Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)

Cardiac Arrest Nursing Interventions

Guidelines:

• Train
• Screen risk patients
• Identify
• Alarm
• ACLS
• Preserve field as possible
• Anticipate internal massage
• Unique needs of surgical procedure (open abd)
• REVERSIBLE CAUSES

Considerations:

• Foot traffic
• Sterility
• Compressions alongside surgery
  • Reversible cause?
• Know patient history
  • Cards pre-op
• Emergency instrument cart
  • checks
• Anticipate high risk patient
  • back pad before induction?

Nurse’s role:

• Train
• Identify
• Alarm
• ACLS
• Anticipate needs
• REVERSIBLE CAUSES

Pitfalls:

• Delayed alarm
• Improper carts
• No training

Examples:

• Hysteroscopy patient codes mid diagnostic. (call code, acls, abort hysteroscopy) CABG patient arrests unexpectedly (pads on field, notify, anticipate needs, causes)

Linchpins (Key Points):

• Train for standard response plus unique surgical nuance to each patient