Quote from onthemark
Although I appreciate your reminding me to check their DNR status, that fractures will be probable, and also that it's apt to not work with them but a try is better than nothing, I still don't see how I can do this when most of the patients are in wheelchairs. Do I ask the aides to help me get them out of their chair and laid down on the bed/floor, and then proceed with CPR while I ask another aide to call the supervisor? Do I keep my breathing mask with me at all times for the 2 rescue breaths? I have never even taken the mask to work with me but if the CPR is my responsibility then maybe I should.
I'm sorry to be such a newbie at this and really appreciate any advice and tips you can pass on to me. Thanks!!!
It's okay. You probably just need to talk this through, give yourself a sort of "practice run." Your facility should have a written protocal which covers exactly how you need to handle a code. If you haven't seen that, ask your supervisor to direct you to it.
It doesn't matter if they're in a wheelchair, in bed, or walking down the hall. If they need CPR, the first thing you're going to do is put them on a hard, flat surface. That would be the floor or a bed board. Don't try to do CPR on a squishy mattress; it will be ineffective. If you are in a public area (cafeteria, hallway, activity room), direct someone else to go get help--if there is no staff around, send a visitor or family member to get help. The quickest way to get help when you're in a patient's room is to hit the emergency button in the restroom. That will alert others while you're getting the person in position to begin CPR. While you're doing compressions, you can direct others to get the crash cart and call the supervisor. Delegate that stuff. There should be an Ambu bag on the crash cart. If you do not have a mask in your pocket, just do compressions until the crash cart & Ambu bag arrives. This should all happen very quickly. It will feel like hours are ticking away, but it is more likely that these actions will take only seconds to minutes to accomplish.