Course Objectives
Upon completion of Part II, Postresuscitation Care and Ethical Considerations, the learner will be able to:
Verbalize three goals of postresuscitation care.
Verbalize measures to prevent recurrence.
Verbalize measures that may improve long-term, neurologically intact survival.
Verbalize the measures to establish a non hostile environment for the brain.
Verbalize four mechanisms that may improve postresuscitation care with hypothermia.
Verbalize four patient diagnosis that may benefit from postresuscitation care.
Verbalize the optimal time for initiating hypothermia for postresuscitation care.
Verbalize monitoring techniques for avoiding complications of postresuscitation care.
Verbalize four adverse effects of hypothermia in postresuscitation care.
Verbalize the ethical considerations and principles of postresuscitation care.
Verbalize reasons to terminate resuscitation efforts.
Verbalize four conditions that withdrawal of support would be appropriate.
Verbalize ways to provide emotional support to family members.
Verbalize criteria for implementing family presence during resuscitation.
The Author Looks in the Rearview Mirror
Jane.Carsrud.RN Jane Carsrud, RN began her nursing career in 1964!!! – Before CPR. Before ECG’s were interpreted by nurses. Before “Code Calls.†Jane recalls early in her nursing career people died quietly without chaos, without electricity, without pounding on patient’s chest. People died quietly – but they died. Today, some people live because of the things we do. Maybe more people will live if we do what we do – but do it better!!We’ve come a long way baby!! But the road has been bumpy. Jane recalls observing “Code Calls†and being overwhelmed with the chaos of the code. They were noisy – everyone in the room was screaming orders. They were disorganized – there was equipment in every corner of the room with discarded wrappers strewn from wall to wall. Jane recalls hiding behind a curtain trying not to be noticed because everyone that did not have a reason to be there should “get out!†As Jane observed she wondered if she could ever become a valued team member let alone a team leader. Surely, she thought, she could make some sense to this chaos. Jane began teaching ACLS and empowering nurses.
The key to remembering is to visualize. You can’t remember a list of words. Do not try to memorize words. You may remember the words for the test but you will never remember the list a year from now. Instead – visualize. Create an image in your head. The first responder may be a Respiratory Therapist. Think of an RT – now, what would you have him or her do? The second responder may be carrying a “clip board.†What would you have a “clip board lady†do for you. The vision is now in your head – good place for it in a “Code Call.â€
