Should a nurse perform CPR to someone outside of the healthcare setting? - page 2
by jjones1728 11,241 Views | 48 Comments
Should a nurse perform CPR to someone outside of the healthcare setting? Is it safe?... Read More
- 1Mar 25, '13 by MunoRNQuote from elkparkSo percentage-wise, how ineffective do you consider CPR? Your description sounds like you are referring to a success rate of well under 1%.Count me out unless I am required to because I'm at work, or, outside of work, it's someone with whom I have an existing relationship (and care about ... ). Everyone else is on their own as far as I'm concerned. CPR is pretty much a joke unless it's done under perfect, laboratory conditions, using perfect technique. Even than, it's not terribly effective. IMO, most of us put waaaay too much faith in it.
- 2Mar 25, '13 by HouTx GuideI respectfully differ with some of the PPs.
Success rates for field resuscitation vary according to the circumstances. Near drowning, electrocution, asystole due to sudden chest impact (think soccer ball), etc.... all are situations where CPR is much more effective than trying to re-animate the typical obese over-50 restaurant MI.
Me? I would NEVER opt-out of CPR on a child, but that's just me.
- 4Mar 26, '13 by KatieMII am not sure that Good Samaritan law covers health care professionals in all states.
Several years ago, I went into anaphylaxis in a restaurant and two persons performed CPR on me. One of them happened to be a paramedic off duty; he used Epipens and told people around to call 911, to meet the car, etc. The second guy was the waiter who had some work spell as a beach lifeguard. In the process they broke a few of my ribs and I got a small pneumothorax - no idea who of them actually did what. The very next day i got a call from a local lawyer who "kindly recommended" me to sue the paramedic guy because he was off duty at the time and "was supposed to know" that CPR "might" not be medically necessary for anaphylaxis. According to him, the aforementioned Good Samaritan law "unfortunately" covered the waiter as a lay person, but paramedic was not covered by it.
Well, I sure ask him kindly go to h*** and stick in there but still wonder if what he told was the truth.Last edit by KatieMI on Mar 26, '13 : Reason: grammar
- 17Mar 26, '13 by DebKRNSome of the comments I've read really break my heart. And, kuddos to those of you who would do CPR in any setting with no reservations. I couldn't even imagine walking away or standing there not helping anyone who is in need of CPR. This really hits home with me after having to perform CPR on my own husband who suffered "the widow maker" MI and dropped dead on my living room floor in front of our 12 yr old daughter. I would hope that if he had went down out in the community and there was a nurse around, he/she would intervene. CPR is not a joke. It can work. My husband is living and well almost 4 years later. His survival rate according to his cardiologist and research I've done was less than 3%. They nicknamed him "miracle man" at the heart hospital he was transferred to.
- 5Mar 26, '13 by AliakeyNo question I would do CPR. No pulse. No DNR. I'm doing everything I can for you to offer that second chance in life. As an off-duty paramedic out of my region, my scope is limited to BLS unless ALS assistance is requested by the responding unit and approved by their medical director via radio. As an RN... far more limited, but I can still push on that chest.
Even if good chest compressions offered only a 30% of the normal blood flow... it's *something* productive. Otherwise, I'm not sure how my ACLS medications are circulating, hitting the right spot with a non-shockable rhythm, and by some miracle, my patient regains a pulse before we even move the patient to the ambulance. Understandably, chest compressions are not the ideal, perfect treatment... but short of opening up the chest, its what we have and is far better than nothing at all.
I'm not near the end of my life yet (I hope) and do not have a DNR. I would hope that if I hit the floor without a pulse, someone... anyone... would do chest compressions and if it happens, "break my ribs" (or whatever) to save my life, so be it. I'm recovering from 9 broken ribs right now and it's no cakewalk, but beats the heck out of decomposing six feet under any day .
- 1Mar 26, '13 by UK_RN_AJWithout any doubt I would start CPR on anyone who needed it.
On a personal note My grandfather suffered a cardiac arrest last year, he was found by a a close friend of his who was a nursing aide who lived next door, she had come round to help with my grandparents washing as she was on sick leave, my grandmother watched as as this nursing aide did CPR for around 10-15 minutes on her own until the paramedics arrived, my grandfather fought for a while but unfortunately passed away in hospital. It people like her who fuel my passion for helping others and nursing in general.
just read this article about a nurse refusing to do CPR due to polices .............. Shocking
http://www.komonews.com/news/nationa...194834281.htmlLast edit by UK_RN_AJ on Mar 26, '13 : Reason: adding info