Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Tse KYG (1) , Poon C (1) , NG WYJ (1) , Lui YL (1)
Affiliation :
(1) Department of Medicine and Geriatrics, Ruttonjee and Tang Shiu Kin Hospitals
Introduction :
The need for Cardiopulmonary Resuscitation (CPR) and intubation in isolation settings has increased significantly during COVID-19. Emergency trolley (E- trolley) is commonly placed outside the Airborne Infection Isolation Room (AIIR) during resuscitation owing to the limited spaces. Interruption of negative pressure system and delay in the resuscitation process were resulted as nurses need to travel between the isolation room, anteroom and corridor to obtain resuscitation materials. Thus, Rapid Response Trolley (RRT) that is smaller in size and contains essential resuscitation equipment is designed for resuscitation in AIIR.
In addition, the number of infectious cases requiring single room isolation e.g. MDRA/Candida auris cases has been increasing. Therefore, this project also assessed the feasibility and applicability of RRT in non-AIIR setting.
Objectives :
1.To enhance the effectiveness and efficiency of CPR and intubation process for nurses
2.To reduce the wastage of medical resources after CPR or intubation process
Methodology :
The project was conducted in 2022 with the following phases: (1) Formulated the content of RRT; (2) Designed the staff opinion survey to evaluate nurses’ experience in using E-trolley and RRT; (3) Implemented RRT in 6 isolation units; (4) Conducted the staff opinion survey; (5) Summarized and reported findings in descriptive data.
In 2023, RRT was introduced to one general ward and the cardiac care unit (non AIIR setting). Nurses’ experience was evaluated with the same set of questionnaire.
Result & Outcome :
A total of 65 nurses in isolation units completed the survey. 97% of nurses agreed that using RRT was more effective and efficient. Around 95% of nurses concurred that the size of the RRT was better to fit in isolation rooms. All of the nurses would place the RRT in AIIR. 96% of nurses agreed terminal disinfection and refill of RRT was less time-consuming than E-trolley. The survey result was similar in non AIIR setting.
Conclusion
RRT reduced the travel frequency of nurses during CPR. With minimal interruption of negative pressure system, resuscitation procedures could be conducted more effectively and safely. The quantity of disposable equipment in RRT was minimized which significantly reduced the wastage of medical resources. RRT is also feasible and applicable in general ward setting.
