Critical Care Outreach Team CRITICAL CARE Because... not a place is a NEED CCOT.
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C r i t i c a l C a r e O u t r e a c h T e a m CRITICAL CARE Because . . . not a place is a NEED CCOT
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Transcript of Critical Care Outreach Team CRITICAL CARE Because... not a place is a NEED CCOT.
Critic
al Ca
re O
utrea
ch
Te
am
CRITICAL CAREBecause . . .
not a placeis a NEED
CCOT
Critic
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utrea
ch
Te
am
CRITICAL CAREBecause . . .
not a placeis a NEED
What should I do?• 68 year old man is day 4 post hospital
admission. He was admitted with abdominal pain and is being investigated for ischemic bowel.
• You receive a call at 0345 that his Bp is 85/48.
• His baseline BP is 160/90.
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
What should I do?A) Assess the patient
B) The patient is fine, BP is not that low
C) Call CCOT
D) Call my senior
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
What should I do?A) Assess and treat the patient
B) The patient is fine, BP is not that low
C) Call CCOT
D) 500 ml NS bolus, reassess in 6 hours
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Critic
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Te
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CRITICAL CAREBecause . . .
not a placeis a NEED
Activation
33333
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
• Major advance in hospital practice. – Specially trained critical care practitioners
Intensivist, ICU RN and RT.
• Work collaboratively with hospital ward staff to identify, asses and respond to the needs of seriously ill patients prior to the development of progressive and irreversible deterioration.
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Background
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
• Primary goal is to prevent deaths among patients who are failing outside of the Intensive Care setting.
• Initiative of Ministry of Health Care, aimed at – reducing cardiac arrest, morality, ICU Length of
Stay and– improving access to Critical Care
Background
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Core Functions
Early identification Prophylactic Intervention Knowledge Dissemination Support and Coordination Education
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
• Average monthly calls: – UH 98 or 3.7 per day, – VH 82 or 2.7 per day
• 24/7
Total Calls Since 2007more than 10,000
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Top Three Reasons for CCOT Calls
0
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Respiratory Cardiovascular Neurologic Respiratory Cardiovascular Worried
UH 1 2 3 VH 1 2 3
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
• All Adult In-Patient areas
• Emergency Room--- if admitted
Where do we go?
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
• Respond to pre-arrest calls and Adult Medical Emergency (Code-Blue)
What about Medical Emergencies?
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Feedback From Medical Staff• Service well received
• Makes caring for patients less stressful
• Occasionally residents feel they are “missing out”
Critic
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CRITICAL CAREBecause . . .
not a placeis a NEED
Team Leads
VH• Julie Brochu, RN• Scott Anderson, MD
UH• Jackie Walker, RN• Wael Haddara, MD
