1. Pediatric CPR Training: Empowering Families to Make a Difference Departments 4PICU 4PEDS Pediatric Critical Care Respiratory Care Child Advocacy Nursing Education

2. 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

3. Background Pediatric 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.

4. 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

5. Promoting Awareness Families  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

6. Information posted in family lounge MDs encouraging families Nursing inservice Admission questionnaire

7. 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

9. 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

10. 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

11. Project Team Departments  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