CPR in the home setting

Drag them to the floor or keep a CPR board or AED in your car. Here is an example http://www.amazon.com/CPR-Board-Plastic-23-Orange/dp/B000LWRVHC/ref=sr_1_1?ie=UTF8&qid=1377925117&sr=8-1&keywords=cpr+board

Doing CPR on the bed without a board is worthless. You can't get effective compression.

On the floor! Don't make the mistake Conrad Murray made!

Of course I know its not a good idea. Some of the clients are way too heavy for me to move to the floor though. I think I will invest in a personal CPR board. :)

If you can get your client to the floor, that would be best. A CPR board will help with doing CPR in bed, but you have to realize that even with a board in place, the client is NOT on an entirely firm surface and you'll have to compensate for it. Just make sure that you do a SOLID 2 minutes of very high quality CPR, call for help ASAP and get back to doing CPR right away. Many times you'll have an 8-10 minute response time, so you'll be doing compressions for a LONG time. You WILL be exhausted. You often won't have the personnel to swap out with.

Get a board, but just as importantly, bring it with you. You'll lose valuable time running to your car to get it otherwise. If you don't have a board, try to find something in each client's home that will effectively function as a CPR board.