we just completed a super mini- impromptu mock code
here at BPC (Pla, Andrea and myself). I caught them completely
off guard and they were great sports :-) Here's kind of how it went:
"folks we're going to be trying to do little emergency preparedness"
response: "what's that mean?"
Like if someone collapsed, unconscious, cardiac arrest...
the goal today is not high tech ACLS but to know what resources we have, where they are and who's gonna do what
so we the three of us, reviewed where "crash box" was, where' the ambu bag, 02,saline, IV stuff, pocket mask, AED.
I said if we started with just the 3 of us who would do what? (rhetorically)
1) clinician would probably be running it so I was pretending I was talking to the
the patient (a face and heart drawn on the paper on the exam table).pt was
determined to be unresponsive..
2) now that we've established pt is down, no pulse, not breathing, Pla today was the designated person to call 911 and grab the triage nurse and IV stand (there's saline and tubing in the crash kit) AFTER she grabbed the AED and the crash box - andrea was with me at pt's side..
after ambu bag pulled from crash box
....since pt was unconscious Pla left to call 911 and get
those other things...cpr initiated
3) Andrea was in charge of Airway
4) Pla started the AED while I did compressions and Andrea controlled airway
some neat questions arose right away - small amount of confusion around compression ratios, breathing ratios, to how much of the equipment can we open (e.g. the paddles are a little different on the AED) without making them obsolete had to look at the paddles a little long to get familiar with them -- (maybe we can have an open one at both sites to see how these are applied)
we reviewed the 30:2 compression to breathing ratio for adults
15:2 for children and infants
5 cycles of 30:2 (or approximately 2 minutes of cpr)
So things I see that people need to hold in hand (and i'll put this together)
are a paper or guide of the BLS protocol (very simple)
maybe a diagram of the ABC's, designating people that given day who's going to do what
What I'm picturing: getting clinicians comfortable with initiating and running the
mock code, slowly phasing up the "acuity": start by just getting folks
comfortable with places and resources, on up to....
Goal: all staff feeling comfortable with tasks surrounding a code, at any position
and knowing / feeling comfortable with BLS until the ambulance gets here.
I know some of that's a little vague but I see how this could be simple, un-intimidating,and gratifying for people knowing there's simple straight forward steps for each person / in each role.
any thoughts at this point Corinna? Like you have nothing else going on. :-)