Final answer:
When a patient deteriorates rapidly, the appropriate action is to increase transport priority to ensure they receive urgent care. It is not advised to bypass the ED without coordination or downgrade transport priority. Dr. Pronovost's checklist improves patient safety in the ICU.
Step-by-step explanation:
During reassessment, if you determine that your stable cardiac patient has suddenly begun to deteriorate rapidly, in addition to evaluating your treatment plan, you may also wish to increase your transport priority. This decision is critical as it can help you get the patient the urgent care they need. It is inappropriate to bypass the Emergency Department (ED) without proper coordination, as the ED is equipped to stabilize patients initially. Similarly, calling for a medevac helicopter to rendezvous with you may be necessary if the patient's location or condition warrants it, but this requires a specific set of circumstances and resources. It is crucial not to downgrade your transport priority when a patient's condition is worsening.
Dr. Peter Pronovost's checklist initiative for ICU doctors is an example of an effective protocol designed to enhance patient safety by reducing the rate of infection associated with the insertion of central intravenous lines. This method ensures that the medical staff follows essential steps and allows nurses to monitor and provide accountability.