ADVANCED CARDIOVASCULAR LIFE SUPPPORT ACLS INITIATION

Advanced Cardiovascular Life Suppport Acls Initiation-PDF Download

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Policies Procedures ACLS RNSP I D Number 1194, rural acute care must hold current ACLS Provider Certification or be supported by an RN that is currently. certified in ACLS, Code Team Leader Member of the Code Blue Team that is responsible for directing the members of the. code blue team in the resuscitation effort The Code Leader is most often a Physician who is certified in ACLS. Most Responsible Health Practitioner MRHP means the Health Practitioner who has the responsibility. and accountability for the specific treatment procedure s provided and prescribed to a patient and who is. authorized by the former Saskatoon Health Region SktnHR to perform the duties required to fulfill the. delivery of such a treatment procedure s within the scope of their practice. Registered Nurses RNs identified by the manager in targeted practice settings will be certified in the RN. Specialty Practice RN Clinical Protocol Health Condition in an Emergency ACLS including Cardiac Arrest. Bradycardia Tachycardia Immediate Post Cardiac Arrest Care Opioid Associated Life Threatening. Emergency Adult, 1 1 To ensure the immediate provision of Basic Life Support BLS and Advanced Cardiovascular Life. Support ACLS using recognized guidelines algorithms as per the Heart and Stroke Foundation of. Canada by certified RNs in targeted areas, 2 1 RNs certified in this RNSP will have successfully completed the following prior to providing care. 2 1 1 Certification in Cardiac ECG Monitoring and Rhythm Interpretation. 2 1 2 Current certification in BLS,2 1 3 Current certification in ACLS.
2 1 4 Review of the defibrillator that is used at your site is required biennially i e every two. years in the year that ACLS is not taken Refer to the defibrillator manual operator. instructions as needed, 2 2 A Code Blue will be initiated on all patients visitors and staff suffering a cardiac respiratory arrest. If the arrest is unwitnessed health care providers may use their discretion to call a code if the. unwitnessed period is clinically assessed to be brief exceptions are those patients who have an. advance care directive or resuscitation care plan directing otherwise see Resuscitation Policy. 7311 60 016 Nurses and other health care workers not trained in ACLS as well as members of. the public should initiate BLS as per HSF standards when indicated and call a Code Blue as. appropriate Rural hospitals utilize local processes to call the MRHP. Page 2 of 9,Policies Procedures ACLS RNSP I D Number 1194. 2 3 In the absence of an MRHP the most suitable RN certified in this RNSP will assume the role of code. team leader to manage patient care following current Heart and Stroke algorithms as identified by. this policy until the MRHP arrives The MRHP will then assume management of the code. NOTE When another team member arrives e g ACP the role of code team leader will be. reassessed and may be reassigned to the most suitable member of the health care team. The code team leader s role includes the following. 2 3 1 Ensuring provision of high quality BLS compressions and ventilation per HSF guidelines. 2 3 2 Ensuring adequate oxygenation and ventilation Refer to the following policies for more. information,Oxygen Administration 1115, Ventilation Assistance Manual Ventilation Device 1027. Airway Oropharyngeal Insertion Maintenance Suction Removal 1159. Airway Nasopharyngeal Insertion of Maintenance Suction Removal 1064. Laryngeal Tube Insertion Care of and Removal Adult 1193. 2 3 3 Establishing vascular access Refer to the following policies for more information. Intravenous and or Peripheral Saline Lock Insertion and Maintenance 1118. Intraosseous Access and Removal by Non Physician Health Care Providers 1185. Intraosseous Infusion Assisting with Insertion and Removal 1186. 2 3 4 Ordering appropriate medications fluid boluses and actions as outlined by Heart and Stroke. in the ACLS algorithms,2 3 4 1 Cardiac Arrest refer to Appendix A. 2 3 4 1 1 In the absence of an MRHP the RN may perform the following skills. independently,Manual defibrillation, Administration of epinephrine and amiodarone according to the ACLS.
2 3 4 2 Bradycardia refer to Appendix B, 2 3 4 2 1 In the absence of an MRHP the RN may perform the following skill with. consultation from MRHP, Initiation of transcutaneous pacing according to the ACLS algorithm for. highly unstable patients who have an imminent risk of impending. cardiac arrest,Page 3 of 9,Policies Procedures ACLS RNSP I D Number 1194. 2 3 4 3 Tachycardia refer to Appendix C, 2 3 4 3 1 In the absence of an MRHP the RN may perform the following skill. independently, Perform cardioversion per ACLS Guidelines Algorithms for highly.
unstable patients who have an imminent risk of impending cardiac. arrest where persistent tachyarrhythmia is causing. hypotension and or,acutely altered mental status and or. signs of shock and or,ischemic chest discomfort and or. acute heart failure, 2 3 4 4 Immediate Post Cardiac Arrest Care refer to Appendix D. 2 3 4 4 1 In the absence of an MRHP the RN may perform the following skill. independently, Initiation of fluid boluses to a maximum of 500 mL to treat. hypotension Additional fluids should only be administered with a. practitioner s order, 2 3 4 5 Opioid Associated Life Threatening Emergency Adult refer to Appendix E.
2 3 4 5 1 In the absence of an MRHP the RN may perform the following skill. independently, Administration of naloxone according to the ACLS algorithm. 3 REFERENCES, Algorithms Digital Images American Heart Association 2015 CPR ECC Guidelines Web Retrieved. August 9 2018 from https eccguidelines heart org index php circulation cpr ecc guidelines 2. Heart Stroke Foundation 2016 Advanced cardiovascular life support Provider manual 2015. Canadian Resuscitation and First Aid Guidelines Ottawa ON Heart Stroke Foundation. Heart and Stroke Foundation of Canada 2016 Instructor Resource for Resuscitation Programs in. Highlights of the 2015 American Heart Association Guidelines for CPR and ECC. Page 4 of 9,Policies Procedures ACLS RNSP I D Number 1194. Appendix A,Reprinted with permission, Web based Integrated 2010 2015 American Heart Association. Guidelines for CPR ECC Part 7 Adult ACLS,2015 American Heart Association Inc.
Page 5 of 9,Policies Procedures ACLS RNSP I D Number 1194. Appendix B,Reprinted with permission, Web based Integrated 2010 2015 American Heart Association. Guidelines for CPR ECC Part 7 Adult ACLS,2015 American Heart Association Inc. Page 6 of 9,Policies Procedures ACLS RNSP I D Number 1194. Appendix C,Reprinted with permission, Web based Integrated 2010 2015 American Heart Association.
Guidelines for CPR ECC Part 7 Adult ACLS,2015 American Heart Association Inc. Page 7 of 9,Policies Procedures ACLS RNSP I D Number 1194. Appendix D,Reprinted with permission, Web based Integrated 2010 2015 American Heart Association. Guidelines for CPR ECC Part 8 Post Cardiac Arrest Care. 2015 American Heart Association Inc,Page 8 of 9,Policies Procedures ACLS RNSP I D Number 1194. Appendix E,Reprinted with permission, Web based Integrated 2010 2015 American Heart Association.
Guidelines for CPR ECC Part 7 Special,Circumstances of Resuscitation. Advanced Cardiovascular Life Support certification through Heart and Stroke Foundation HSF of Canada ACP Advanced Care Paramedic BLS Basic Life Support certification through Heart and Stroke Foundation of Canada Refer to Cardiopulmonary Resuscitation Policy CPR for Basic Life Support 1123 Code Blue Sudden Cardio Respiratory arrest that requires immediate recognition and

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