mcmaster children’s hospital pediatric critical .docVIP

Roles and Responsibilities Table of Contents I) General Information a) Role of PACE b) Areas of PACE coverage c) Activation triggers and calling criteria II) Activation of PACE a) General b) Team Member Roles PACE MD/PACE Fellow PACE RN RRT PCCU resident c) Responsibility of Bedside Team after calling PACE d) Communication with the most responsible team III) PACE Follow-up a) Follow-up of a PACE activation b) Follow-up post PCCU Discharge IV) Procedure if no PACE RN on duty a) Activations b) Follow-up V) Procedure if PCCU in Moderate Surge VI) PCCU Consults VII) PACE vs. CODE BLUE VIII) Family-Triggered Activation IX) Equipment X) Handover / Transfer of Accountability a) Weekday team handover b) PACE RN c) PACE MD XI) Documentation a) General b) New patient record c) Follow-up record XII) Quality Assurance and Education XIII) References I) General Information a) Role of PACE A Pediatric Medical Emergency Team composed of healthcare providers with specialized training in critical care medicine Primary objective is elimination of preventable code blue activations, cardiac arrests and emergent/crash PICU admissions all of which are known to increase both mortality and morbidity 3 clearly defined roles of PACE within the Children’s Hospital: Rapid response to patients with evolving critical illness Will respond to a patient’s beside as soon as possible up to a maximum of 15 minutes from the activation Will bring equipment and resources for management of a variety of acute illnesses Will not bring equipment for resuscitation or intubation – A Code Blue activation is required in these circumstances Follow-up of patients discharged from the PCCU Quality Assurance and Education Identification of patient safety issues Feedback and education to frontline caregivers Improve knowledge translation of best practices b) Areas of PACE coverage All inpatient pediatric wards Radiology, including MRI PACU Admitted pediatric patients in the ED All outpatient pediatric