Lucile Packard Children’s Hospital (LPCH) can trace its roots to the Stanford Home for Convalescent children established in 1919 and today offers a comprehensive range of treatments and services from over 650 physicians and 4750 staff support and volunteers. LPCH is a world-class, non-profit hospital devoted entirely to the care of babies, children, adolescents and expectant mothers with an extensive network of community and outreach services in dozens of locations around the San Francisco Bay area, and the greater Pacific Northwest.
Looking for new CPR training methods
Two years ago, the Centre for Nursing Excellence at LPCH began investigating alternative training methods for teaching CPR skills to families at discharge in an effort to better serve patient and hospital needs. After seeing the Family and Friends CPR Anytime self-directed learning programme from the American Heart Association, a study was initiated to measure the effectiveness of this type of training for high risk patients.
Lynda Knight, Clinical Life Support and Resuscitation Educator at the centre said, “The motivation behind the observational study was the initial hope and goal that Lucile Packard Children’s Hospital would standardize and set a precedent in providing the life saving skills of CPR to our parents of high-risk infants and children.”
Data was presented to hospital board members for evaluation and following a comprehensive review, it was concluded that CPR Anytime could help the LPCH to offer an effective training programme without the logistical issues and resource management challenges that were previously encountered with traditional training methods. Moreover, the study confirmed that parents “were appreciative of the CPR Anytime training and would be more comfortable delivering CPR to their child after reviewing and practicing with the CPR Anytime kit if needed.”
The findings of the study overcame specific concerns that had previously been raised amongst internal hospital staff and its conclusions determined that admission and discharge protocols now mandate that only CPR Anytime kits are used for CPR training at LPCH.
Discharge training begins at admission and kits are distributed to families of patients who their medical team believe would benefit from learning CPR, with remediation provided by staff nurses as necessary. The decision regarding who receives a kit at no charge is made by the patient's physician, RN's or RCP's. A physician order is required to distribute the kit. The hospital also plans to make the CPR kits available for purchase through the hospital gift shop, making training available to extended family members.
Testimonials of families have stated that they are very happy to receive the kits. The hospital has cut the time the RN’s need to spend with the parents since the kits are a self-directed learning programme and leaving nurses free to continue with all their other responsibilities. The hospital has seen a decrease in the delayed discharges having to wait until an RN is available to complete the teaching. Research also shows that on average after six months, parents share the kits and pass on CPR skills to an additional 3 family members or friends.
Ms. Knight concludes, “I hope that other Children’s Hospitals will follow in the footsteps paved by the LPCH by implementing this standardized, highly innovative and effective method of providing CPR training.”