Nervous about CPR - page 2

I'm in my last year of nursing school and in my er rotation. I'm really nervous about giving CPR to someone because I Don't think I know how to do it correctly! I'm worried that if someone needs CPR... Read More

  1. by   Amber_student_nurse
    Yep, they changed it because research shows that it is more important to get more compressions in so that you can pump the o2 around the body. We have been taught: if the pt is unconscious and no signs then immediatly start CPR. Do not stop for a pulse just get right in there with the 2/30. Seems to make sense to me
  2. by   jov
    Quote from Amber_student_nurse
    if the pt is unconscious and no signs then immediatly start CPR. Do not stop for a pulse
    DO NOT check for a pulse?? How did you come up with THAT conclusion? As a nurse you will not be a layperson and you should have been required to take Healthcare Provider CPR.

    These are the latest guidelines from AHA site:
    Lay rescuers should immediately begin cycles of chest compressions and ventilations after delivering 2 rescue breaths for an unresponsive victim. Lay rescuers are not taught to assess for pulse or signs of circulation for an unresponsive victim.
    The lone healthcare provider should alter the sequence of rescue response based on the most likely etiology of the victim’s problem. — For sudden, collapse in victims of all ages, the lone healthcare provider should telephone the emergency response number and get an AED (when readily available) and then return to the victim to begin CPR and use the AED.
    — For unresponsive victims of all ages with likely asphyxial arrest (eg, drowning) the lone healthcare provider should deliver about 5 cycles (about 2 minutes) of CPR before leaving the victim to telephone the emergency response number and get the AED. The rescuer should then return to the victim, begin the steps of CPR, and use the AED.
    After delivery of 2 rescue breaths, healthcare providers should attempt to feel a pulse in the unresponsive, nonbreathing victim for no more than 10 seconds. If the provider does not definitely feel a pulse within 10 seconds, the provider should begin cycles of chest compressions and ventilations.

    It is very clear that healthcare personnel DO check for a pulse. Otherwise you are going to be doing chest compressions on:
    hypoglycemic diabetics
    post ictal seizure patients
    head injury patients
    and drunks?
    Last edit by jov on Oct 2, '06
  3. by   Amber_student_nurse
    Yep sorry was responding to what "we" meaning my first aid class where taught. Of course for nurses your not going to jump right on their chest and do compressions with first doing the steps you have states like emergency button, defib, drugs etc etc. We have the training to know what to look for, why the cardiac arrest/breathing has stopped etc. They changed it to make it simplier for the "public" to remember and increase the possibility that a bystander will stop and help. The new life saving technique is based on international evidence that more frequent chest compressions may result in an increased chance of survival.