{"id":231,"date":"2024-10-30T19:14:39","date_gmt":"2024-10-30T19:14:39","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=231"},"modified":"2024-10-31T19:21:03","modified_gmt":"2024-10-31T19:21:03","slug":"comparison-between-rn-and-md-led-resuscitation-adherence-to-aha-cardiac-arrest-guidelines-abstract","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/comparison-between-rn-and-md-led-resuscitation-adherence-to-aha-cardiac-arrest-guidelines-abstract\/","title":{"rendered":"Comparison Between RN and MD Led Resuscitation: Adherence to AHA Cardiac Arrest Guidelines – Abstract"},"content":{"rendered":"

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Primary Author:<\/td>\nLeonid Bunegin, BS<\/td>\n<\/tr>\n
Co-Principal Investigators\/Collaborators:<\/td>\nPaul Cash, BS, LP, Lee Williams, MD, FAAEM<\/td>\n<\/tr>\n
Organization<\/td>\nUT\u00a0Health Science Center San Antonio, Department of Anesthesiology<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/h2>\n

Abstract<\/h2>\n

Purpose<\/h3>\n

This study compares resuscitation of cardiac arrest by RN and MD led resuscitation teams during arrest scenarios on a High Fidelity Human Simulator.<\/p>\n

Background<\/h3>\n

Advanced cardiac life support (ACLS) trained RNs rarely lead resuscitation efforts during in hospital cardiac arrest. Generally, this responsibility is relegated to a physician.<\/p>\n

Materials & Methods<\/h3>\n

RNs and MDs completing an ACLS re-certification were evaluated. Participants (n=333) were formed into 9 member resuscitation teams with pre-assigned roles. RNs lead 11 teams, and MDs lead 26 teams. Teams were further divided into non-Human Simulation (nHS) trained (n=6 RN led, n=13 MD led) and HS trained (n=5 RN led, n=13 MD led). Each team was challenged by a ventricular fibrillation (V-fib) scenario on SimMan\u00ae as the first code of the day. After a didactic review, a practice session was held where 5 to 9 additional V-fib megacodes were presented. The percent adherence to American Heart Association (AHA) guidelines was compared for each group at each level of training.<\/p>\n

Results<\/h3>\n

Adherence to AHA pulseless guidelines was 26.4 % for RN and 25.6 % for MD led teams (NS) in the nHS training group, and 21.7 % for RN and 28.8 % for MD led teams (NS) for previously HS trained teams. After didactic review, adherence improved to 52.8% for RN and 42.3 % for MD led in nHS teams (NS) and 61.7% for RN and 54.2 % for MD in HS teams (NS). After practice an additional improvement was observed increasing to 63.9% for RN and 60.3% for MD led in nHS teams (NS). The greatest increase in adherence was observed in HS teams after practice; 65.0 % RN led teams and 73.1 % in the MD led teams (NS).<\/p>\n

Conclusion<\/h3>\n

This study supports the idea that the level of competence demonstrated by nurses suggests code team leadership headed by rapidly responding appropriately trained nurses would offer a benefit over awaiting physician arrival to assume the code team leader role in the hospital setting.<\/p>\n

\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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