TOWARDS SUSTAINABLE

COMMITMENT TO SAVE LIVES

THE AHA CPR AND ECC GUIDELINES

OUR SESSION WILL START SHORTLY…

[MUTE YOUR MICROPHONES, VIDEO ON & CHANGE YOUR HANDLE WITH YOUR OFFICIAL NAME]

UNIT LEARNING OUTCOMEs:

Describe the assessment priorities
in a critically-ill patient based on
the client’s clinical status.
TOWARDS SUSTAINABLE
COMMITMENT TO SAVE LIVES Describe Critical Care Nursing and cite the
characteristics and responsibilities of the
nurse

Identify the role of critical care nurses in

multidisciplinary teams

Enumerate the phases of the critical

THE AHA CPR AND ECC GUIDELINES assessment process

Understand the international standards in

critical care and emergency assessment

 ORANGE COUNTY CONVENTION CENTER

ORLANDO, FLORIDA

MY SERENDIPITOUS CRITICAL CARE

NURSING
OCTOBER NOVEMBER NOVEMBER
2011 2013 2015
JOURNEY WITH AHA
 CRITICAL CARE TOPIC 1 TOPIC 2 TOPIC 3 CRITICAL CARE TOPIC 1 TOPIC 2 TOPIC 3

NURSING DEFINITIONS CHARACTERISTICS RESPONSIBILITIES NURSING DEFINITIONS CHARACTERISTICS RESPONSIBILITIES

Critical care nurses need to ACT

Critical Care Nursing is the delivery of specialised

care to critically ill clients
A aDVOCATE
person who works on other person’s behalf

C complex
Critical care nurses are responsible for making
sure that critically ill patients and members of RITICAL THINKER
their families receive close attention and the best blend of outstanding qualities
care possible.
TEAM PLAYER
collaborate with other members

CRITICAL CARE TOPIC 1 TOPIC 2 TOPIC 3

MULTIDISCIPLINARYTEAMS
NURSING DEFINITIONS CHARACTERISTICS RESPONSIBILITIES critical care nurses often collaborate with multidisciplinary
teams to meet the diverse needs of individual patients

ASSESSMENT
PATIENT-CARE TECHNICIAN
WOUND-OSTOMY- Direct patient care: bathes the
CONTINENCE NURSE patient, vital signs and OCCUPATIONAL THERAPIST
constant assessment of patient and equipment skin integrity, bowel and bladder transportation assess activities of daily living

PLANNING
OCCUPATIONAL THERAPIST PHYSICAL THERAPIST
assess activities of daily living Mobility and functional ability

considerations: physiological and psychological

I IMPLEMENTATION
interventions to existing and potential problems

EVALUATION
patient’s response to intervention
THE DOCTOR
cardiologist, neurologist,
pulmonologist
CRITICAL CARE NURSE
 RAPIDRESPONSETEAM
The use of RRTs was identi ed as an evidence-based, lifesaving
strategy that would improve patient outcomes by preventing
avoidable patient deaths outside the critical care areas.

DOCTOR CRITICAL CARE

NURSE
RESPIRATORY CRITICAL ASSESSMENT
PROCESS
THERAPIST

PHASE 1 PHASE 2 PHASE 3 PHASE 4 PHASE 1 PHASE 2 PHASE 3 PHASE 4

CRITICAL CRITICAL
ASSESSMENT PRE-ARRIVAL ADMISSION QC COMPRE AD ONGOING ASSESSMENT PRE-ARRIVAL ADMISSION QC COMPRE AD ONGOING

CRITICAL [client]

ASSESSMENT PROCESS patieNT

environmeNT [hospital equipment]

PHASE 1

PRE-ARRIVAL
PHASE 2

ADMISSION QUICK
PHASE 3

COMPRE
PHASE 4

ONGOING
F R C
FLUID RESPI CARDIO
CHECK ADMISSION
IV Pole Suction machine ECG, electrodes
IV Fluids Catheters Sphygmo
begins when starts upon arrival of the in-depth assessment of abbreviated version of
Infusion pump Bag valve De brillator
information is received patient the patient’s systems compre admission
Syringe pump Oxygen AED
Pulse oxymeter
Ventilator
fi

fi
 PHASE 1 PHASE 2 PHASE 3 PHASE 4
CRITICAL
ASSESSMENT PRE-ARRIVAL ADMISSION QC COMPRE AD ONGOING

A B C D E
AIRWAY BREATHING CIRCULATION DRUGS EQUIPMENT

C. PERFUSION DIAGNOSTICS

C. COMPLAINT

CRITICAL
PHASE 1 PHASE 2 PHASE 3 PHASE 4
THE 2015 AHA GUIDELINES
ASSESSMENT PRE-ARRIVAL ADMISSION QC COMPRE AD ONGOING evaluation process involved
250 evidence reviewers
from 39 countries
THE 2015 AHA GUIDELINES
is only an UPDATE
P S P S P A
PAST MED HX SOCIAL HX PSYCHOLOGICAL SPIRITUAL PHYSICAL ASSESSMENT

CRITICAL CARE NURSING ASSEMENT FORM

OUR SESSION CHAINSOFSURVIVAL
FRAMEWORK/FOCUS
HIGHLIGHTS, REGIONALISATION OF CARE

BASIC LIFE SUPPORT ADVANCED CARDIAC LIFE SUPPORT

LAY RESCUER VS. HCP DRUGS

COMPRESSIONS DRUG THERAPY
ANCILLARY DEVICES FOR CPR DIAGNOSTICS

POST-CARDIAC ARREST CARE CPR AND ECC EDUCATION

CORONARY ANGIOGRAPHY FEEDBACK DEVICES
TEMPERATURE MANAGEMENT AEDS
ACUTE CORONARY SYNDROMES TRAINING AND LEARNING

AMERICAN HEART ASSOCIATION SURVEY 1

STANDARDS BASIC LIFE SUPPORT

CHECK “HEY HEY, ARE RB:

RESPONSIVENESS YOU OK?” [CHECK 1:5-6s
BREATHING]

AHA UPDATE: ACTIVATE

EMERGENCY
“ACTIVATE ER
RESPONSE, GRAB
BASIC LIFE SUPPORT RESPONSE AED”

[CHECK PULSE]
CIRCULATION [HANDS ONLY
CPR]

DEFIBRILLATION USE OF AED