case." I am appreciative and grateful for this awesome service. I know the patient is the most important person in the room but it sure made me, the nurse, feel just as important. Thanks!” - G. E., RN 4/1/10 *Our program collected feedback from the primary bedside nurse each event. We collected this information for the first fifteen months of the program. We literally have hundreds and hundreds of comments like these from nurses, physicians, and other professionals.