Pediatric cpr training empowering families to make a difference
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Pediatric CPR Training: Empowering Families to Make a Difference . Departments 4PICU 4PEDS Pediatric Critical Care Respiratory Care Child Advocacy Nursing Education. Bystander CPR improves outcomes in pediatric arrests. For children, bystanders are likely to be home caregivers.

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Pediatric cpr training empowering families to make a difference l.jpg
Pediatric CPR Training: Empowering Families to Make a Difference

Departments

4PICU

4PEDS

Pediatric Critical Care

Respiratory Care

Child Advocacy

Nursing Education


Opportunity l.jpg

Bystander CPR improves outcomes in pediatric arrests. Difference

For children, bystanders are likely to be home caregivers.

Home caregivers need training in basic life support

The inpatient stay provides motivation and opportunity for caregivers to learn CPR.

Goal: The pediatric inpatient team will provide training in “CPR for Family and Friends” for the families of pediatric patients hospitalized more than 48 hrs.

American Heart Association. CPR for Family and Friends. Dallas, TX: American Heart Association 2000-2002

Opportunity


Background l.jpg

Pediatric Cardiopulmonary Arrest Difference

Most out of hospital arrests occur at home

Survival

13% overall

26% if bystander CPR initiated

Only factor shown to improve survival and outcome

Lay CPR occurs in 26% of arrests

Young KD, Seidel JS. Pediatric cardiopulmonary resuscitation: a collective review. Ann Emergency Med Feb 1999;33:195-205.

American Academy of Pediatrics Recommendations

Pediatricians should promote parent training

Families of high risk children targeted

Pediatric providers should lead by example

Receive training

Teach basic life support courses

Pyles LA, Knapp J, and the Committee on Pediatric Emergency Medicine. Role of pediatricians in advocating life support training courses for parents and the public. Pediatrics 2004; 114:761-765.

Background


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Methods Difference

First Steps

  • Nursing and Respiratory Therapy staff trained as BLS instructors

  • Classes offered weekly to all interested families with emphasis on critical care patients

    • Class available in English or Spanish

    • Class held on the pediatric unit


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Families Difference

In-hospital radio/TV on Radio ECHO channel

Signs in community areas i.e. waiting rooms

Caregiver CPR certification assessed on admission – part of admission database

CPR buttons

Appointment reminder cards

Staff

Resident/faculty education

Physicians promote course during daily encounters with family

Classes are offered to meet the scheduling needs of the families

New equipment obtained thru a grant from the Ronald McDonald Foundation

Promoted at unit CPR marathon

Included in discharge planning

Promoting Awareness


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Information posted in family lounge Difference

Nursing inservice

MDs encouraging families

Admission questionnaire


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Results of Caregiver Survey Difference

  • All patient families surveyed on admission

    • Sept 05-Feb 06

      • 166 surveys completed

      • 185 caregivers identified

        • 38% with prior CPR training

        • 52% interested in new or repeat training

          • 73% of these have completed a class

          • 85 caregivers trained


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Feedback Difference

  • Comments

    • “very helpful”

    • “I have a little more confidence”

    • “…it made me feel safe..”

    • “I recently had to perform CPR…now I’ll know exactly what to do…I feel much more safe.”

    • “I understood, practiced and even had fun”

  • One Year Follow Up

    • One parent has used choking rescue skills


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Next Steps Difference

  • Continued family follow up with yearly surveys

  • Improve scheduling

    • Adding scheduled classes

    • Expand instructor pool

      • Residents

      • Medical students

  • Collect data from pediatric ward

  • Offer classes through other pediatric areas

    • Outpatient Center


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Departments Difference

4PICU

4PEDS

Pediatric Critical Care

Respiratory Care

Child Advocacy

Nursing Education

Instructor Team

Patricia Bradley RRT

Josey Cavazos RN

Carol Ciukaj RN

Paulette Ciukaj RN

Debbie Erickson RN

Mary Beth Flynn RN

Nicole Janik RN

Pamela Litchford RN

Bridget Majdecki RN

Michelle Tracy RN

Wayne White RRT

Sonja Winkler RN

Project Team