CCRT

Critical Care Response
Team Course (CCRT)

• For nurses
• For respiratory therapist

CRI Edunet online learning system

See available courses for CCRT

Objective

Upon successful completion of the CCRT course, participants will be able to:

• Perform a primary assessment of critical care outreach patients based upon assessment of ABC's (Airway, Breathing, and Circulation) and provide immediate treatment when necessary.
• Make rapid triage decisions based upon triage of ABC's (Admit to ICU, Borderline, and Consult).
• Develop a preliminary care plan and communicate it effectively to the patient care team.

Target Population

This course is designed for the primary responders of the CCRT. Specifically, this course is targeted for healthcare providers with some experience in critical care that have been selected for, or are interested in becoming part of a Critical Care Response Team.

CCRT Syllabus and Course Website:

The course is divided into 14 modules that are delivered to students over 2 days.

Module title	High level module goal	Module pre-requisites
Airway 1	Identify potentially difficult airways Provide basic airway support using oral and nasal airways; and bag-mask ventilation	None
Airway 2	Prepare patient and equipment for emergent intubation Troubleshoot problems with tracheotomy	Airway 1
Breathing 1	Recognize a patient with impending respiratory failure Provide appropriate oxygen therapy and ventilation support for patients with respiratory failure	None
Breathing 2	Correctly interpret arterial blood gas abnormalities Recognize common abnormal chest x-ray findings	Breathing 1
Breathing 3	Identify patient who are appropriate candidates for non-invasive ventilation	Breathing 2
Circulation 1	Identify patient in shock Determine cause of shock Choose an appropriate resuscitation strategy for patients with shock (Fluids, blood, and IV access)	None
Circulation 2	Choose an appropriate resuscitation strategy for patients with shock (Vasoactive drugs, and resuscitation algorithms)	Circulation 1
Central nervous system dysfunction	Choose appropriate diagnostic tests and initial treatment for a patient with neurological symptoms	Airway 1, Breathing 1, Circulation 1
Conflict Resolution	Demonstrate effective communication and interpersonal skills during a CCRT incident	None
CCRT consult and Ethics	Understand the limits of a consultation Describe strategies for recognizing ethical dilemmas	None
Orientation to CCRT	Describe the scope of practice as a CCRT nurse within program and regulatory context	None
Crisis management 1 Crisis Management 2 Crisis Management 3	(Simulation)Synthesize knowledge and skills from previous modules during simulated CCRT incidents Apply effective communication and crisis management strategies during simulated CCRT incidents	Airway 1, Breathing 1, Circulation 1 and 2 Airway 2, Breathing 2, Breathing 3 Communication Orientation to CCRT, CNS

Based on feedback from particpants and evaluations, two modules have been removed from the 2 day course. These modules remain available for ongoing education for the CCRT members. The two modules are:

Sepsis and Infectious Disease	Provide evidence based therapy for patients with severe sepsis	Circulation 1
Electrolytes Disturbances	Recognize and treat electrolyte disorders	None

Module Format

The course is a two-day intensive interactive workshop. Participants will be expected to participate in hands-on skill development exercises. The course will run from 0800 to 1800H, with a one-hour lunch break and one 15-minute break in the morning and afternoon. The course is designed for a maximum enrollment of 24 participants. Participants will be divided into three streams, with eight students per stream. When participants enter the simulation modules, they will be further divided into two groups of four participants.

Course Instructor: Participant ratio

One CRI-certified Instructor: 8 participants
One CRI instructor: 4 participants for the simulation sessions

Course Evaluation

The CCRT course is not intended to assess participant knowledge but rather to provide the participant with a comprehensive yet concise approach to the assessment and management of critically ill patients. As part of our commitment to continuous quality management all participants will be required to submit and anonymous evaluation on completion of the course.

Certificate of Participation

Every participant will receive a certificate of participation on completion of the course and evaluation process.