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Skills Training Session September 9, 2014. Agenda. Blood pressure review Palpation blood pressure method review CPR review Practice Homework. Vitals. B lood pressure E yes L ungs L OC S kin R espirations P ulse

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skills training session september 9 2014
Skills Training Session

September 9, 2014

agenda
Agenda
  • Blood pressure review
  • Palpation blood pressure method review
  • CPR review
  • Practice
  • Homework
vitals
Vitals
  • Blood pressure
  • Eyes
  • Lungs
  • LOC
  • Skin
  • Respirations
  • Pulse
  • There is a field for vitals in the run report forms, however it is useful to provide pertinent/abnormal vitals and SAMPLE items in your narrative.
blood pressure
Blood Pressure
  • No sound? Don’t panic! Check for the following things:
    • Stethoscope ear bud placement (ear pieces must be angled forward in ear canals)
    • Kinks in the stethoscope tubing
    • Check bell of the stethoscope by tapping it to see if functioning properly
palpate bp
Palpate BP
  • When?
    • When pt’s BP cannot be determined from the stethoscope (last resort)
  • What does it give us?
    • A quick estimate of systolic BP without the use of a stethoscope
  • How?
    • http://www.youtube.com/watch?v=ZC5_QVbCPQc
cpr adult
CPR - Adult
  • Unresponsive and not breathing
  • C-A-B

-30 compressions  2 breaths (head tilt-chin lift)

-compression rate = 100/min (to the rhythm of “Stayin’ Alive”)

-Deliver 2 breaths lasting 1 second each with BVM (C/E grip)

  • 2-inch depth of compression
  • AED
  • Recovery position
infant cpr
Infant CPR
  • Compression ratio
    • 30:2 ratio
  • Differences with adult CPR
    • You will perform chest compressions one finger below nipple line
    • P EDS mask and only use a “puff” of air for ventilation
    • General rule: if you can’t decide if the patient should be classified as an infant or not
      • if it can fit on your arm, then treat as an infant
practice
Practice
  • 60 second test
    • Deliver between 95-105 compressions to practice proper rhythm
  • 2 minute test
    • Perform a full cycle of CPR with 30:2 (5 CPR cycles)
homework
Homework
  • Take 10 blood pressures (in STS/OH)
  • Take 5 palpation blood pressures (STS/OH)
  • Check eyes for PERRL x3 (STS/OH)
  • 2 full practice CPR scenarios