Abstract

Session presented on Friday, September 26, 2014:

Rapid response teams have been utilized in industries and acute care for decades. However, in other settings change to the more efficient and preferred model has been slow. Research overwhelmingly supports that public schools have action plans in place for medical emergencies such as seizures, collapsed student, anaphylaxis, and hazardous ingestion. It is even more crucial for schools with a high population of students with medical conditions that predispose them to emergencies. Many states now recommend and have enacted legislation allowing for unlicensed assistive personnel to administer emergency medications. This article suggests a change model to provide adequate resources and training to implement a cohesive team of unlicensed assistive personnel to form a rapid response unit to assist with medical emergencies in a population of special needs students. Key components of a successful rapid response team include having physical resources available including: secure emergency individualized backpacks with medication and first aid supplies, up-to-date individualized medical charts with an emergency packet accessible, flow sheets that are timely, relevant and directive, and a communication system. Of equal importance is providing extensive training to unlicensed assistive personnel in the form of instructive movies, handouts, power point presentations, 1:1 instruction, group training, mock code drills, and small group manipulation of medication administration practice supplies. It is also crucial to have an open door policy of communication whereby staff feel comfortable sharing their experience during a crisis and problem solving collaboratively to improve work flow problems. Lastly, after an event has occurred all key players should meet to discuss what went well, what should improve, and to affirm the value and participation of each of the team members. It is helpful to have a culture of transparency, shared governance, collaboration, positive peer support and positive communication. With these attributes in place, it is possible to implement a highly functional rapid response team comprised primarily of unlicensed assistive personnel to respond to medical emergencies in a school for children with special needs. This concept is also easily transferrable to environments where the population of students does not have such complex medical needs.

Author Details

Kimberly A. Mihelich, RN, BSN

Sigma Membership

Epsilon Tau at-Large

Lead Author Affiliation

The Birchtree Center, Portsmouth, New Hampshire, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Resources, Training

Conference Name

Leadership Summit 2014

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2014

Rights Holder

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Acquisition

Proxy-submission

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Rapid response team model for a school for autistic children

Indianapolis, Indiana, USA

Session presented on Friday, September 26, 2014:

Rapid response teams have been utilized in industries and acute care for decades. However, in other settings change to the more efficient and preferred model has been slow. Research overwhelmingly supports that public schools have action plans in place for medical emergencies such as seizures, collapsed student, anaphylaxis, and hazardous ingestion. It is even more crucial for schools with a high population of students with medical conditions that predispose them to emergencies. Many states now recommend and have enacted legislation allowing for unlicensed assistive personnel to administer emergency medications. This article suggests a change model to provide adequate resources and training to implement a cohesive team of unlicensed assistive personnel to form a rapid response unit to assist with medical emergencies in a population of special needs students. Key components of a successful rapid response team include having physical resources available including: secure emergency individualized backpacks with medication and first aid supplies, up-to-date individualized medical charts with an emergency packet accessible, flow sheets that are timely, relevant and directive, and a communication system. Of equal importance is providing extensive training to unlicensed assistive personnel in the form of instructive movies, handouts, power point presentations, 1:1 instruction, group training, mock code drills, and small group manipulation of medication administration practice supplies. It is also crucial to have an open door policy of communication whereby staff feel comfortable sharing their experience during a crisis and problem solving collaboratively to improve work flow problems. Lastly, after an event has occurred all key players should meet to discuss what went well, what should improve, and to affirm the value and participation of each of the team members. It is helpful to have a culture of transparency, shared governance, collaboration, positive peer support and positive communication. With these attributes in place, it is possible to implement a highly functional rapid response team comprised primarily of unlicensed assistive personnel to respond to medical emergencies in a school for children with special needs. This concept is also easily transferrable to environments where the population of students does not have such complex medical needs.