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Discussion

Please help me with my homework

Please, please, please, help this old nurse.

I know BLS/ACLS is vitally important. But (thankfully) since I left acute care bedside nursing 15 years ago I haven't been near a code! Actually once in a blue moon one is called, my fellow (old) nurse and I, (who have been there, done that), joke...if you're over 60 you don't have to go to codes...as usual there were already about 20 other health care providers responding.

I have renewed BLS/ACLS so many times. Whenever I hear ACLS my mind starts singing, Shock, shock, shock, everybody shock, little shock, big shock, little shock, big shock.

All I want is a quick easy (somebody do my homework for me) answer. During basic one person or two person CPR (after the initial pulse check) when do you check the pulse again?

Yes I have the whole stupid book right in front of me....YES I am asking for homework help!-

Honestly I just get so tired of re-reading the same book,(or new up-dated version), same pictures, every two years....I just can't re-read it this year!

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    uuuuuummmmm.......if you've renewed so many times, how do you not know it yet?

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    Uh... I thinks she's being sarcastic. About those students always coming to AN for help.

    A sinful practice apparently.

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    Actually, I think she's serious. Which is a little scary.

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    After 5 rounds or two minutes of CPR.

    As someone who has been certified since I was 14 (nearly 40 years of certification) I feel your pain. The 2010 changes have thrown me for a bit of a loop. Something that had become rote gives me pause now and again. I still have to remind myself 30:2 and CAB!

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    All I can say is WOW! í ½í¸³

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    Five cycles then pulse check - and rhythm check if on the biphasic or an AED. Both happen in under ten seconds. Switch places.

    Give a pressor every two minutes.

    Resume compression for five cycles. Repeat until ROSC, EMS arrives, or Code leader calls the time of death. Usually 20 minutes.

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    Hey, at least she was up front with us. It's one little question. She wasn't asking us to write an algorithm for her. Sometimes we get stuck on one thing.

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    And she hasn't had to USE this information in 15 years, and probably has only 4 hours every 2 years of which a large chunk is usually forgotten soon after the class (ask any educator).

    That's why they always have "take away" points such as "If you only remember this, then you are good" and why some places run mock codes regularly.

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    2015 introduces the new research so it may have changed...

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    Hey, at least she was up front with us. It's one little question. She wasn't asking us to write an algorithm for her. Sometimes we get stuck on one thing.

    But the book was in front of her and she's choosing not to look at it. Reminds me of another current thread talking about older nurses who continue to work but are unable or unwilling to keep up.

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    Ram Jam and Spider ...

    Ram Jam - Black Betty (Official Video) - YouTube

    â–¶ 2:23

    Here's some old peoples music (just kidding) to help you with the rhythm and speed for compressions as recommended by my paramedic friend.

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