Recruits are skilled to care for acutely ill patients nursing times 106 11 10 11 recruiting registered nurses to acute care wards can be difficult as applicants often lack the necessary skills to work with acutely ill patients to overcome this problem the royal united hospital bath trust set up an acute care training programme through. Introduction early recognition and treatment of critically ill patients in general wards is a key aspect of rapid response systems rrss the aim of rrss is to reduce intensive care unit icu admissions length of icu stay hospital length of stay and mortality nurses often recognize patients in the ward who are deteriorating through intuition rather than through routine measurement of . As recognition and response to patient deterioration requires the identification and synthesis of multiple cues from patients successful recognition and response to patient deterioration requires ward nurses constantly improve refresh and develop their knowledge and skills in this complex clinical area. Recognising and responding to deteriorating hospitalised patients is an important global issue in nursing by closely monitoring changes in physiological observations and interpreting early sings of physical and psychological decline nurses are more likely to identify manage and therefore avoid serious adverse events before they occur. To examine in a simulated environment rural nurses ability to assess and manage patient deterioration using measures of knowledge situation awareness and skill performance nurses ability to manage deterioration and failure to rescue are of significant concern with questions over
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