Unit Facilitator(s) Rater Timer

Transcription

1 The First 5 minutes Adult Mock Code Observation / Critique Unit Facilitator(s) Rater Timer Date Time on Unit Time off Unit DNE Present Name Mannequin Start stopwatch when mannequin becomes unresponsive. Indicate the performance of the following actions. Offer critique and coaching during post session de-brief. Offer prompts only if staff unable to progress. When finished, check Code Cart and equipment before returning it to unit location. Time Correct Critical Actions Incorrect Critical Actions Comments 1. Obtain history/report, if available No history/report obtained Assess Assess ABCs-primary & secondary assessment Only partial assessment of ABCs patient/establish Assess vital signs No vital signs assessed patient stability Determine instability Does not recognize instability Uses Vocera to call for help Leaves patient to get help or supplies 2. Uses call outs for help Does not use established methods for emergency Call for help/get Uses emergency light (pull cord out) for help notification assistance Pushes Code button (if available) Delegates staff for help No delegation for assistance/supplies 3. When mannequin becomes pulseless Staff establish Not done 30 seconds unresponsiveness > 30 seconds Call Code 2 to Identifies adult or peds Does not identify adult or peds During debrief ask 5. Operator/Operator repeats back Operator repeats back type of code, location/unit & room number( if in a room) Does not have closed loop communication with Operator staff what was said Patient in a flat and supine position Patient not in a flat and supine position Patient positioned/ Backboard placed prior to chest compressions Backboard not placed during mock code On floor 6. Backboard Backboard placed shortly after chest compressions started 7. Code status verified Done Not done Time to compressions 1 min Time to compressions >1 min No pause for BVM ventilation Pauses or starts CPR after airway device Compressions at rate at least 100/min Compression rate too slow 8. Chest compressions Compression 2 inches Inadequate compression depth started Compression hand positioning at the mid-nipple line on Hand positioning too high or low sternum Recoil No recoil Performs 2 min uninterrupted CPR unless defib is present Stops CPR before 2 min (any reason) Proper sequence (breathing, pulse check) Out of sequence, disorganized 9. CPR Organization ABC CAB

2 10. Respirations Bag valve mask/ facemask BVM to O 2 Time Correct Critical Actions Incorrect Critical Actions Comments Time to 1 st assisted ventilation 1 min Time to 1 st assisted ventilation > 1 min Head-chin tilt or jaw thrust Absence of head-chin tilt Mask positioned correctly Mask positioned incorrectly 1 person airway Adequate mask seal Inadequate mask seal Establishes chest rise Chest rise not established 2 person airway Full expansion of bag Bag partially expanded BVM attached to oxygen BVM bag not attached to oxygen Oxygen turned to 15 liters Oxygen not turned to 15 liters OPA or NPA used Mouth to mouth (no airway device used) Advanced airway present Advanced airway present 1 every 5-6 seconds (10-12 / minute) Asynchronous to compressions Ventilations too fast or too slow Ventilations synchronized with compressions cycle 11. Airway equipment Efficient use of airway equipment Challenges with use of airway equipment 12. Code Cart Arrival 13. Power on Defib machine 14. Pads placed Connect pads to Defibrillator Shock delivered Safely! 17. CPR resume 18. CPR cycle 19. SBAR report to Code 2 Team Leader 20. Scenario End 21. Debrief End Turn to AED mode Turn to monitor Leave on AED mode Turn to manual defibrillation Alternates between AED and manual defibrillator Proper placement Improperly placed No interruption in CPR CPR interrupted to place pads Proper pads (peds or adult) Wrong pads (peds or adult) No interruption in CPR CPR interrupted Efficient connection process Challenges with connection process Equipment properly working Equipment problems Visual All Clear check No visual All Clear Verbalize All Clear statement No verbal All Clear First shock 3 minutes First shock > 3 minutes CPR pause after shock 10 sec CPR pause after shock > 10 sec Pause before resuming compressions to allow for AED voice instructions Pause for pulse check after shock Cycle 30:2 Cycle other than 30:2 Two minutes uninterrupted compressions Interrupted compression cycle Rhythm check after two minutes of compressions CPR pause ten seconds or less CPR pause greater than ten seconds SBAR format report given Report not given in SBAR format Report not given Actions and Recommendations:

3 The First 5 minutes Adult Mock Code Observation / Critique Unit Facilitator(s) Date Total Time SDS Print names of those in attendance: Print Name and Title

4 References Ashcraft, J., Hazinski, M. F., Samson, R., & Schexnayder, S. (Eds). (2010) handbook of emergency cardiovascular care for healthcare providers. First American Heart Association Printing. Berg, R. A., Hemphill, R., Abella, B. S., Aufderheide, T. P., Cave, D. M., Hazinski, M. F., Swor, R. A. (2010). Part 5: adult basic life support: 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(suppl 3), Link, M. S., Atkins, D. L., Passman, R. S., Halperin, H. R., Samson, R. A., White, R. D., Kerber, R. E. (2010). Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(suppl 3),

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