Abstract
Poster presentation
Session A presented Monday, September 30, 10:00-11:00 am
Purpose: The survival rate of an individual who experiences a cardiac arrest outside of the hospital is less than ten percent. When given compressions, that individual’s rate of survival doubles or even triples. However, compressions are physically and mentally exhausting for the compressor. Manual compression devices (MCD) are used in pre-hospital transport by Emergency Medical Services (EMS). MCDs provide mechanical compressions, allowing resources to be better allocated to reduce fatigue on the EMS personnel while en route to the hospital. There is a body of literature to support using MCDs in pre-hospital transport, but it was not known how MCDs could benefit patients during a cardiac arrest in the hospital. This study aimed to evaluate the quality of mechanical chest compressions provided by a Mechanical Compression Device (MCD) compared with manual chest compressions performed by Emergency Department (ED) personnel during an adult cardiac arrest simulation.
Design: This study design was a one group pretest post-test.
Setting: This study took place at a suburban teaching hospital in their simulation laboratory over a two-month time frame.
Participants/Subjects: A convenience sample of 60 emergency department personnel over the age of 18 was used. Participants included Registered Nurses, Paramedics, ED techs and Respiratory Therapist who have completed a minimum of BLS. They were recruited over a one month period and were consented by a bedside RN, Jessica Dayton to participate. Participation in the study was voluntary and not related to assessment of workplace performance. Confidentiality of participants was protected for all phases using a coding system on all instruments used in data collections.
Methods: Participants were asked to fill out a self-reported survey to indicate demographic data including job title, age, years of BLS certification and ACLS certification if applicable, race, gender and approximate number of codes participated in. Study participants were divided into teams of three to five and performed BLS and ACLS skills during paired 10 minute cardiac arrest scenarios using a high-fidelity manikin. Each group ran one scenario with the MCD and one without in random order. Group data, in the form of a Total Simulation Score (TSS) and its individual components, was obtained from a report generated by the high-fidelity mannequin. Subjective data was also collected from the from the study participants during debriefing. The dependent variable was the TSS score and its individual components. The independent variables were the manual compressions and the MCD.
Results/Outcomes: No statistical differences was found between group’s TSS, compression score, mean compression depth, percentage of full chest recoil or hands-off time (P > 0.05). Staff group was found to have a higher average rate of compressions than MCD group (112.3, 103.5, P=0.002). Staff group had a higher percentage of correct anatomical hand positioning than MCD (17.9, 4.1, P=0.026).
Implications: MCD could be beneficial during cardiac resuscitation by allowing nurses to be reallocated for other use. Feedback provided by the study participants showed that the simulations using the MCD were more organized, used less human resources, and increased the ability for closed-loop communication.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Emergency Nursing, Cardiac Arrest Simulation, Manual Compression Device
Recommended Citation
Barno, Sarah K.; Fox, Hillary B.; and Dayton, Jessica, "Using a mechanical compression device to advance nursing practice" (2020). General Submissions: Presenations (Oral and Poster). 125.
https://www.sigmarepository.org/gen_sub_presentations/2019/posters/125
Conference Name
Emergency Nursing 2019
Conference Host
Emergency Nurses Association
Conference Location
Austin, Texas, USA
Conference Year
2019
Rights Holder
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Using a mechanical compression device to advance nursing practice
Austin, Texas, USA
Poster presentation
Session A presented Monday, September 30, 10:00-11:00 am
Purpose: The survival rate of an individual who experiences a cardiac arrest outside of the hospital is less than ten percent. When given compressions, that individual’s rate of survival doubles or even triples. However, compressions are physically and mentally exhausting for the compressor. Manual compression devices (MCD) are used in pre-hospital transport by Emergency Medical Services (EMS). MCDs provide mechanical compressions, allowing resources to be better allocated to reduce fatigue on the EMS personnel while en route to the hospital. There is a body of literature to support using MCDs in pre-hospital transport, but it was not known how MCDs could benefit patients during a cardiac arrest in the hospital. This study aimed to evaluate the quality of mechanical chest compressions provided by a Mechanical Compression Device (MCD) compared with manual chest compressions performed by Emergency Department (ED) personnel during an adult cardiac arrest simulation.
Design: This study design was a one group pretest post-test.
Setting: This study took place at a suburban teaching hospital in their simulation laboratory over a two-month time frame.
Participants/Subjects: A convenience sample of 60 emergency department personnel over the age of 18 was used. Participants included Registered Nurses, Paramedics, ED techs and Respiratory Therapist who have completed a minimum of BLS. They were recruited over a one month period and were consented by a bedside RN, Jessica Dayton to participate. Participation in the study was voluntary and not related to assessment of workplace performance. Confidentiality of participants was protected for all phases using a coding system on all instruments used in data collections.
Methods: Participants were asked to fill out a self-reported survey to indicate demographic data including job title, age, years of BLS certification and ACLS certification if applicable, race, gender and approximate number of codes participated in. Study participants were divided into teams of three to five and performed BLS and ACLS skills during paired 10 minute cardiac arrest scenarios using a high-fidelity manikin. Each group ran one scenario with the MCD and one without in random order. Group data, in the form of a Total Simulation Score (TSS) and its individual components, was obtained from a report generated by the high-fidelity mannequin. Subjective data was also collected from the from the study participants during debriefing. The dependent variable was the TSS score and its individual components. The independent variables were the manual compressions and the MCD.
Results/Outcomes: No statistical differences was found between group’s TSS, compression score, mean compression depth, percentage of full chest recoil or hands-off time (P > 0.05). Staff group was found to have a higher average rate of compressions than MCD group (112.3, 103.5, P=0.002). Staff group had a higher percentage of correct anatomical hand positioning than MCD (17.9, 4.1, P=0.026).
Implications: MCD could be beneficial during cardiac resuscitation by allowing nurses to be reallocated for other use. Feedback provided by the study participants showed that the simulations using the MCD were more organized, used less human resources, and increased the ability for closed-loop communication.