The state funded Stavanger University Hospital, located in Stavanger, Norway is the country’s fourth largest hospital and provides general healthcare services for the immediate population of 300,000 with specialized services such as PCI and neuro surgery available to 470,000 people. Approximately 65,000 patients are admitted each year; and this number is steadily increasing. The 700 bed hospital currently employs 5,500 personnel, including 1600 nurses and 600 physicians. Core activities are patient treatment, research, training of healthcare personnel and patients along with their immediate families. More than 70% of all hospitalizations are acute admissions.
Aiming to raise BLS skill levels for all
Stavanger University Hospital was already self sufficient with CPR instructors for its own healthcare personnel, when the hospital Board of Directors wanted to extend the training and provide CPR training for the entire staff. The aim was to raise the skills level for all hospital employees and to enable everyone, regardless of professional background, to perform CPR following a witnessed cardiac arrest. Another goal was to train as many family members as possible. As group training with MiniAnne/CPRAnytime allows for numerous people to train together and to complete CPR training in less than 30 minutes, Stavanger University Hospital calculated that this training concept would yield more efficient and affordable training. Hence, the hospital set out to train more than 5,000 employees and to get the task done within a six month period.
The University Hospital donated one MiniAnne/CPRAnytime kit to each employee. The kit includes a personal, inflatable manikin (suitable for mouth to mouth ventilations and chest compressions) and a 24-minute instructional/interactive DVD.
The hospital liaised with the local Resuscitation Council to ensure that their curriculum complied with the 2005 Resuscitation Guidelines for basic life support.
The program to train the entire hospital staff within a six month period was advertized via posters, flyers and the intranet, along with information pertaining to cardiac arrest (such as numbers- and those typically affected, survival rates, and the benefit of taking the MiniAnne/CPRAnytime kit home, free of charge, to train family and friends).
Facilitating group training
A DVD player, an amplifier, and a large screen were placed in a reserved meeting room with a capacity for 50 participants. Nine work days were set aside to facilitate repetitive group training sessions, hence allowing participants to drop in at their own convenience. Two facilitators were present during each training session, where 50 employees trained together each time. An updated list of hospital employees was used to record course attendance and the delivery of MiniAnne/CPRAnytime kits. Employees were requested to register for the voluntary CPR training. Those who were unable or unwilling to sign up for the facilitated group training could opt to train with MiniAnne/CPRAnytime either at their own ward/office or at home. Responsibility for training of employees that failed to attend the facilitated group training was handed over to the individual clinical department directors.
More than 5000 employees completed CPR training during the scheduled 6 month period, and people reported back that their confidence in basic life support skills had improved significantly as a result of the training. CPR instructor Leif Moen said that everyone enjoyed training side by side, irrespective of professional background; that the training was more fun this way. To evaluate whether the training with MiniAnne/CPRAnytime was also educationally effective, approximately 60 randomly selected employees had their CPR skills assessed prior to the training and then again six months afterwards. The second assessment showed that the median number of correctly performed chest compressions had doubled after the training.
Estimated training costs
The University Hospital paid less than EUR 30 per MiniAnne/CPRAnytime kit, 11 employees spent altogether 370 working hours organizing and running the campaign (4 minutes per employee), and each employee spent 30 minutes completing the training.