Pediatric CPR Training: Empowering Families to Make a Difference

Departments4PICU4PEDSPediatric Critical CareRespiratory CareChild AdvocacyNursing Education

Opportunity Bystander CPR improves outcomes in pediatric arrests. For children, bystanders are likely to be home caregivers. Home caregivers need training in basic life support The inpatient stay provides motivation and opportunity for

caregivers to learn CPR.

Goal: The pediatric inpatient team will provide training in “CPR for Family and Friends” for the families of pediatric patients hospitalized more than 48 hrs.

American Heart Association. CPR for Family and Friends. Dallas, TX: American Heart Association 2000-2002

BackgroundPediatric Cardiopulmonary Arrest Most out of hospital arrests occur at home Survival

13% overall 26% if bystander CPR initiated

Only factor shown to improve survival and outcome Lay CPR occurs in 26% of arrests

Young KD, Seidel JS. Pediatric cardiopulmonary resuscitation: a collective review. Ann Emergency Med Feb 1999;33:195-205.

American Academy of Pediatrics Recommendations Pediatricians should promote parent training Families of high risk children targeted Pediatric providers should lead by example

Receive training Teach basic life support courses

Pyles LA, Knapp J, and the Committee on Pediatric Emergency Medicine. Role of pediatricians in advocating life support training courses for parents and the public. Pediatrics 2004; 114:761-765.

Methods

First Steps Nursing and Respiratory Therapy staff trained as

BLS instructors Classes offered weekly to all interested families

with emphasis on critical care patients Class available in English or Spanish Class held on the pediatric unit

Promoting AwarenessFamilies In-hospital radio/TV on Radio

ECHO channel Signs in community areas i.e.

waiting rooms Caregiver CPR certification

assessed on admission – part of admission database

CPR buttons Appointment reminder cards

Staff Resident/faculty education

Physicians promote course during daily encounters with family

Classes are offered to meet the scheduling needs of the families

New equipment obtained thru a grant from the Ronald McDonald Foundation

Promoted at unit CPR marathon Included in discharge planning

Caregivers Trained at RMCH

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10

20

30

40

50

60

Feb 05 Mar 05 Apr 05 May 05 Jun 05 Jul 05 Aug 05 Sept 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06

PCCU admits>48hrs

caregivers taught

Information posted in family lounge

MDs encouraging families

Nursing inservice

Admission questionnaire

Results of Caregiver Survey All patient families surveyed on admission

Sept 05-Feb 06 166 surveys completed 185 caregivers identified

38% with prior CPR training 52% interested in new or repeat training

73% of these have completed a class 85 caregivers trained

Caregivers Trained in CPR

0%

20%

40%

60%

80%

100%

120%

140%

160%

180%

Sept 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06

% o

f el

igib

le c

areg

iver

s

% PCCU eligible caregivers trained

% with prior CPR training

goal = 60%

*

* due to open schedule, may include families from prior months

Feedback Comments

“very helpful” “I have a little more confidence” “…it made me feel safe..” “I recently had to perform CPR…now I’ll know exactly

what to do…I feel much more safe.” “I understood, practiced and even had fun”

One Year Follow Up One parent has used choking rescue skills

Next Steps Continued family follow up with yearly surveys Improve scheduling

Adding scheduled classes Expand instructor pool

Residents Medical students

Collect data from pediatric ward Offer classes through other pediatric areas

Outpatient Center

Project TeamDepartments 4PICU 4PEDS Pediatric Critical Care Respiratory Care Child Advocacy Nursing Education

Instructor Team

Patricia Bradley RRT Josey Cavazos RN Carol Ciukaj RN Paulette Ciukaj RN Debbie Erickson RN Mary Beth Flynn RN Nicole Janik RN Pamela Litchford RN Bridget Majdecki RN Michelle Tracy RN Wayne White RRT Sonja Winkler RN