Neftaly Rapid Response Team Activation Criteria

The Neftaly Rapid Response Team (RRT) is a critical component in ensuring the timely recognition and management of acute patient deterioration. Prompt activation of the RRT can significantly reduce morbidity, mortality, and unplanned transfers to intensive care units. The following criteria guide the activation of the Neftaly RRT to ensure swift intervention and patient safety:

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1. Physiological Trigger Criteria

The RRT should be activated if a patient exhibits any of the following signs:

• Respiratory
  • Respiratory rate < 8 or > 30 breaths per minute
  • Oxygen saturation < 90% despite oxygen therapy
  • New or increased work of breathing or audible stridor
• Cardiovascular
  • Heart rate < 40 or > 130 beats per minute
  • Systolic blood pressure < 90 mmHg
  • Sudden onset of chest pain or signs of myocardial infarction
• Neurological
  • Sudden decrease in level of consciousness (Glasgow Coma Scale drop ≥ 2 points)
  • Seizure activity (new or prolonged)
  • Sudden weakness, slurred speech, or facial droop (suggestive of stroke)
• Temperature
  • Core temperature < 35°C or > 39.5°C with associated instability

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2. Clinical Concern Criteria

The RRT may also be activated based on clinical judgment when:

• A staff member is worried about a patient’s condition, even if vital signs are within normal limits
• There is unexpected agitation, confusion, or restlessness not attributed to known causes
• There is sudden deterioration not explained by underlying disease
• There is no response to ongoing treatment or concern about treatment effectiveness

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3. Additional Activation Indicators

• Patient has fallen with possible injury or deterioration
• Significant bleeding that is uncontrolled
• New arrhythmia or signs of cardiac arrest
• Post-operative complications such as sudden desaturation or hemodynamic instability
• Family or visitor concern about a patient’s condition, particularly if raised to a healthcare provider

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Who Can Activate the RRT?

Any healthcare professional, including doctors, nurses, allied health staff, and support staff, may activate the Rapid Response Team without delay. Early escalation is encouraged and supported by Neftaly protocols.

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Activation Process

1. Identify signs meeting activation criteria
2. Call the designated RRT number or use the hospital’s emergency alert system
3. Provide clear information including:
   • Patient location and identification
   • Reason for activation
   • Current vital signs and clinical status