Class 3_ Group 1_NC_A1

[Audio] Detecting & recognising acute deterioration and escalating care Lee Guo Hong ( 20724144) | Nicholas Bay Kuan Yi ( 20735900) Mahaletchumy Lingeswaran ( 20577351)| Koh Jia Shun ( 20143817) Sangeeta Kunasundrom ( 20582669).

[Audio] The importance of detecting & recognising acute deterioration An important part of identifying acute deterioration is keeping track of changes in vital signs and other observations over time Effective communication and proper education Proper management Staff competencies at least every year ( defibrillator, code blue drill) Kunasundrom Sangeeta ( Australian Commision on Safety & Quality in Healthcare, 2022).

[Audio] Ways of escalating care Early Warning Score ( EWS) Situation , Background, Assessment and Recommendation ( SBAR) To have proper checks of observation charts, Input and Output charts during handover Appropriate care for the rapid deterioration chronic problem To do proper quality checks ( QC) Lingeswaran Mahaletchumy ( Dalton et al., 2018; Vincent et al, 2019).

[Audio] The Registered Nurse ( RN) role in escalation of care Singapore Nursing Board ( SNB) Core Competencies of Registered Nurses ( Domain 2) Demonstrate effective communication Ensure consistent and continuous holistic quality of care Maintain safe environment through the use of quality assurance and risk management Case Study: Failure to escalate patient's concerns can result in treatment delays and contribute to patient harm/or sentinel events ( Cotter et al., 2019) Lee Guo Hong (Singapore Nursing Board, 2018) ( Burke & Conway, 2022).

[Audio] Importance of Interprofessional Relationship & the impacts Improve patient care and outcomes Reduce medical errors Improve efficiencies and reduce healthcare costs Improve job satisfaction Improve patient experience and satisfaction Case Study: Late Minister Mr Lee Kuan Yew thanked the healthcare professionals who took care of his wife when she was admitted to hospital in his eulogy at the funeral service of Mrs Lee Kuan Yew ( Prime Minister Office, 2022) "Her second stroke on 12 May 2008 was more disabling. I encouraged her and cheered her on, helped by a magnificent team of doctors, surgeons, therapists and nurses" Nicholas Bay Kuan Yi.

[Audio] How detecting and recognising acute deterioration and escalating care impacts high quality healthcare and patient safety Ong Jia Shun Early Recognition Early Escalation Early treatment Patient safety Higher quality Healthcare Higher chances of reversing complications Non-maleficence: To do no harm to patients ( Ede et al., 2019) ( Butts & Rich, 2019).

[Audio] Thank you. . . Thank you. .

[Audio] References Australian Commision on Safety & Quality in Healthcare. ( 2022, August 29). Detecting and recognising acute deterioration, and escalating care. https://www.safetyandquality.gov.au/standards/nsqhs-standards/recognising-and-respondingacute-deterioration-standard/detecting-and-recognising-acute-deterioration-and-escalatingcare Butts, J. B., & Rich, K. L. ( 2019). Nursing ethics: Across the Curriculum and into Practice. Jones & Bartlett Learning. Burke, C., & Conway, Y. (2022). Factors that influence hospital nurses' escalation of patient care in response to their early warning score: A qualitative evidence synthesis. 1- 50. Journal of Clinical Nursing. https://doi.org/ 10.1111/jocn. 16233 Cotter, J., Ziniel, S., Lockwood, J., & Reese, J. (2019). Care Escalation: Teaching residents how to effectively communicate patient care concerns. MedEdPORTAL, 15( 1). 10833. https://doi.org/ 10.15766/mep_ 2374- 8265.10833 Dalton, M., Harrison, J., Malin, A., & Leavey, C. (2019). Factors that influence nurses' assessment of patient acuity and response to acute deterioration. British Journal of Nursing. 27( 4), 212- 218..

[Audio] References Ede, J., Jeffs, E., Vollam, S., & Watkinson, P. ( 2019). A qualitative exploration of escalation of care in the acute ward setting. Nursing In Critical Care, 25( 3), 171- 178. https://doi.org/ 10.1111/nicc. 12479 Singapore Nursing Board ( 2022, August 30). Core competencies of Registered Nurse. https://www.healthprofessionals.gov.sg/docs/librariesprovider4/publications/corecompetencies-generic-skills-of-rn_snb_april-2018.pdf Prime Minister's Office Singapore (2022, August 14). Eulogy by Minister Mentor Lee Kuan Yew at the Funeral Service Mrs Lee Kuan Yew Mandai. https://www.pmo.gov.sg/Newsroom/eulogyminister-mentor-lee-kuan-yew-funeral-service-mrs-lee-kuan-yew-mandai-crematorium Vincent, J-L., Einav, S., Pearse, R., Jaber, S., Kranke, P., Overdyk, F. J., Whitaker, D. K., Gordo, F., Dahan, A., Hoeft, A. ( 2018). Improving detection of patient deterioration in the general hospital ward environment. European Journal of Anaesthesiology. 35 ( 5). 325- 333. doi: 10.1097/EJA. 0000000000000798.