Ryan Rule: New York Ruthless Book 1

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The family have met with the Queensland health minister, Shannon Fentiman, and are working with state health authorities to improve Ryan’s rule. Tracie said the Ryan’s Rule nurse found Renee’s vital signs were so concerning, a “code blue” – medical speak for a patient emergency – was called, triggering the dispatch of a rapid response team to Renee’s bedside. Ryan’s Rule may have just saved the life of a Queensland girl. Mum Ayla Gyde has told her daughter’s story in a Facebook post and asked people to share it around – which they have, more than 11,000 times. Renee Williams lay unconscious and deteriorating in a ward of a busy Brisbane public hospital with not a doctor in sight.

When she returned, Renee was “not even conscious” after having been admitted to a cancer ward — the only bed available at the time — even though she did not have cancer. Within minutes of her calling 13 HEALTH to enact Ryan’s Rule, a doctor arrived and soon after, a Ryan’s Rule nurse walked into the ward. However, as I watched my little girl deteriorate before my eyes and frustrated nurses pacing the corridors trying to find out what was happening, like when the ultrasound would be completed , what pain management or fluid levels they needed and when or if she could stop fasting… I had finally had enough, and at 12pm, I said, ‘I’m calling RYAN’S RULE NOW.’” test the readiness of the service implement the process before the launch of the patient family career escalation process in each service. To ensure that Nine months on from that medical emergency, Tracie said it horrified her to think of what could have happened if she had not called Ryan’s Rule.

Footnotes

Sarah realised that a little knowledge, and confidence to act, could make all the difference. So Sarah set out to empower every adult to be able to respond in an emergency, and know they have done everything they could in the moment.

Since 2011, Patient Safety and Quality, Clinical Excellence Queensland, has led extensive and ongoing collaboration with key stakeholders, consumers and the Saunders Family in the development of the Ryan's Rule process and associated resource material. The following stakeholders have been involved in the development of Ryan's Rule: Improving the identification and management of the deteriorating patient can save lives, reduce unnecessary morbidity, reduce unexpected Intensive Care Unit admissions and reduce length of stay. Studies carried out on patients who have suffered cardiac arrests, unplanned admissions to Intensive Care Units (ICU) and unexpected deaths indicate that there are clear, observable signs of deterioration in 50 per cent - 84 per cent of all cases in the 24 to 48 hours prior to an event (Barbetti & Lee, 2008; ACSQHC 2010). However, research indicates that changes in the patient’s clinical signs are often missed, misinterpreted or not acted upon in a timely manner. Solutions implemented Lithium battery operated devices such as drones and quadcopters are accepted for carriage in the cabin once the battery does not exceed 160-watt hours. If the battery exceeds 160 watt-hours, the device cannot be accepted on board the aircraft. The room was flooded with people … at which point they actually started going through everything,” she said. A Queensland health department spokesperson attributed that increase to better awareness and said it demonstrated the rule was working “precisely as intended”.This article is intended to provide useful information to Queenslander's seeking to assert their right to a second opinion via the "Ryan's rule" system. If seeking a second opinion while in a Queensland hospital then following the steps shown should be the first steps. If you believe you've suffered an injury as the result of medical negligence or misdiagnosis then you can seek legal advice. Ryan’s story

She is grateful that Ryan’s rule has proved successful in Queensland, glad it has informed similar models in other Australian states – and pleased it is helping inspire reform in England. Ryan's Rule is a three step process to support patients of any age, their families and carers, to raise concerns if a patient’s health condition is getting worse or not improving as well as expected. Ryan’s Rule applies to all patients admitted to any Queensland Health public hospital—including the emergency department—and in some Hospital in the Home (HITH) services. The room was flooded with people … at which point they actually started going through everything," she said. How to call Ryan's Rule: But Judge Peter Armstrong jailed Bean for 20 months, of which he will serve ten and Rule for 14 months, of which he will serve seven.Both barristers asked for their clients to be released today due to the time they had already spent in custody.