Use Automated External Defibrillator (AED) if available
10
Clear chest for AED pad placement
11
Follow AED voice prompts
12
Deliver shock if AED indicates
13
Continue with CPR cycle of compressions and breaths post-shock delivery
14
Observe for signs of life or paramedic arrival
15
Approval: Post-CPR procedure check
16
Record all actions taken
17
Clean and disinfect AED and CPR equipment
18
Report to medical staff on patient's status and actions taken
19
Duty handover to medical staff
20
Approval: Duty handover check
Check the environment for safety
Before starting any CPR procedure, it is crucial to assess the safety of the environment. This task involves checking for potential hazards that may pose risks to both the patient and the rescuer. By ensuring a safe environment, the chances of successful resuscitation are increased. The desired result is to identify and mitigate any safety concerns. Are there any potential dangers in the surroundings? How can you remove or minimize those risks?
1
Slippery floor
2
Obstructed area
3
Exposed wires
4
Presence of water
5
Lack of space
Check responsiveness of the patient
Determining the patient's responsiveness is a crucial step in initiating CPR. This task involves assessing whether the patient is conscious or unconscious. By checking responsiveness, you can gauge the severity of the situation and promptly initiate the necessary steps. Are there any signs of responsiveness? How should you respond accordingly?
1
Patient is conscious and responsive
2
Patient is unconscious but breathing
3
Patient is unconscious and not breathing
4
Uncertain
Call for help or instruct someone to do so
In a CPR situation, time is of the essence. This task involves promptly calling for help or instructing someone else to do so. By involving additional resources, the chances of a successful resuscitation increase significantly. Can you call for help? Whom can you assign to call for help?
Confirm breathing status
Assessing the patient's breathing status is crucial in determining the need for CPR. This task involves identifying if the patient is breathing normally or not breathing at all. By confirming the breathing status, you can determine the appropriate course of action. What are the signs of normal breathing? What should you do if the patient is not breathing or has abnormal breathing?
1
Normal breathing
2
Not breathing
3
Abnormal breathing (gasping)
Begin chest compressions
Initiating chest compressions is a vital step in CPR. This task involves applying pressure to the patient's chest to circulate blood manually. By performing chest compressions, you support vital organ function until advanced medical help arrives. How should you position your hands for chest compressions? What is the correct compression technique?
1
Interlock fingers
2
Position hands in the center of the chest
3
Push hard and fast
4
Allow for full chest recoil
5
Compression depth: 2 inches
Open airway using head tilt-chin lift method
Maintaining an open airway is crucial during CPR. This task involves using the head tilt-chin lift method to ensure a clear passage of air into the patient's lungs. By opening the airway, you facilitate effective ventilation. How should you position the patient's head? What are the steps for head tilt-chin lift?
1
Place one hand on the forehead
2
Gently tilt the head back
3
Lift the chin forward
Give two rescue breaths
Providing rescue breaths is an essential part of CPR. This task involves delivering two breaths into the patient's airway to supply oxygen. By providing rescue breaths, you assist with oxygenation and circulation. What are the steps for rescue breaths? What should you observe during the process?
1
Seal your mouth over the patient's mouth
2
Deliver each breath over 1 second
3
Observe for chest rise
Continue with compressions and breaths
Maintaining a cycle of compressions and breaths is crucial to sustaining circulation during CPR. This task involves continuously alternating between chest compressions and rescue breaths. By continuing with this cycle, you maximize blood flow and improve the chances of resuscitation. How frequently should you alternate between compressions and breaths?
1
30 compressions : 2 breaths
2
15 compressions : 2 breaths
3
10 compressions : 1 breath
4
5 compressions : 1 breath
Use Automated External Defibrillator (AED) if available
When an AED is accessible, it can significantly improve the chances of survival. This task involves using an AED to deliver electrical shocks if necessary. By utilizing an AED, you can restore the heart's normal rhythm. Is an AED available? How can you ensure its proper usage?
1
AED is available
2
AED is not available
3
Uncertain
Clear chest for AED pad placement
Ensuring a clear chest for AED pad placement is crucial to the effective use of the device. This task involves removing any clothing or obstructions from the patient's chest to allow for proper AED pad placement. By clearing the chest, you enable optimal contact and conduction. How should you prepare the chest for AED pad placement?
1
Remove clothing
2
Wipe the chest dry
3
Ensure no jewelry or metal is present
Follow AED voice prompts
When using an AED, following its voice prompts is essential. This task involves carefully listening to and following the instructions provided by the AED device. By following the voice prompts, you ensure accurate and timely actions. How should you respond to the AED's voice prompts? What actions may the AED instruct you to take?
1
Clear the area
2
Do not touch the patient
3
Analyze heart rhythm
4
Deliver shock if advised
Deliver shock if AED indicates
When the AED indicates the need for a shock, prompt delivery is critical. This task involves delivering a shock to the patient's heart as instructed by the AED. By delivering the shock, you aim to restore the heart's normal rhythm. What should you do if the AED advises delivering a shock?
Continue with CPR cycle of compressions and breaths post-shock delivery
Resuming the cycle of compressions and breaths after delivering a shock is essential to maintain circulation. This task involves immediately continuing chest compressions and rescue breaths after a shock has been delivered using the AED. By continuing the CPR cycle, you maximize the chances of successful resuscitation. How should you transition back into the CPR cycle after shock delivery?
1
Resume compressions immediately
2
Continue alternating compressions and breaths
3
Maintain correct hand positioning
Observe for signs of life or paramedic arrival
Observing for signs of life or the arrival of paramedics is an important step in the resuscitation process. This task involves carefully monitoring the patient's response and checking for any signs of life. By observing for signs of life or paramedic arrival, you can assess the progress of resuscitation efforts. What signs indicate a return of spontaneous circulation? What should you do if paramedics arrive?
1
Return of breathing
2
Return of pulse
3
Paramedics arrive
4
No signs observed
Approval: Post-CPR procedure check
Will be submitted for approval:
Continue with CPR cycle of compressions and breaths post-shock delivery
Will be submitted
Record all actions taken
Accurate and thorough documentation of all actions taken during CPR is essential for proper medical records. This task involves recording each step and intervention performed during the resuscitation process. By recording all actions, you provide vital information to medical professionals. What details should be included in the record? How can you ensure accurate documentation?
Clean and disinfect AED and CPR equipment
Maintaining proper hygiene of the AED and CPR equipment is crucial for infection control. This task involves cleaning and disinfecting the AED and any used CPR equipment after the resuscitation process. By cleaning and disinfecting, you prevent the spread of infectious diseases. What cleaning agents should be used? How should the equipment be disinfected?
Report to medical staff on patient's status and actions taken
Providing a report to the medical staff is essential for continuity of care. This task involves communicating the patient's status and all actions taken during the resuscitation efforts. By reporting to the medical staff, you ensure proper documentation and facilitate the transition of care. How should you convey the information effectively to the medical staff?
Duty handover to medical staff
Handing over the duty to the medical staff is the final step in the CPR process. This task involves formally transferring the patient's care to the medical team upon their arrival. By completing the duty handover, you ensure the continuation of proper medical management. How should you hand over the duty effectively?
Approval: Duty handover check
Will be submitted for approval:
Report to medical staff on patient's status and actions taken