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PANEL DISCUSSION: HOW TO START A MET PROGRAM — QUESTIONS AND COMMENTS

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1. Question: How do you reconcile corporate governance (business centered) and clinical governance (patient centered) when talking to administrators about METS?

2. Question: Should the same people that respond to a "code blue" respond to a MET? Can there be a paring down of the personnel that responds to a MET?

3. Comment: Hospitalists should take a central role in METS.

4. Question: An EMT in the ED may be a good component of the MET - what are their skill levels and availability? Point of care laboratory technology has great potential and should be used.

5. Question: Are existing crash carts being modified for METS? Are the carts being taken from the ICUs to the rest of the hospital?

6. Question: Is anyone using rapid bedside testing technology for lactate, blood gas, hemoglobin, glucose?

7. Comment: I would like to recognize Dr. White for pioneering METS implementation prior to its acceptance and availability nationwide.