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Abstract

Delay in recognizing the need for and initiating lifesaving measures is unacceptable in health care. It is never too early to teach novice nursing students to recognize and respond to early warning signs of patient deterioration. The rapid response system was developed to expedite recognition of and response to changes in a patient's condition. Use of high-fidelity simulation by beginning nursing students to practice recognizing and responding to patient deterioration is vital to both the welfare of patients and the edification of students. Recognizing and responding quickly to patients’ early warning signs of deterioration can determine a patient's outcome. This article discusses the importance of instructing beginning nursing students in identifying and reacting appropriately to early signs of patient deterioration and in following the chain of command to activate the rapid response team.

Keywords

early warning signs Foundations of Nursing courses patient deterioration rapid response team high-fidelity simulation

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References

Benner

(2004). Using the Dreyfus model of skill acquisition to describe and interpret clinical judgment in nursing and education. Bulletin of Science, 24, 188–199.

Benner

, Sutphen

, Leonard

, & Day

(2010). Educating nurses: A call for radical transformation. San Francisco, CA: Jossey-Bass.

Cannon-Diehl

M. R.

(2009). Simulation in healthcare and nursing: State of the science. Critical Care Nurse Quarterly, 32(2), 128–136.

Curtin

, & Dupuis

(2008). Development of human patient simulation programs: Achieving big results with a small budget. Journal of Nursing Education, 47(11), 522–523.

DeVita

M. A.

, Braithwaite

R. S.

, Mahidhara

, Stuart

, Foraida

, & Simmons

R. L.

(2004). Medical Emergency Improvement Response Teams (MERIT): Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Quality & Safety in Health Care, 13(4). 251–254.

Donaldson

, Shapiro

, Scoot

, Foley

, & Spetz

(2009). Leading successful rapid response teams: A multisite implementation evaluation. Journal of Nursing Administration, 39(4), 176–81. http://dx.doi.org/10.1097/NNA.0b013e31819c9ce.

Galhotra

, Scholle

C. C.

, Dew

M. A.

, Mininni

N. C.

, Clermont

, & DeVita

M. A.

(2006). Medical emergency teams: A strategy for improving patient care and nursing work environments. Journal of Advanced Nursing, 55(2):180–187.

Garretson

, Rauzi

M. B.

, Meister

, & Schuster

(2006). Rapid response teams: A proactive strategy for improving patient care. Nursing Standard, 21(9), 35–40.

Hillman

, Chen

, Cretikos

, Bellomo

, Brown

, Doig

, … Flabouris

(2005). Introduction of the medical emergency team (MET) system: A cluster-randomised controlled trial. Lancet, 385(9477), 2091–2097.

10.

Hunt

(2012). QSEN competencies: A bridge to practice. Nursing Made Incredibly Easy, 10, 1–3.

11.

Jeffries

P. R.

(2005). A framework for designing, implementing and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96–103.

12.

Lindsey

P. L.

, & Jenkins

(2013). Nursing students' clinical judgment regarding rapid response: The influence of a clinical simulation education intervention. Nursing Forum, 48(1), 61–70.

13.

Massey

, Chaboyer

, & Aitken

(2014). Nurses' perceptions of accessing a medical emergency team: A qualitative study. Australian Critical Care, 27(3), 133–138. http://dx.doi.org/10.1016/j.aucc.2013.11.001.

14.

McGaghie

W. C.

, Issenberg

S. B.

, Petrusa

E. R.

, & Scalese

R. J.

(2010). A critical review of simulation-based medical education research: 2003–2009. Medical Education, 44, 50–63.

15.

Merchant

D. C.

(2012). Does high-fidelity simulation improve clinical outcomes? Journal for Nursing in Staff Development, 28(1), E1–E7. http://dx.doi.org/10.1097/NND.0b013e318240a728.

16.

Mitchell

, Schatz

, & Francis

(2014). Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Critical Care Nurse, 34(3), 41–55.

17.

Rhodes

M. L.

, & Curran

(2005). Use of the human patient simulator to teach clinical judgment skills in a baccalaureate nursing program. CIN: Computers, Informatics, Nursing, 23(5), 256–262.

18.

Salamonson

, & Everett

(2006). Voices from the floor: Nurses' perceptions of the medical emergency team. Intensive and Critical Care Nursing, 22,138–143.

19.

Waxman

K. T.

, & Telles

C. L.

(2009). The use of Benner's framework in high-fidelity simulation faculty development: The bay area simulation collaborative model. Clinical Simulation in Nursing, 5(6), E231–E235.

Embedding High-Fidelity Simulation into a Foundations of Nursing Course

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