consists of anesthesiologists and CRNAs. The group is responsible for
conducting MH lectures and organizing annual drills. They also devel-
op different MH crisis scenarios that involve all OR staff members,
who roleplay how to resolve the various crises. After the drills, mem-
bers of the AHRO conduct a debriefing session, during which ques-
tions are asked and answered in a group discussion format.
Two anesthesia tech coordinators at UNC REX are responsible for
maintaining the hospital's 3 OR MH carts. They work off an MH cart
content sheet, which lists each medication and supply, along with par
levels and expiration dates. Items that will expire within 3 months' time
are replaced.
The constant monitoring of a cart's contents to make sure its con-
tents are organized, current and easily accessible will give your staff
the best chance to succeed when faced with potential tragedy. "MH is
a life or death situation and you have to address it immediately," says
Ms. Bradley. "You need to get medications to the patient as quickly as
possible to reverse the crisis."
OSM
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ing an emergency response.
"The documentation record also serves as a reminder to
complete those tasks," says Colleen Bradley, BSN, RN, CNOR,
a surgical services staff nurse at UNC REX. "The purpose of
the checklist and the role cards is to decrease our staff's
reliance on memory when determining the next steps in an MH
crisis response." — Mike Morsch
