EARLY SAVE Programme: Effectiveness and Family Presence Analysis

This report examines the EARLY SAVE program implemented at Sydney Hospital, focusing on its effectiveness in responding to clinical deterioration and improving patient outcomes. The report analyzes data obtained before and after the program's implementation, highlighting changes in MET calls and the causes of patient distress. The report also delves into the controversial topic of family presence during resuscitation, presenting arguments for and against the practice. Research suggests that allowing family members to be present can provide emotional support and help them understand the efforts made by medical staff. The report concludes that the EARLY SAVE program should be encouraged, and that family presence during resuscitation can have positive effects, ultimately contributing to improved patient care and outcomes.

Research/ evidence
Based Practice Paper

Table of Contents
INTRODUCTION ..........................................................................................................................1
TASK 1............................................................................................................................................1
1. Effectiveness of EARLY SAVE programme.....................................................................1
2. Data Obtained in pre and post EARLY SAVE programme...............................................2
Part 2................................................................................................................................................3
CONCLUSION ...............................................................................................................................4
REFERENCES................................................................................................................................6

INTRODUCTION
Nurse is the professional of health care who is in the busy of nursing. Beside the doctor
who operate the entire function, nurses serve an individual when they needed the cure more
desperately which is as much required as the medicine. Their role in society is evolving more
aggressively (Beyond the Bedside: The Changing Role of Today’s Nurses, 2016). In the Early
save programme, in which the patients are provided emergency services, nurse play a vital role.
Sydney Hospital is one of the oldest and major hospital of Australia which was formed in 1788.
The report will study the effectiveness of respected programme and its responding to clinical
deterioration.
TASK 1
1. Effectiveness of EARLY SAVE programme
The programmes of EARLY SAVE was catered in the Sydney Hospital which was a step
for saving people life. This programme was made in order to save the lives of people and provide
them treatment as soon as possible undertaking the need and demands. This is related to
identifying and reacting to the signs of warning and those incidents and accidents reports. These
undertook by the hospital for preventing more accidents and deaths through facilitating them
services.
The programmes had impacted on the hospitals, nurses and patients very greatly. It
helped in saving the life of people provide knowledge to the training nurses and compounder.
The percentage of deaths and injury cured people were higher than before which can be seen in
the presented graph (McDonnell and et. al., 2013). The emergency medical team was being
allotted by the Sydney hospital which have helped more than 50% before time that have aid their
injuries and incident's more appropriately before the situation get nay workplace.
The activities was helpful for the hospital as well as it crated an effective image of
hospital in the sight of the society and clients. People more prefer the services of Sydney hospital
while needing any serious services. The team have been trained for the treatments and types of
cue which people requires and the services which should be given. Alternative services availed
the people in improving better health in which it have been observed hat the role of nurse was
more better (Marshall and et. al., 2013).
Hence, he response and recognition to Sydney Hospital deterioration was threatening to the
medial emergences. The programmes have assisted the programmes as well as the hospital in
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many ways though aiding the patients and enhancing the situation (LoBiondo-Wood and et. al.,
2013).
2. Data Obtained in pre and post EARLY SAVE programme
The hospital has introduced the programmes if EARLY SAVE’ that have assisted the
hospital in various way, After the introduction of observing and escalation chart, the organisation
have catered the changes in various ways which is mentioned as below:
seizure/fitting
worsening respiratory function
acute respiratory distress
suspected cardiac pain
clinical deterioration
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
20.00%
30.00%
10.00% 10.00%
15.00%
Pre-period
Post-period
Series3
In the pre time of EARLY programmes pre-period, there were more than 160 MET calls,
as well as 360 in after the period. In pre time this programmes, the causes for alloying and
managing the MET involving worsening respiratory function (20%); seizure/fitting (20%);
suspected cardiac pain (20%);acute respiratory distress (25%); and modification in big signs
indicating clinical deterioration (15%) (Lewis, 2015). In the post period, the reasons for MET
calls included worsening respiratory function (30%); acute respiratory distress (10%); a seizure
or fitting (20%); suspected cardiac pain (10%); and alteration in vital signs indicating clinical
deterioration (30%).
In the pre-period of the EARLY SAVE programme, the MET cases were more than the
post period time of this events comparatively. Like before the per-period in Sydney Hospital, the
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patients of acute respiratory distress was 25% and seizure, cardiac pain and were 20% which
decreased after the programme implementation in the hospital and came to 10%, 15% etc. This is
a good decrement in the amount of the patiences which shows facts and data of achievement of
this event (Bossuyt and et. al., 2015).
According to the National Safety and Quality Heath Services, the changes that have
occurred after the post EARLY SAFE programme was notable. People were being facilitated by
the enterprise for the will be helping in the business of the hospital as well as the company itself.
The diseases were being cured in the flags were also being noticed the programmes and
campaigns but it was assisting as well.
Hence the overall impact will be observed in the overall programmes which affected the
children, women and public of Australia more positively. But it aid some negative affects as well
which can be measured as well (Greenhalgh, Howick and Maskrey, 201). All the programme
have helped in developing the positioning of organization among the public. After the execution
of this programme, other hospitality of organisation also adopted this programmes. This was
appreciated by the state of Australia for the creative idea of it.
Part 2
As per information collected from research I think that family member of patient should
be allowed to be present during resuscitation of their loved ones. being present during the
resuscitation may help family members to understand that doctors and other individuals involved
in the treatment of patient are doing every possible thing to bring the patient back to his normal
life (O’reilly and Parker, 2013). Resuscitation in presence of family members offer them
opportunity to say a last goodbye and help the individual to grasp the reality of death. A research
has revealed that presence of family of help in get positive results of resuscitation. That's why
presence of relatives of patient should be encouraged by Sydney hospital in order to get more
positive results of treatment. One of the main advantage of this is that this provide emotional
support to patient and give him power.
From last year there are number of development take place in the techniques of
resuscitation which increase the survival rate of cardiac patient. At early times the room of
resuscitation has no area for relatives of patient (Greenhalgh, 2014). At that time in absence of
this number of individuals witnessed the traumatic procedures of resuscitation. In that case some
individuals argue that FWR should not be happen due to patient confidentiality. On the opposite
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of this most people agree that patient is the primary responsibility of medical staff and nursing,
number of conflict issues rise by consider the best interest of patient. By listen to the various
point of views of individuals it was concluded that there must be a place for the family members
of patient as this indirectly help in get positive results of resuscitation and help in save the life of
individual. Further this help in build a relationship between staff and patient's family members
which provide support during the whole medical treatment of individual. Presence of family
members during whole process of resuscitation remain controversial. For this Emergency nurses
association resolve this issue by saying that relatives of patient should have a option to present
during resuscitation procedure. While various medical colleges oppose this by focus that this will
be difficult and stressful for family members.
Large number of patients do not survive after their resuscitation session that's why this
encourage the presence of family members during their treatment. Basically there are two sides
of this like a coin, there are number of families who said that relatives should give an option to
present during resuscitation session of an individual to maintain the potential benefit to both
patient and family (Sprayberry and Robinson, 2014). On the opposite of it there are some
individuals who ban the presence of family members because of various harm to patient and its
family members. Further, this indicate that professional should have a right whether to give
permission to family members of patient to attend their resuscitation session. Overall presence
of family members of provide emotional support to patient which help him during the support of
his treatment (Sutton and et. al., 2012). That's why relatives of patient should be present during
the whole process of resuscitation, one of the main advantage of this is that it make the family
members believe that doctors and higher medical authorities are doing all efforts to save the life
of patient and to bring him to his normal life.
Overall as per information collected from various research presence of family members
of patient should be encouraged during the session of resuscitation because this provide
emotional support to the patient. It help the family members to know the fact that doctors are
doing their best to bring the patient back to his normal life.
CONCLUSION
From the above information it can be concluded that EARLY SAVE program should be
encourage by the nurses of Sydney hospital as with the help of this nurses can save the life of its
patients and remove it at its early stage. Further presence of family members of patient should be
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encourage as this help in get positive effect of whole treatment. With this concept Sydney can
save the life of patients and can make believe to the family members of him that doctors are
giving their best to save the life of patient.
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REFERENCES
Books and Journals
Bossuyt and et. al., 2015. STARD 2015: an updated list of essential items for reporting
diagnostic accuracy studies. Radiology. 277(3). pp.826-832.
Greenhalgh, T., 2014. How to read a paper: the basics of evidence-based medicine. John Wiley
& Sons.
Greenhalgh, T., Howick, J. and Maskrey, N., 2014. Evidence based medicine: a movement in
crisis?. Bmj. 348. p.g3725.
Lewis, S., 2015. Qualitative inquiry and research design: Choosing among five approaches.
Health promotion practice. 16(4). pp.473-475.
LoBiondo-Wood and et. al., 2013. Study Guide for Nursing Research-E-Book: Methods and
Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences.
Marshall and et. al., 2013. Does sample size matter in qualitative research?: A review of
qualitative interviews in IS research. Journal of Computer Information Systems. 54(1).
pp.11-22.
McDonnell, A., and et. al., 2013. A before and after study assessing the impact of a new model
for recognizing and responding to early signs of deterioration in an acute hospital.
Journal of advanced nursing. 69(1). pp.41-52.
O’reilly, M. and Parker, N., 2013. ‘Unsatisfactory Saturation’: a critical exploration of the notion
of saturated sample sizes in qualitative research. Qualitative research. 13(2). pp.190-
197.
Sprayberry, K. A. and Robinson, N. E., 2014. Robinson's Current Therapy in Equine Medicine-
E-Book. Elsevier Health Sciences.
Online
Beyond the Bedside: The Changing Role of Today’s Nurses. 2016. [Online]. Available
through:<https://www.huffingtonpost.com/charles-tiffin-phd/nursing-
school_b_1384285.html>. [Accessed on 17th October 2017].
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