Page 19 - Christiana Care Focus March 2109

Publishing
Heather Bittner Fagan, M.D., MPH, FAAFP, Jacqueline Orti, M. Phil, and Bettina Tweardy Riveros, Esq. “Why CEnR Matters for Health Equity.” Delaware Journal of Public Health. November 2018.
Darcy Burbage, MSN, RN, AOCN, CBCN.
“Telephone Triage for Oncology Nurses,” book chapter. Hickey, M. & Newton, S. (Eds). 3rd edition, Pittsburgh: ONS Press.
Edmondo Robinson, M.D., MBA. “Patient Stakeholder Engagement in Research: A Narrative Review to Describe Foundational Principles and Best Practice Activities.” Health Expectations. 2019
Robert Witt, M.D., et al. “Serial Patient- Derived Orthotopic Xenografting of Adenoid Cystic Carcinomas Recapitulates Stable Expression of Phenotypic Alterations and Innervation.” Journal: EBioMedicine-Lancet. February 2019.
Presentations
Darcy Burbage, MSN, RN, AOCN, CBCN:
• “What Oncology Nurses Hear From Patients About Affordability, Cost of Cancer Drugs and Treatments, and How Nurses
and Nurse Navigators Assist Patients Experiencing Financial Challenges.” 2018 Oncology Nursing Society (ONS) Health Policy Summit. Washington, D.C. November 2018.
• “Overview of Nurse Navigation: The Role of the Contact Nurse in Cancer Care and the Contact Nurse/Nurse Navigator Role in Cancer Rehabilitation and Survivorship.” Karolinksa University Hospital/Regional Cancer Center. Stockholm Sweden. March 2019.
Marci Drees, M.D., was a panelist at the Seminar on Influenza from a One Health Perspective, March 1 at the University of Delaware.
Roshni Guerry, M.D., Darcy Burbage, MSN, RN, AOCN, CBCN, and Kristin Isaac, MPH. “It’s Everyone’s Business: Capturing the Con- versation Surrounding Goals of Care in An Inpatient Palliative Care Program.” American Academy of Hospice and Palliative Medicine Annual Meeting. Orlando. March 2019.
Christopher Manieri, D.O., Irfan Rhemtulla, M.D., and Peter Santoro, M.D. “Robotic Transversus Abdominus Release: One Year Outcomes in a Community Setting.” Americas
| Extraordinary People Hernia Society Conference. Las Vegas,
Nevada. March 2019.
Eric C. Smith, BS, corporate director, Digital, Office of Transformation, served on a panel at the Delaware Valley Health Information Management Society annual symposium featuring discussions of new health care consumerism and other current topics. Philadelphia. March 2019.
Appointments
Darcy Burbage, MSN, RN, AOCN, CBCN,
will represent the Oncological Nursing Society at the American Society of Clinical Oncology Primary Care Provider Roundtable. Two-year appointment effective December 2018.
The Education Development and Advancement Council congratulates the following new RN III nurses: Madison Cebula, BSN, RN, PCCN, 5E; Laura Ritchie, BSN, RN, VA-BC, Vascular Access Team; Rhonda Ross, BSN, RN-BC, 6S, Wilmington Hospital; Alison Smith, BSN, RN, CCRN, 3E MICU; and Amanda Wienher, BSN, RN II, CCRN, SCCC. Rhonda Ross, BSN, RN-BC, 6S, Wilmington Hospital. 
BEST PRACTICE REVIEW: Patient-or-Family-Initiated Rapid Response Team
.
Q. What is a patient-or-family- Q. initiated Rapid Response Team (RRT)? A.
A. The patient-or-family-initiated
RRT provides access to a nursing coordinator who responds in person Q. to assess and evaluate the immediate patient needs. A.
Q. Why would the family or patient initiate the RRT?
A. The patient or family may initiate the RRT if the patient is experiencing a serious change in condition and the patient or family feels that this change is not being recognized or addressed by their caregiver.
How will the patient or family activate the RRT?
The patient or family will activate the RRT by calling extension 6385 at both Christiana and Wilmington hospitals.
How are the patient and family informed about the RRT process?
Signage placed in patient rooms and patient care areas provides information and the extension to call when the patient or family feels that caregivers are not recognizing a serious change
in the patient’s condition. Signs can be ordered through Smartworks using form #13NURS36EA.
Q. A.
Q. A.
What actions will the nursing coordinator take when responding to a patient-or- family-initiated RRT?
The nursing coordinator will:
• Respond in person to assess and evaluate immediate patient needs.
If you have questions about this Best Practice Review, contact Dannette Mitchell, MSN, APRN, ACNS-BC, CCRN, 302-320-2798 or Bridget Ryan, RN, 302-733-3613; or call the Safety Hotline, 7233 (SAFE) from within Christiana or Wilmington hospitals. From outside call 302-623-7233 (SAFE).
• Activate the web page to notify the RRT if one of the RRT triggers is met.
• Collaborate with the staff to meet the patient’s immediate needs if RRT is not indicated.
Can a patient-or-family-initiated RRT be called for a pediatric patient?
Yes, a patient-or-family-initiated RRT can be called for a patient of any age. A pediatric RRT would be called for those patients under the age of 16. 
FOCUS • MARCH 2019 17