Lorraine Bayless, an 87 year old woman, collapsed in the dining room of Glenwood Gardens Retirement Center in Bakersfield, CA, USA in 2013 March. As she lay dying on the floor, a nurse called 911 for help, but firmly refused to perform CPR, even with the dispatcher begging her to do so, because it was “against the company’s policy”. After nearly seven minutes of arguing, paramedics finally arrived to take the patient to the hospital, but it was too late.…
2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 suppl 3):S640-S933.…
Hello Dr. DeVoe and classmates, currently working on a surgical intensive care unit (SICU) for the past 7 years, before that worked on an open heart ICU for 16 years. I have been a nurse for over 30 years and started as an LPN and achieved my BSN in the year 2000. Have been a preceptor for many years but have no experience in curriculum development, so this will be a new journey for me. Live in Queens in NYC, care for my mother who has Alzheimer's disease. Have only one son and have an 18 year old granddaughter who is attending college, with a goal to be a nurse. Looking forward to learning from this class and…
4. “Don’t hang up after you tell us what’s wrong. The operator may be trained to give you instructions in CPR and other medical procedures that could be lifesaving.” —Dennis Rowe, paramedic…
Patients generally died at home with their loved ones before cardiopulmonary resuscitation was invented in the 1950s. For better or worse, technological advances and prehospital care have moved patients away from their homes and into the hospital during the last moments of their life. (Crit Care Nurse 2005;25[1]:38.) Now health care providers have the moral and ethical dilemma of being in control of what many consider to be an ethereal, spiritual, even sacred occasion.…
The Blackhorse Pike School District offers a lifesaving program for children to aid in saving lives using Automatic External Defibrillators (AED’s). Staff is also provided training in CPR and AED usage. The Blackhorse Pike School District presently provides education for over 4,000 children each school year. This school has been ranked in the top 75 elementary school in New Jersey. This is located in a growing area and expects to have a population increase of about 20 percent in the next 10 or so years. Over the years, children are seen more with asthma, cardiac issues, diabetes, and allergies. This can be life threatening illnesses and we can help these children to live longer, healthier lives with the proper education and equipment. This school district has one AED per building and only those nurses who are trained are allowed to operate them. If a child became unresponsive other staff are most likely not educated and trained on CPR or AED usage. Only teachers, nurses, and coaches are required to be trained in these. With this being said, this program’s purpose is to have all staff trained to save lives. All hallways will have an AED installed and staff will know how to use it as well as be CPR certified. Research shows in the event of a cardiac arrest, the time from witnessed arrest to the delivery of a shock from the AED should be no longer than five minutes for the best outcomes (American Heart, 2010). This has to do with an This is due to the fact that about half of witnessed cardiac arrests are the shockable rhythm of ventricular fibrillation for the first few minutes of arrest. With each hallway having access to an AED, help will be provided to shock within the recommended time frame and increase the number of children who survive a cardiac arrest (American Heart, 2010).…
Never have I woken up faster than getting a phone call at 1am saying, “I need you STAT to H4104!” Racing from the call room to the Cardiac Intensive Care Unit, I had a million thoughts running through my head. Why is the RN calling me STAT? Is the patient coding? Is the intra-aortic balloon pump I am responsible for not functioning? When I arrive, the patient’s pressures were spiraling downward and the surgeon said he must go back down for surgery. Adrenaline pumping through my veins, I realized this was not an emergency simulation I had been taught – this was real. As soon as we reach the OR, the patient went asystole. Immediately, anesthesia started injecting medications, the OR staff lined up to do compressions and I managed the balloon pump; we…
They found that nursing home policies were most likely to contain provisions that could be objectively measured and easily documented as required by law. This study is helpful because it has ten criteria that would help enhance autonomy and the quality of decision making by nursing home…
This study aimed at finding out the perception of emergency room staff nurses on family witnessed resuscitation (FWR) practice. The first objective is to describe the resuscitation skills of the emergency room nurses. The second objective is to determine the benefits and barriers of family witnessed resuscitation practice as perceived by the nurses. The third objective is to examine the status of emergency room nurses in terms of length of experience as emergency room nurses, number of times the emergency room nurses have attended a family witnessed resuscitation, and number of life-saving trainings attended. The fourth is to determine the perception of emergency room nurses having family witnessed resuscitation practice in terms of ethical…
Not every person who has sudden cardiac arrest is able to receive hypothermic therapy. There are multiple restrictions, and each hospital has its own protocol to follow. Some of the common exclusions are pregnancy, core temperature of less than 30 degrees Celsius post arrest, and known clotting disorders (AHA, 2011). In order to receive hypothermic treatment the patient must be at least 18 years of age, female patients must have a documented negative pregnancy test, cardiac arrest with return of spontaneous circulation, and the blood pressure can be maintained at 90mmHg (AHA,…
post-arrest. This research could improve all practices by prolonging the life of cardiac arrest patients. As most of these patients die from the lack of oxygen to the brain, being able to preserve the brain tissue will lead to more desired outcomes and decrease the mortality rate associated.…
CPR/AED is a classroom, video-based, instructor-led course that teaches adult CPR and AED use, as well as how to relieve choking on an adult. This course teaches skills with AHA's research-proven Practice-While-Watching (PWW) technique, which allows instructors to observe the students, provide feedback and guide the students' learning of skills.…
The machines were beeping and there were pools of blood beside the woman. She was laying in the middle of the floor but nothing could be done. The victim was on the television. The incident wasn’t real, but the experience was undeniable. Medical dramas have become so realistic, that we often blur the line between what is real and what is fictional. On television, hospitals experience abundant traumas, rarely experience death, and doctors are glorified as heroes, whereas in reality it is not as dramatic.…
came up with 3 reasons on why we should have this class and if there were any…
95% victims of cardiac arrest die prior to reaching a hospital or care facility. By performing CPR the chances of survival immediately increase.…