Content That FranEMTnurse Likes

Content That FranEMTnurse Likes

FranEMTnurse, LPN, EMT-I Pro 37,592 Views

Joined Jun 7, '02. Posts: 13,733 (23% Liked) Likes: 7,206

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  • Sep 21

    I stair-stepped my way from LVN to ASN to BSN. The BSN degree has benefited me primarily in the context of being a springboard for acceptance into graduate school. In addition, the BSN degree has opened the doors to more pleasant job opportunities away from direct patient care.

  • Sep 21

    AN is pleased to present a press release from AHA which adds another dimension to out of hospital cardiac arrest care - telephonic assisted cardiopulmonary resuscitation via a 911 operator.

    The American Heart Association – the world’s leading voluntary health organization devoted to fighting cardiovascular disease – published recommendations this month that set standards for timely and high quality delivery of dispatcher-assisted CPR, also known as telephone CPR (T-CPR). The recommendations are accompanied by performance goals to measure successful implementation by first responders.

    To generate discussion among professionals engaged in improving survival from cardiac arrest, the program and associated metrics are open for public comment. The AHA will be accepting comments from interested parties through the website until November 16, 2016.

    Early access to 911 and early CPR are the first two links in the chain of survival from cardiac arrest. Currently, less than half of those who suffer an OHCA receive bystander CPR.

    “The most immediate way to improve survival from cardiac arrest is to improve bystander CPR rates,” said Michael C. Kurz, MD, MS, FACEP, FAHA, Associate Professor, Department of Emergency Medicine, University of Alabama at Birmingham and volunteer chair of the T-CPR Taskforce for the American Heart Association. “Providing telephone CPR saves lives by providing just-in- time bystander CPR instructions. When T-CPR instructions are not provided, preventable deaths from out-of- hospital cardiac arrest occur.”

    The AHA recognized the need for emergency response dispatchers to be trained to provide telephone CPR instructions prior to the arrival of EMS in the 2010 AHA Guidelines for CPR and ECC, and this was reiterated in the Guidelines most recently updated in 2015. As much as 50 percent of bystander CPR in communities that provide T-CPR instructions to 911 callers is directly attributable to those instructions.

    AHA’s six program recommendations stress ongoing training and continuous quality improvement:

    1. Commitment to T-CPR by both the emergency communications center and the dispatch center director

    2. Train and provide continuing education in T-CPR for all telecommunicators

    3. Conduct ongoing quality improvement for all calls in which a cardiac arrest in confirmed by EMS personnel and in which resuscitation is attempted

    4. Communication between the emergency communications center and responding EMS agencies to measure implementation and effectiveness

    5. Designated medical director to issue protocols and work closely with the responding EMS agencies

    6. Recognition for outstanding performance

    “In telephone CPR, the dispatcher and the caller form a team in which the expertise of the telecommunicator, combined with the willingness of the caller to assist, strengthen the first two links in the chain of survival,” said Kurz.

    The program recommendations are accompanied by a series of five performance metrics:

    1. Percentage of OHCA cases correctly identified by the dispatcher

    2. Percentage of correctly identified OHCA cases that were deemed recognizable versus those that were not because of complicating factors (e.g., language barriers, caller hang-up, CPR already in progress)

    3. Percentage of victims who receive T-CPR

    4. Median time between 911 call and recognition by dispatcher of cardiac arrest

    5. Median time between 911 call and first T-CPR directed chest compressions

    Following the public comment period, the AHA will update the program and performance recommendations. The final document will be published online along with a comprehensive guide to implementing T-CPR at the community level.

    So, this is the nursing community's time to comment on action that will have national implications. Voice your opinion, make comments, ask questions. Share your stories of out of hospital cardiac arrests and your commitment to improving care for these very fragile patients.

    We (nurses) will be instrumental in these guidelines so lets make our voices heard!

  • Sep 20

    Quote from cirul8r
    Ok, ladies, going to show my stupidity... What IS "swamp butt"? Not around kids or teens anymore....
    As the mother of 4 kids . . . I'm thinking it is when your child doesn't take a shower daily and gets that stinky "swamp butt" smell emanating from their jeans.

  • Sep 20

    A patient that drank urine out of the urinal and replied "hmm, that's good brandy".

  • Sep 20

    My friend works in inpatient dialysis. One day she was running a wee bit late so she came rushing in and set her purse and her lunch down on the counter. One patient was waiting and another was brought in so that took her attention for a couple of minutes. When she turned around the first patient was eating her lunch!!

  • Sep 16

    Meanwhile, in Endoscopy...

  • Sep 16

    Oh no!

  • Sep 16

    I had to go to Occupational Medicine the other day for a work-related injury...

  • Sep 14

    The other night the thread "Where's Ruby Vee?" appeared on the General Discussion Forum.

  • Sep 14

    Isn't it a nuisance when an idle mind becomes the Devil's playground?

  • Sep 14

    Quote from No Stars In My Eyes
    See here, young lady...
    It seems that No Stars can be a little overbearing.

    Even to her avatar:

  • Sep 14

    Quote from FranEMTnurse
    How schweet
    Hey! Look at Fran's avatar!

  • Sep 14

    Quote from Farawyn
    *awkwardly hugs you*
    See here, young lady, if you're going to come back here, see to it that you make a thorough nuisance of yourself!

  • Sep 14

    Quote from FranEMTnurse
    Yes, I do understand that. I would feel awkward doing that too if I didn't know someone.
    *awkwardly hugs you*

  • Sep 14

    Quote from djh123
    I work at Wrongway Long-Term Care, a subsidiary of Wrongway Regional Medical Center. And don't forget - Wrongway Correctional Facility is another in the happy Wrongway family of facilities.
    Isn't Wrongway Day Care and Teen Pregnancy Center under the Wrongway Umbrella of facilities?