CPR Question

Published

I have a question that I am almost positive I know the answer to but wanted second opinions. Long story very short, I worked my first full code after working in LTC for 2 & 1/2 years. The other CNA in the room with me was bagging the res. twice between my five chest compressions. As far as I know you only ventilate once between sets of compressions per American Heart Association protocols. I went along with them because I didn't want to start an arguement during this code. In the end even with the two ventilations the SpO2 meter was still saying that we were doing about 95-100 compressions per minute. So am I right, bag once then do five compressions or was the other guy right in bagging twice between the compressions?

Everything was changed to 15:2, not 5:1. :)

I know that it can be confusing.

Up Vote Up Vote ×
I am as confused as before. I guess that you just do whatever rate you were taught. When I first got certified you did one man 15:2 and two man 5:1 but I was told that when they changed the protocols including cutting out mouth to mouth they changed all of the compression rates to 5:1 for everyone.

You should have been taught the correct way according to the current guidelines. THis is 15:2. THey only took out mouth to mouth for lay person courses....For healthcare provider, you still do mouth to mouth, mouth to mask, or BVM. I would look to the quality of the courses you are taking.

There is a big difference between Heartsaver and friends and family CPR (Lay person) and the Healthcare Provider CPR courses.

Its 15:2 in both, whether its one or 2 person. In the HCP course, it goes to 5:1 when intubated.

Up Vote Up Vote ×

Ok I finally found the AHA CPR page and it is 15:2. We have less than 50% CPR certification in the facility I work at and in this situation even the nurses were telling us to do 5 compressions and two ventilations (no not intubated, this is a small LTC facility with no ALS equipment and no one certified to use it). We had the pulse ox probe on and were getting between 90 and 100 compressions per minute and the SpO2 levels were in the 70's and 80's so I feel we did a pretty good job. I am wanting to get the entire nursing dept. recertified so that next time they aren't all standing around when I get there saying "I'm not certified". Plus no one could find an ambu bag on the skilled unit so they ran all the way to the one crash cart in the facility which has an ambu bag, a suction machine and an 02 cylinder on it No defibrilator, our former administrator told me we didn't need one.

Up Vote Up Vote ×

They were giving out free AED's to nursing homes a while ago, you might look into it.

Up Vote Up Vote ×

A CNA was bagging????

Up Vote Up Vote ×
A CNA was bagging????

Use of the BVM is taught in the BLS for HCP course. THis has been done since july 2000, so i dont see no problem with a CNA bagging, if they are trained. Naturally if other staff are available, they would provide that function, but in many areas with limited staff, a CNA is all you have. THey are incorporating more of ACLS into BLS.............

Up Vote Up Vote ×
Specializes in ER.
Use of the BVM is taught in the BLS for HCP course. THis has been done since july 2000, so i dont see no problem with a CNA bagging, if they are trained. Naturally if other staff are available, they would provide that function, but in many areas with limited staff, a CNA is all you have. THey are incorporating more of ACLS into BLS.............

I agree, BVM is a BLS skill...EMTs are taught the proper use in the field...As long as you have a proper seal and bag properly...I see no problem with a CNA bagging. An extra pair of hands is always nice to have...I've seen plenty of nurses bag with bad seal and the patient not getting proper chest rise...so if they were doing it properly, more power to them!

Up Vote Up Vote ×
Specializes in pedi, pedi psych,dd, school ,home health.

To clarify: AHA guidlines : 15:2 for all adults (over age 8) 5:1 for infants and children (0-8) . A CNA may ventilate if trained. And Chad, ALL of your staff should be trained!!!!!:uhoh3: Perhaps this should be brought up to administration! you can often find firefighters or EMTs who willdothe classes for free or mininal $. Mary

Up Vote Up Vote ×

jgillyrn "A CNA was bagging????"

I am trying to figure out what you are trying to say, CNAs are very capable of performing in the health care setting. Many of us are CPR certified and to be honest this other CNA and I did a good job. I am a nursing student and he is an EMT student and we gave our resident every chance at survival. I resent the idea that we are stupid or ill trained.

Up Vote Up Vote ×

They also give bed baths.

The 15:2 comes out of new research that presents compelling data that cerebral perfusion with adequate compressions takes some time to fall off even in the absence of ventilations.

Rumor is new ACLS guidelines are in the works that move securing an airway down the tree. Community CPR may be eliminating rescue breathing entirely. Stay tuned.

Up Vote Up Vote ×

well I just finished my EMT program and the way I learned it was for adults 15/2 and for infants 5/1 ....

Ligia

Up Vote Up Vote ×
+ Join the Discussion