Abstract
Poster presentation
Session I presented Wednesday, October 2, 10:00-11:00 am
Purpose: In 2015, there was an average of 6 "Code Blue" cardiac arrests per month. In 2016, there were 5 and in 2017, there were 3. Due to the successful RRT program, we have seen a decrease of in-patient cardiac arrests. This is the intended goal, but there was a negative unintended goal : the decrease in exposure/ hands-on experience in caring for patients in cardiac arrest by the clinician. Under the Code Blue Committee, there was a new “mock code blue†education program initiated. Monthly mock code blue scenarios were initiated on all clinical units during all shifts. , Through this, we witnessed a lack of competent BLS cardiac arrest skills in the first few minutes of the code. Clinical staff need more hands-on cardiac arrest care training hospital wide. BLS certification with a computer module appears to be insufficient training for teaching effective CPR, defibrillation, teamwork and communication. A new program: “First 5 Minutes†was developed. The mission is to build a team of CPR nurse champions for each unit, that can provide more consistent and frequent “First 5 Minute†hands on CPR training and mock codes for staff.
Design: Performance Improvement.
Setting: Suburban Community Hospital, Level 3 trauma center, STEMI receiving facility, stroke certified.
Participants/Subjects: All nurses in the facility participated in this project. Project champions volunteered.
Methods: Developed the program by taking a pre-survey about the nurses comfort level of running a code in the first five minutes before the code team arrived. We evaluated the 1st 5 minutes of a mock code. We wrote a business case to secure funding. We developed a budget (hours for the development of a curriculum, equipment and staffing hours).
Results/Outcomes: Data will be available at poster presentation time.
Implications: . A quote:" Last week we ran our 1st First 5 mock code blue on SUA. This is the second First 5 mock I have been present for on our unit and I am beyond impressed by the program and the positive response I am getting from the SUA staff. They are excited and engaged and interested and asking questions that they normally wouldn’t for fear of feeling embarrassed for not knowing. The learning environment Bridget has created to teach the importance of focused care, communication and CPR in the first 5 minutes is open and free of judgment and the staff are becoming so much more confident in practicing these skills. I can feel this program building energy and excitement amongst our staff. They’re asking for it to be done on a regular basis and they are happy to do it as many times as they are given the opportunity because it is making them better, more confident nurses.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Cardiopulmonary, Resuscitation, Improvement
Recommended Citation
Tracy, Michelle, "One emergency department's throughput collaborative journey" (2020). General Submissions: Presenations (Oral and Poster). 111.
https://www.sigmarepository.org/gen_sub_presentations/2019/posters/111
Conference Name
Emergency Nursing 2019
Conference Host
Emergency Nurses Association
Conference Location
Austin, Texas, USA
Conference Year
2019
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
One emergency department's throughput collaborative journey
Austin, Texas, USA
Poster presentation
Session I presented Wednesday, October 2, 10:00-11:00 am
Purpose: In 2015, there was an average of 6 "Code Blue" cardiac arrests per month. In 2016, there were 5 and in 2017, there were 3. Due to the successful RRT program, we have seen a decrease of in-patient cardiac arrests. This is the intended goal, but there was a negative unintended goal : the decrease in exposure/ hands-on experience in caring for patients in cardiac arrest by the clinician. Under the Code Blue Committee, there was a new “mock code blue†education program initiated. Monthly mock code blue scenarios were initiated on all clinical units during all shifts. , Through this, we witnessed a lack of competent BLS cardiac arrest skills in the first few minutes of the code. Clinical staff need more hands-on cardiac arrest care training hospital wide. BLS certification with a computer module appears to be insufficient training for teaching effective CPR, defibrillation, teamwork and communication. A new program: “First 5 Minutes†was developed. The mission is to build a team of CPR nurse champions for each unit, that can provide more consistent and frequent “First 5 Minute†hands on CPR training and mock codes for staff.
Design: Performance Improvement.
Setting: Suburban Community Hospital, Level 3 trauma center, STEMI receiving facility, stroke certified.
Participants/Subjects: All nurses in the facility participated in this project. Project champions volunteered.
Methods: Developed the program by taking a pre-survey about the nurses comfort level of running a code in the first five minutes before the code team arrived. We evaluated the 1st 5 minutes of a mock code. We wrote a business case to secure funding. We developed a budget (hours for the development of a curriculum, equipment and staffing hours).
Results/Outcomes: Data will be available at poster presentation time.
Implications: . A quote:" Last week we ran our 1st First 5 mock code blue on SUA. This is the second First 5 mock I have been present for on our unit and I am beyond impressed by the program and the positive response I am getting from the SUA staff. They are excited and engaged and interested and asking questions that they normally wouldn’t for fear of feeling embarrassed for not knowing. The learning environment Bridget has created to teach the importance of focused care, communication and CPR in the first 5 minutes is open and free of judgment and the staff are becoming so much more confident in practicing these skills. I can feel this program building energy and excitement amongst our staff. They’re asking for it to be done on a regular basis and they are happy to do it as many times as they are given the opportunity because it is making them better, more confident nurses.