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the patient requires transfer to the Emergency Department, the Rapid Response Team nurse will coordinate the transfer with the Emergency Department charge nurse or designate. • ensuring that the following documentation is complete: ¾ The Rapid Response Team nurse will utilize the “Rapid Response Team Documentation Form” to document initial assessment, medications and interventions ¾ The original Rapid Response Team Documentation Form will be a permanent record on the patient’s chart. A second copy of this form will need to be made by the Rapid Response Team nurse at the end of the Rapid Response Team call. This second copy will be placed in the ICU/CCU Code Blue Binder in the appropriate section (GNH) or the ICU Rapid Response Team Binder (MCH). ¾ If the patient is to be admitted to the ICU/CCU and there is a delay in transfer, documentation is to be started on the “Adult Intensive Care 24 Hour Flow Sheet (GNH)/Critical Care 24 Hour Flow Record (MCH)”. subsequent interventions should be documented on the Patient Care (GNCH)/Nursing Notes (MCH) form. This is a permanent part of the patient’s chart. initial assessment should be documented on the Adult Intensive Care 24 Hour Flow Sheet (GNCH)/Critical Care 24 hour flow record (MCH). any changes of the patient’s current condition should be documented on the Assessment Sheet or Patient Care (GNCH)/Nursing Notes (MCH) all medications administered by the Rapid Response Team should be documented on the patient’s Medication Administration Record (MAR). 8. Completing at the end of each Rapid Response Team call the following: • debriefing with unit nursing staff to discuss the Rapid Response Team call • providing the unit with an Rapid Response Team Evaluation survey to complete and forwarding to the ICU Nurse Practitioner • completing a Rapid Response Team Issues Form if concerns arise while on a Rapid Response Team call or if there are comments/suggestions about the Rapid Response Team process and forwarding to the Rapid Response Nurse Practitioner. • providing a copy of the Rapid Response Team documentation tool for the permanent patient record and another copy to the Rapid Response Team. • maintaining the following equipment and supplies: ¾ restocking supplies after each Rapid Response Team call ¾ plugging in and ensuring cell phone is charged ¾ plugging in the monitor and ensuring blood pressure cuff and spool printer with paper are in the monitor ¾ ensuring that the back up Rapid Response Team bag/cart has the disposable lock intact. The back up bag is to be checked on the first of every month and signed off in the Rapid Response Team binder. ¾ checking the clipboard for the following documents: Data Collection Sheet/ Rapid Response Team Documentation Form Adult Intensive Care 24 hour Flow Sheet (GNCH)/Critical Care 24 Hour Rapid Response Team Activation Date Effective October 1, 2014 Policy No. II-7 Page 8 of 10 Flow Record (MCH) Patient Care (GNCH)/Nursing Notes (MCH)supplementary charting form Rapid Response Team RN Satisfaction Survey ¾ ensuring that Rapid Response Team chart bundles are supplied at the main desk of the ICU/CCU ¾ The night shift Rapid Response Team RN is to check Rapid Response Team equipment with checklist at start of shift to ensure all contents are present and within expiry dates. The RN is to sign off in the binder once the check has been completed and all supplies are in order. ¾ The Rapid Response Team nurse is encouraged to participate in ICU consults when operationally feasible. The attending physician, ICU nurse practitioner/clinical associate will work with the Rapid Response Team ICU nurse when on consult ¾ The consult is similar to an Rapid Response Team call and observations are recorded in the Patient Care Record but the Rapid Response Team documents are not initiated ¾ Document all medications on the MAR ¾ The Rapid Response Team nurse may function as the second Code nurse ¾ On a day shift without an RN assigned to Rapid Response Team, the charge nurse, unit supervisor or CNE will assume the Rapid Response Team nurse role ¾ In the event of simultaneous Rapid Response Team