Using Gibbs Reflective Cycle (1988), I will reflect on the CPR experience during the Clinical Stimulation Lab (CSL). I will discuss the knowledge and skills I have gained, however indicate in my action plan what things I need to further develop.
Prior to attending the CSL class, I completed the lab preparations which included basic CPR questions and watched the video clip provided. I understood the procedures for CPR outside and within a hospital environment. When given an event of a cardiac arrest in hospital, the emergency alarm is pressed and pillows are removed from behind the patient to allow the head to be tilted backwards to open the airways. Within this time the ratio of 30 compressions to 2 breaths are given while a call is made
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Using the knowledge I gained throughout my HNC Healthcare at college and the preparation work beforehand; this has improved my skills in communication and team work. Effective communication and working with others is a vital part of the job and is outlined by the NMC Code of Conduct (2015) so whenever events or decisions are needed to be made, colleagues will be able to assist. However, I understand that carrying out a CPR situation on a mannequin and within a controlled environment can be completely different from a real individual and the situation itself. For an example, the mannequin that myself and colleagues were using, we found it difficult to see the chest move. Also individuals can be sick while being resuscitated (Riley, 2013) therefore found it difficult to imagine this on a mannequin due to not seeing any liquid or vomiting sensations.
Analysing the skills that I have gained, it is required as a nurse to keep the best interest of the patient and provide person-centered care (NMC, 2015). When a patient is admitted to hospital it is required on admission as to whether the individual would wish to be resuscitated if a cardiac arrest occurs this is part of the 12 Activities of Daily Living. I learnt that communicating clearly can provide efficient teamwork with colleague, as when in practice nurses need to work effectively
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According to Riley (2013) by keeping the elbows straight and fixed this will allow the pressure to exert downwards onto the chest. Without the compressions within five minutes or at all the brain can become permanently damaged following collapse (ERC, 2010). A research by Kampmeier et al (2014) showed that the European Resuscitation Council changed their minimal compression depth from 40mm in 2005 to 50mm in 2010. The results indicated that having a fixed compression rate should be further investigated; therefore, anything rate between 40mm to 50mm is suitable for the depth of compression.
Furthermore, the hand position is required in the middle of the chest during compressions (Riley, 2013) as having the hand at the lower end of the sternum can cause this to break. A study by Jiang et al (2015) examines the effects of dominant or non-dominant external compressing hand position during CPR. These results justified the dominant hand position gave higher compression rates, depth and delayed fatigue. However, individuals performed with what made them feel comfortable whether this was the dominant or non-dominate
I recommend everyone using physical techniques of any kind be trained on the risks of positional asphyxiation. Whenever, I physically restrict a person’s movement there is a risk of injury, and no physical holds are 100% safe. In this book, I cover body positioning for physical interventions, standing holds, and seated holds. I do not authorize or encourage a prone restraint without the proper training; and this type of restraint is not covered in this book. However, the SafeClinch Training System does allow for “prone containment” for those organizations allowed to use it; once SafeClinch instructor certification has been achieved. Here is an example of what the prone position looks like. Notice, since the person is in the prone position
Have you ever thought about what you would do if a family member suddenly stopped breathing? Imagine that you grow up in a small town, the population is 700 people, and one morning you wake up and everyone in the town is dead. On any given day 670 people die of sudden cardiac arrest. Could it be a loved one, someone you care deeply for, or just a complete stranger? The chances are that someone in your family is going to die of sudden cardiac arrest in your lifetime. On average it takes an ambulance no less than seven minutes to reach someone in need, therefore, every adult should know how to administer CPR.
Staff reacted quickly and appropriately and when safe transferred the patient into the resuscitation area. I witnessed good communication between staff with the use of SBAR, giving structure to the information being provided by ambulance staff and by nurses to medical staff. Communication between staff and the patient promoted a good therapeutic relationship. Communication is vital in the nurse patient relationship to build trust and gain information (Webb, 2011).
WEEK 5 PICO(T) QUESTION 1Good Afternoon Class and Dr. Stephenson,In and out of the hospital high quality cardiopulmonary resuscitation (CPR) is crucial to survival of victims of cardiac arrest. This research topic will focus on implementation of in hospital chest compressions in CPR. It will be based on a comparison of the efficacy of manual compressions and automated chest compressions in relation to survival outcomes. The potential attributes and short comings related to manual and automated chest compression will be reviewed. Intensive care unit (ICU) nurses have to be prepared to implement CPR during a cardiac arrest code. In consideration that patients in the ICU are often only marginally stable it is important that ICU nurses are familiar with their patient’s recent and past medical histories.
All patients are at risk of pressure injuries. This risk is exacerbated when immobility and limited access to the surgically draped patient are a part of
An important aspect involved in critical appraisal of a study involves identifying and evaluating the study framework. This allows the reader to determine whether it is appropriate to apply the study findings to nursing practice. The author of this study identified the specific perspective from which the study was developed. More specifically, the author sought to provide insight into the phenomenon of lay presence during adult CPR specifically from the perspective of ambulance staff and
Whenever an adult is in need of CPR you will have to immediately check for a response from the person that is having a difficult time breathing and talking. Once you check for a response you then will need to either have someone call 911 if there is someone else near you or immediately begin CPR which you will start to pump the persons chest 30 times in the very center of their chest, once you have done that you will pinch the persons nose while you are blowing air into their mouth and then call 911 for help to arrive while still giving the person CPR.
| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express
The sessions began with a short PowerPoint containing a review of the key points from my lecture earlier in the month. The elements of pediatric assessment and resuscitation were reviewed and the students watched a short video on one and two rescuer child CPR for HealthCare professionals. This served as a pre-briefing. The objectives for the lab were clear and the review facilitated the application of theory to practice in the lab setting.
There are several legal and ethical issues relating to FWR. Some of the key legal concerns expressed by healthcare professionals include the potential for litigation, patient confidentiality, and the patient’s right to privacy (Mian et al, 2007; Critchell et al, 2007). Litigation and liability concerns arise from the fact that, in most cases, family members will have little understanding of the procedures used in the code room. The fear is that the staff’s actions could be perceived as detrimental or harmful to the patient in the eyes of the typical lay-person. The reality is that once healthcare providers become educated and experienced with FWR,
Let's hope you are never in a situation where someone is in need of CPR. CPR stands for "Cardiopulmonary Resuscitation". If you are CPR certified, you then have the ability to save an individuals life. As an Emergency Medical Technician,I went through special training, where I was required to have learn how to preform CPR.
Thesis: It is easy for anybody to learn CPR, and is something everyone should do to help save someone's life!
The overall objective of this essay is to choose an event and reflect on the dignity of the patient and how dignity was maintained throughout the event. According to Kozier, Harvey and Morgan-Samuel (2011) dignity is treating an individual with respect, worth and value. The event I have chosen involves a patient who we found unconscious and had a ‘Do not attempt resuscitation’ (DNAR) order in place so therefore, died. To reflect on my chosen event, I will be using Gibbs Reflective Cycle (1998), I have chosen this cycle due to using this reflective cycle successfully in the past when working in a care home to thoroughly reflect on my experiences. Reflection is important in healthcare because it helps us to learn from our past experiences
For the purpose of this essay, I have selected Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Model of Reflection provides a clear description of a situation, analysis of feelings, evaluation of the experience, conclusion, and action plan to make sense of the experience to examine what you would do if the situation happens again.
Place one hand on top of the other and hook the fingers. Lock your elbows and using your body's weight, compress the victim's chest.