How to write the certificate of cardiopulmonary resuscitation exam?

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Examination materials of cardiopulmonary resuscitation for nurses

Time: 2022-03-09 00: 16:00 Read the full text and download this article.

Improving nursing quality and making unremitting efforts in "three basic training"

On June 6, 2065, 438+04, 65, 438+00, 65, 438+00, the nursing department gave some nurses the examination of cardiopulmonary resuscitation. Dong, director of the nursing department, and the head nurse of the second treatment area served as judges. Cardiopulmonary resuscitation (CPR) is one of the necessary rescue techniques in first aid. The nursing department adopts the latest international revised operation standard of cardiopulmonary resuscitation, and organizes the nursing staff in the whole hospital to learn, practice and check the new standard. The assessment of nurses' cardiopulmonary resuscitation is one of the contents of "three basics" training, which aims to test nurses' first aid ability in clinical nursing. The judges strictly assessed, carefully commented, gave feedback on the problems existing in the exam on the spot, and even demonstrated by themselves. The atmosphere was serious. After several hours of intense examination, all nurses completed the examination with excellent results and achieved the examination goal. "Three basics" training is an important part of nursing staff training, and the nursing department will take hospital evaluation as an opportunity to implement it as a normal work to comprehensively improve the professional quality of nursing staff.

Part II: Overview of cardiopulmonary resuscitation assessment.

Summary of evaluation of cardiopulmonary resuscitation training

In order to strengthen the management of critically ill patients and improve the rescue ability and success rate of medical staff in our hospital, according to the doctor skill training plan of our hospital, our hospital carried out the study and examination of cardiopulmonary resuscitation skills from August to September of 20 14. The results of the research and evaluation are summarized as follows:

All medical staff in our hospital attach great importance to study, study and train seriously, and finally take the exam, which reflects the comprehensive emergency treatment ability of doctors in our hospital. However, there are still some problems. Some comrades have not fully mastered the latest guideline of 20 10 cardiopulmonary resuscitation-revised edition of American Heart Association, such as the following:

1. Check the patient's reaction quickly and accurately. Express delivery should be used to check whether the patient is breathing and/or can breathe normally. The pulse inspection time should not exceed 10 second.

2. In the process of heart compression, the adult sternum compression depth should be 5...33 10 ... Check the signs of circulatory system here.

To judge the heartbeat (pulse), choose the aorta to judge whether the pulse beats or not. It takes 5- 10 seconds for adults and children to touch the carotid artery and infants to touch the brachial artery to judge whether the patient has a heartbeat.

Carotid artery: Place one finger and the middle finger in the anterior middle of the neck (thyroid cartilage), slide the finger from the anterior middle of the neck to the depression between thyroid cartilage and sternocleidomastoid muscle, and touch the pulse of the carotid artery with a little force.

Brachial artery: Brachial artery is located inside the midpoint of upper arm. Make a little effort to check for pulsation. Check the carotid artery. Do not press hard, so as not to stimulate the carotid sinus to excite the vagus nerve and stop the heartbeat reflexively. Don't touch two carotid arteries at the same time to avoid blocking the blood supply to the brain.

In 2000, the international guidelines for cardiopulmonary resuscitation once again pointed out that the assessment of circulatory signs includes normal breathing, cough, exercise and artificial respiration.

1. Provide initial breathing for unresponsive and non-breathing patients.

The ambulanceman put his head and ears close to his mouth, nose, sight and hearing, and felt whether he was breathing or coughing.

3, quickly grasp the signs of movement of the wounded and sick.

If the patient doesn't exercise, breathe and cough, he should start external cardiac compression immediately. In 2005, the heart guide pointed out that non-medical staff did not need to check the circulation, and immediately performed chest compressions after two artificial ventilation.

Eight, artificial circulation

The medical staff judged that the wounded and sick had no pulse, or could not judge whether the heartbeat stopped or not in an emergency, and the pulse was unclear. Don't waste time by repeated inspection, but carry out manual circulation such as chest compressions on the spot to rescue in time.

Nine, pay attention to the problem

(1) The ratio of cardiac compression to artificial respiration is 30: 2.

(2) Pressing frequency: 100 times/minute, and pressing/releasing time is equal.

(3) Pressing essentials: Press hard, press quickly, and don't press impulsively.

(4) Blow air twice after 30: 2 in five groups, because the first two air blows are used to judge whether the airway is blocked.

(e) From the judgment to the completion of five groups of 30: 2, it should be completed within 2 minutes.

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