HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 14-7
Emergency: Cardiopulmonary Resuscitation (CPR) Adult __RN __HHA
n. After giving two full breaths of the last cycle,
look, listen, and feel to determine whether
spontaneous breathing has returned.
o. Check for a carotid pulse.
p. If breathing and pulse are still absent, resume
single rescuer CPR of 15 compressions,
alternating with two ventilations.
Note: Stop and check for return of spontaneous
breathing and pulse every 4 to 5 minutes.
q. If a second person trained in CPR becomes
available for CPR, that person can relieve the
first rescuer.
(1) Second rescuer assumes position for
compressions.
(2) Initial rescuer moves to the head and
opens airway; checks carotid pulse.
2. Two Rescuer CPR by Health Professionals:
a. Second rescuer identifies him/herself as "I know
CPR, have you called for help"? If first rescuer
has not called for help, second rescuer will
activate the Emergency Medical System (EMS).
b. Second rescuer to position him/herself on
opposite side of victim as first rescuer, and
begin compressions.
c. First rescuer to give one full breath after every
fifth compression.
d. Second rescuer maintains compression rate at
80 per minute, counting loudly, "one and
two...five." After 5th compression, rescuer one
pauses to allow rescuer two to give full breath.
Rescuer one waits for chest to rise and fall
before resuming compressions. (Ratio 5:1)
e. Two Rescuer Change of Position:
(1) Rescuer performing compressions initiates
switching of positions by stating
"change...and two and three and four and
five."
(2) Rescuer giving breaths ventilates after the
5th compression, then moves to the chest,
finding correct hand position.
(3) Rescuer at chest moves to head, and
checks pulse for 5 seconds. If no pulse,
rescuer gives a breath and tells other
rescuer to continue CPR.
(4) Continue this sequence.
AFTER CARE:
1. Document in patient's record:
a. Incident, include date and time.
b. Treatment provided, include duration.
c. Patient's response to treatment.
d. Notification of emergency medical personnel
and physician.
e. Discussion with nursing supervisor.
2. Complete written incident report and submit to nursing
supervisor within 72 hrs.
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