Barak

Hey all, this is my very first post! I work in ISRAEL as a RN in general ICU (medical/surgical/trauma/burns/neuro etc.) and also former paramedic These days I was given the task of improving the CPR quality in our unit. usually CPR in our unit is a total chaos! no dominant team leader...3 RN preparing drugs, one big guy is pumping, 3-4 doctor screaming general orders...nobody documents...we usually go off protocol (3 mg epi in one shot) just because "I saw it works". as a paramedic it's very frustrating, in israel paramedics can only work in ALS ambulances and i have no permisions at all in the ICU...and be damn' sure that as paramedics we work "by-the-book" and almost every CPR looks like a demo video :) in the hospital, and i think that this is the MOH requirments: all RNs must pass BLS exam written ad practical every 2 years. all CCRNs and MDs are required for ACLS every 2 years. besides that, i have never seen code training combining RN/MDs together. i want to start common drills on a weekly basis, and i've benn watching many codes of american in-hospitals departments on youtube in order to learn how it goes... so...how CPR goes in your ICU? how often you practice? you practice RN only or with MDs? do you have your smart manikin in the unit or u get practice day? do you detailed protocol saying what is every nurse's role? please be detailed. TX.