Question

question 1. explain the different role of a nurse during cardiac resuscitation

question 2 why is it important to be certified in basic life support,

question 3 what team members are involved during a cardiac arrest situation, as well as what documentation is required and debriefing post-cardiac arrest/ code blue situation.

Answer 1

1. Nurses play a key role in the managemant of in hospital cardiac arrest.Often they are first on the scene of an arrest -initiating cardiopulmonary resuscitation(CPR) as well as summoning assistance from the advanced life support I arrest team.

#Assesment of cardiac arrest ,the physical examination and history collection are done by nurses.

#.It is vital that all nurses be trained to perform CPR so resuscitation measures can be initiated immediately when a cardiac or respiratory arrest.

#Nurses also can be instrumental in increasing in community awarness of need for CPR training and ensuring its availability.

#Nurses are needed to perform resue breathing deliver chest compression ,administor medications, and make a record of code activities .One person must be desiginated as the code leader-the person who direct the activities of other team members.

#Throughout any emergency situation the nurse must remember the person behind all of the technology.There is a client with spiritual and emotional needs who requires a personal connection.

#Holding a hand making eye contact talking directly to them brief seeminly care is always a goal.

# To humanize health care is always a goal.Nursing therapeutic presence is the key.

#Using the overall goals identified in the planning stage the nurse collects data to evaluate the effectiveness of intervention.

2. CPR is a combination of oral resuscitation (mouth -mouth breathing/ use of mask) which supplies oxygen to the lungs and external cardiac muscles,whic is intended to restablish cardiac function and blood circulation.CPR is also is reffered to as Basic Life Support (BLS).

Their certification allows them to provide basic life -saving and life -sustaining interventions until the trained medical personnel gives them the full medical care known as advanced life support(ALS).

@. Cardiac arrest is the cessation of cardiac function;the heart stops beating .Often a cardiac arrest is unexpected and sudden.When it occurs the heart no longer pumps blood to any of the organs of the body.Breathing then stops,and the person become unconsciouse and limp.within 20 - 40 seconds of cardiac arrest.The victim is  clinically dead.After 4 to 6 mints the lack of oxygen supply to brain cause permanant and extensive damage.

@. 3 CARDINAL SIGNS OF CARDIAC ARREST-  APNEA ,ABSENCE OF CAROTID OR FEMORAL PULSE AND DILATED PUPILS.

@The person skin appears pale /greyish and feels cool.Cynosis is evident when respiratory function fails before heart failure.

3. TEAM MEMBERS -* Physicians,Nurses,other clinical staff and administration.

We identified 4 broad themes related to resuscitation teams;team designs,team composition,and roles,communication and leadership during In hospital cardiac arrest and traing and education.Resuscitation teams at top performing hospitals demonstrated the following features;dedicated or designated, resuscitation teams .

DOCUMENTS;

@. Document any interventions performed by bystandr before EMS arrival.

@.Confirm last time patient was seen or heard to be alive.

@.Obtain past medical history for the patient.

@.Capture time of field termination.

POST CARDIAC ARREST_ The Post Cardiac Arrest Debreif Checklist is used to promote individual and team self reflection after a resuscitation.The goal is improve performance on the next resuscitation and hopefully patient outcomes.

The checklist can be led by any of the team members and should include all participating members of the resuscitation.

Environment;*was 360 degrees access to patient est if possible?

*Were AED( automated external defibrillator) /Monitor ,suction ,jump bsgs placed in appropriate locations if possible?

Team work: asecpts of good team work-

* team leader clearly identified.*clearly defined roles assigned.*closed loop communication.*clear directions given .*did everyone know each others names?

Medical managment:

*If the patient arrested in front od EMS personnel was the arrest recognised and treated without delay?

*Was the 1st defibrillation applied as soon as possible.

*Were the key features of High Performance CPR assessed and res assessed throunghout the procedure -(optimum CPR rate,optimum depth of compression adult 2 inc,5cm,complete chest recoil,ventilations provided once every 6 seconds .rhythm and pulses assessed every two minutes with hands off time for pulse /rhythm checks no greater than 10 sec.,compressor rotated out every 2 mints,with a new compressor ready to go at the end of each cycle?

After ACP Arrival ;(American COllage of physician)

*was the undesrlying rhythm identified and managed appropriately.

*was the metronome used on the monitor.

*was someone assigned to time two- minute intervals.

*Were right drugs given at right dose and right time.

*Were post arrest vitals obtained;right evaluation.

CODE BLUE indicates a medical emergency such as cardiac or respitory arrest.Code blue means that there is an urgent medical emergency.THe code blue should be initiated by anyone with CPR certification or someone that can verify if a person has stopped breathing or has no pulse.These cardiac arrest are handled by the code team of the hospital