بِسۡـــــــــمِ ٱللهِ ٱلرَّحۡـمَـٰنِ ٱلرَّحِـــــــيمِ
Assalamu`alaikum and greetings to all…
All praise to Allah SWT, another milestones achieved in my nursing career when I was assigned as the Rapid Response Team (RRT) nurse. Meaning that I am competent enough to hold such a big responsibility. It is a privilege for any critical care nurses to be a part of the RRT or Code Team and each member have their own pager or bravo phone. The phone is going to ring whenever there is an activation of RRT (Adult) or Code Green in the whole hospital.
Basically, after working for 6 months in my Medical-Surgical Intensive Care Unit (MSICU) the Head Nurse can ask my Charge Nurse to assign me as the Code nurse. It is an extra assignment on top of being a bedside nurse. The Code nurse must be a BLS and ACLS certified. My responsibility is to attend any call for Code Green – cardiac or respiratory arrest for adult.
Our code team consist of a Dr from ICU as the Team Leader, an Anaesthesia Dr who will perform intubation (if needed), a Respiratory Therapist (RT) who will maintain patient’s patent airway, a staff nurse from Department of Emergency (DEM) who is responsible for administering medication, a staff nurse from MSICU who is responsible for defibrillator machine, a Pharmacist who will prepare the medication and a Nursing Supervisor who will do the documentation of all the events in a code sheet.
Meanwhile, RRT Team consist of one Senior Resident Medical Dr, one RT and one staff nurse from MSICU only. For me, being a RRT nurse is more challenging compared to Code nurse because we have to manage the situation wisely before patient’s condition deteriorate to cardiac or respiratory arrest. That is why only after working for 2 year and 6 months in my unit, my Head Nurse assigned me as RRT nurse for 2 weeks. Overall, I had 5 RRT’s calls which 3 of it ended up to Code Green. What a busy day!
Back to my two previous hospitals in Sarawak, Malaysia we do not have this kind of RRT and Code Team system. Probably because we do not have enough knowledge, manpower and technology to create such a great team. In staff nurse point of view, ACLS certified nurse are only those who already have post-basic in ICU and their numbers are limited. In terms of technology, we do not have the pager phone and even the overhead speaker is not working most the time.
Hopefully the nursing management in Malaysia is working on this RRT and Code Team. I am looking forward for the system being implemented especially in the government hospital. Indeed, it can improve patient’s safety and prevent delay ICU admission.
“Ya Allah, sesungguhnya aku berada di Arab Saudi ini untuk mencari rezeki yang halal dan diberkati-Mu, mengikut sunnah Rasullullah SAW dan ajaran Al-Quran, dan berbakti kepada kedua ibu bapaku. Ya Allah, Engkau permudahkanlah urusan kerjaku. Lindungilah aku daripada segala kesilapan dan kecuaian yang boleh membahayakan pesakit di bawah jagaanku, pekerjaanku, dan orang-orang disekelilingku. Engkau lembutkanlah hati orang yang bekerja denganku agar mereka senang bekerja denganku. Engkau lancarkanlah lidahku agar mereka memahami perkataanku. Hanya Engkau tempat aku berharap dan meminta pertolongan. Hanya Engkau yang berkuasa menentukan segala urusan. Aku merayu, aku meminta dan aku memohon kepada-Mu ya Allah, makbulkanlah doa hamba-Mu ini. “
(Doa harianku sebelum turun kerja)
Until we meet again.
May peace be upon you.