Reflective accounts

CPR equipment

A CPD article improved Jane Lynch’s knowledge of cardiopulmonary resuscitation equipment.

A CPD article improved Jane Lynch’s knowledge of cardiopulmonary resuscitation equipment 

Picture: Alamy

What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice?

The article provided an overview of adult cardiopulmonary resuscitation (CPR) equipment, and its location in a standard resuscitation trolley. It outlined the nurse’s responsibilities in relation to CPR, such as recognising signs of cardiac arrest, commencing CPR, checking the resuscitation trolley and record-keeping.

What did you learn from the CPD activity, feedback and/or event and/or experience in your practice?

From reading the article, I learned that nurses have a crucial role in responding to cardiac arrest and initiating emergency care, and need to have the knowledge and skills to do this. I also gained knowledge of the name, function and location of each of the items in a resuscitation trolley.

Reading the article increased my knowledge of the two groups of arrhythmias associated with cardiac arrest: shockable rhythms (ventricular fibrillation and pulseless ventricular tachycardia) and non-shockable rhythms (asystole and pulseless electrical activity). The article stated that adrenaline (epinephrine) is administered in all types of cardiac arrest.

How did you change or improve your practice?

The article has improved my understanding of the procedure for assessing and responding to a patient with signs of cardiac arrest, and as a result I feel able to act more decisively in an emergency.

My increased knowledge of the function of various items of CPR equipment has enabled me to anticipate which items are likely to be required and when, so I can effectively assist the multidisciplinary team in an emergency and immediately locate items when requested. 

Reading the article has also increased my confidence in checking the resuscitation trolley to ensure that all equipment is present, in the appropriate place in the trolley and ready to use.

I now understand the rationale for administering drugs such as adrenaline in cardiac arrest, as well as the correct concentration and dose to administer. As a result, I now have the confidence to administer adrenaline promptly.

How is this relevant to the Code? Select one or more themes: Prioritise people, Practise effectively, Preserve safety, Promote professionalism and trust

Knowledge of CPR equipment and the ability to perform effective CPR is relevant to The Code theme of preserving safety, which states that nurses must offer help if an emergency arises in their practice setting, within the limits of their competence. 

The article has enabled me to provide evidence-based care and work cooperatively with other members of the multidisciplinary team, in accordance with the theme of practising effectively. 

Nurses must cooperate with audits as part of the theme of promoting professionalism and trust. The article emphasised that nurses must complete audit documentation following a cardiac arrest.

Jane Lynch is a bank post-anaesthesia care unit nurse at Emersons Green NHS Treatment Centre, Bristol

This reflective account is based on NS879 Bowden T, Smith D (2017) An overview of adult cardiopulmonary resuscitation equipment. Nursing Standard. 31, 23, 54-62 

Write your own reflective account

You can gain a certificate of learning by reading a Nursing Standard CPD article and writing a reflective account. To write a reflective account for Nursing Standard, use the NMC reflective accounts form. Complete the four questions about a CPD article you have read, writing about 700 words in total.

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