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Learning from Successful Non-Acute Care Resuscitation Programs

HealthStream recently interviewed Donna Haynes, a nurse, clinical educator, and resuscitation coach at HealthStream, about the challenges of resuscitation in non-acute care settings and how organizations are striving to improve rates. You can listen to the full Second Opinions Podcast here.

Importance of High Quality Resuscitation in Hospice Environment

“High quality resuscitation is extremely important during end-of-life care,” Haynes says. “Often people assume that hospice is where people go when they’re ready to die, but that is not always the case.” Haynes explains that patients may have desires for certain interventions, and staff should be prepared to make every effort to sustain life for them. Additionally, patients may be there without a directive and staff is responsible to deliver CPR until a directive is developed or found. Haynes adds, “If a facility is going to be available to provide CPR, they should be able to do so at a level that would provide opportunity for the best outcomes.”

Successful Non-Acute Care Resuscitation Programs

In working as a resuscitation coach to a range of non-acute care facilities, Haynes has observed resuscitation programs that succeed and fail. “Once certain foundational items are in place, I typically see organizations move forward successfully with quality CPR training,” says Haynes. The successful programs share several common themes, including support from leadership, clear communication, resource replacement, and change management. Reflecting on her coaching experience, Haynes explains that many organizations aren’t sure how to initially navigate the pathway to success. “I’ve found that being committed over time and forming a group of individuals who are willing to share in planning leads to success.”

A Combination of Online and Hands-on Learning

Haynes reports that successful programs have both online and hands-on skills components. “Online learning allows the student to absorb the information at his or her own pace,” Haynes explains. “Utilizing manikins for the hands-on training portion allows students to receive objective feedback and really hone in on what quality CPR is. Additionally, having mock codes quarterly or twice a year brings all of the information and skills together, allowing providers to have frequent opportunities to review the skills needed to effectively respond in a code situation.” Haynes emphasizes that repetition and familiarity with CPR skills, tools, and crash carts are what maintains the confidence of staff to respond to a code.

When asked what advice she has for organizations seeking to improve their programs, Haynes responds, “Ensure that staff are trained to perform quality CPR because it really does improve outcomes. I think improvement and survival are associated with providing quality CPR on a consistent basis, and non-acute healthcare settings are embracing this as the need to improve outcomes and quality of care initiatives grows.”

Learn more about HealthStream’s solutions for resuscitation training.

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