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CS401
Protocol Implementation of Family Presence during Cardiopulmonary Resuscitation and Procedures in an Adult ICU
By: Amy Carter & Kim Lester; Southern Ohio Medical Center, Portsmouth, Ohio
Purpose: As healthcare trends move toward family-centered care, studies prove nationally less than 10% of hospitals have a policy or protocol in place regarding the presence of families during resuscitation or procedures. In an approach to deliver more family-centered care, a policy was initiated for this process.
Description: After review of the literature, a resuscitation team was formed. The first phase included disbursement of a basic survey to all staff, including RN’s, unit clerks, physicians, pastoral care, respiratory care providers, social workers, and nursing assistants. The second phase included another survey, revisiting concerns and results from the initial survey. Phase three included compilation of data and literature review data to form a written policy. The final phase included education of all staff members. Staff members were also trained in the proper techniques to assist family members during their time of crisis.
Evaluation and Outcomes: After implementation of the policy, staff was again surveyed as to how nursing practice and family-centered outcomes were improved. The policy was added to an existing bereavement program, in which family members are contacted after their experience. The family members are then asked a series of questions. At that time, family members at risk are identified and referred to social services and the appropriate community resources.
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