LUMINARIAS, Anna Bettina B.BSN 3

RECENT TRENDS IN NURSING: AN UPDATE

1. Summary of leanings of RRT and 3D’s

The acronym RRT stands for the Rapid Response Team. It is a group of people which

may be composed of ICU nurses, Respiratory therapist, interventionist, hospitalist and Physician.

As the name itself Rapid Response Team acts in situation that needed emergency intervention

such as changes in vital signs, level of consciousness and when the staffs is worried about the

client’s condition. The difference between the RRT and arrest code team is that RRT can be

called at any time by anyone in the hospital to assist in the care of the patient who appears

acutely ill or before the patient has a cardiac attack. The rapid response team is available to

respond, accessible, trained and skilled. To call on the rapid response team it may be Overhead

page, in house phones, and beeper. The Rapid Response Team is trained on advance life support,

SBAR which stands for Situation, Background, Assessment, and Recommendation and training

on communication skills, this ensures the client that they are receiving the best intervention for

the client. In the RRT they use a standardized tool on communicating which is known as SBAR,

this ensures that critical information about the patient is communicated efficiently.

On dealing with 3D’s or Dementia Delirium and Depression I learned on a lot of things.

Dementia is a decline in memory, judgement and reasoning. It has many forms like vascular,

Lewy body, Parkinsons disease, front temporal dementia and the mixed type. Some of the

warning signs of dementia is the loss of functioning and cannot complete task and misplacing

things and inability to retrace steps. The difference of dementia and delirium is dementia

symptoms are usually progressive in nature. It begins in subtle manner while delirium happens

quickly. It usually happens with an onset of agitation, hallucinations and rapid changes in mood.

Depression on the other hand is markedly diminished interest or pleasure in almost all activities.

It may be caused by different stressful events such as death of significant person, problem in

financial, retirement and many more. Some signs of having depression are inability to sleep,

decreased energy sudden weight loss or gain. The management in 3Ds are supportive care,

management of underlying cause and medications.

2. What learning can you apply as a nursing student in 3d’s and RRT

As a nursing student I can use my knowledge on dementia, delirium and depression in

helping in clients who are experiencing such condition. By that I know what I should do and I

can be more therapeutic to my patients. In Rapid Response Team as a nurse I can use my

knowledge in SBAR which stands for Situation, Background, Assessment, and Recommendation

in communicating the client’s information effectively. So by that I can be an advocate to my

patient in rendering on his/ her needs. Also the Rapid Response Team makes me realize that I

need to improve on assessing my clients and giving the interventions needed. For me Rapid

Response Team is need in the Philippines nowadays to give to the clients the best treatment they

need.

3. What is the nursing law in the Philippines?

The nursing law in the Philippines is the Republic Act 9173 An act providing for a More

Responsive Nursing Profession. RA 9173 is also known as "Philippine Nursing Act of 2002." In

the nursing profession a person shall be judged to be practicing nursing when he/she or in with

others performs nursing services to individuals, families and communities in any health care

setting. It includes nursing care during conception, labor, delivery, infancy, childhood, toddler,

preschool, school age, adolescence, adulthood, and old age. As independent practitioners, nurses

are primarily responsible for the promotion of health and prevention of illness. Members of the

health team, nurses shall collaborate with other health care providers for the curative, preventive,

and rehabilitative aspects of care, restoration of health, alleviation of suffering, and when

recovery is not possible, towards a peaceful death. In the said article it is nursing is defined as the

diagnosis and treatment of human response to active or potential problem.

4. Define nursing in your words

For me nursing is associated with the word care. When we care to somebody we give

care to somebody we gave everything in order to make them feel comfortable. In nursing we

apply holistic approach in which the nurses not just help in treatment physically but in all

aspects. The nurses also has clinical eye to see the need or problem of the patient and help the

patient in treatment of current problem and potential one