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    HeartCode FAQS

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      1. What are examples of BLS VAM instructions for employees to guide them through the process for HeartCode hands-on skill sessions, including tips and tricks?

      2. Accelerated HeartCode BLS Competency Agenda - what equipment, manikins are you using for this? What do use to meet the "instrumented directive feedback device" during student practice and testing?

       

      Q:  What are examples of BLS VAM instructions for employees to guide them through the process for HeartCode hands-on skill sessions, including tips and tricks?

       

      A:

       

      From Brian Guenterberg:

       

      Here is the text of a reference sheet I post in our VAM rooms:

       

      Avoid Manikin Problems
      Self-Guided Hands-On Session: BLS & ACLS
      • For lost connection problems or voice repeating the same thing over and over, RESTART the computer.
      • If the voice suggests changes, SMALL INCREMENTAL CHANGES.
      • Do not stop for verbal corrections, keep going.
      • Always answer “Pass” to skills tests.
      • Compressions: steady, rhythmic, and machine-like at 100-120/minute. Press hard & release fully, press straight down.
      • For the Infant: place your fingers on the middle of the sternum (in line with the xiphoid process) at or below the nipple line.
      • Remember to open the airway for breaths (hyper-extended head for adult and neutral position for infants).
      • Note the following for ventilations:o You need a good face to mask seal. o For BLS infants, small breaths, for adults do half a bag squeeze.o For Adults there should be 5-6 seconds between ventilations.o For BLS infants aim for 3-4 seconds between ventilations.
      • Note the following for CPR:o Use the stool to get right position, shoulders over sternumo If by yourself do not move from the patient’s side to give ventilations (hyperextend head, make good seal with mask/squeeze hard x2 allowing exhalation)
      • You can repeat skills tests as many times as necessary.
      • Do not disassemble; there are no user serviceable parts.

       

       

      From Julie Dippel:

       

      HeartCode BLS VAM Skills Tips
      Research supports that staff that do skills check-offs on the VAM (Voice Activated Manikins) perform the skills more consistently and retain the knowledge and skills longer. Do not be surprised if you do not pass the first time. The feedback you receive is really coaching your skills to perfection! Do not become frustrated but rather learn from the experience so that we are positioned to provide our patients superior performance in an emergency situation.
      Tips:

       

      • Watch and listen to the introductory video
      • Count out loud when doing the cycles
      • In general, make small adjustments when you receive feedback or prompts from the system (do not over compensate)
      • Practice using the ambu bag – form a “C” over the mask with your thumb and index finger on the mask with your remaining fingers underneath the chin forming an “E”
      • Airway positions - head tilt chin lift on adult manikin, neutral position on the infant manikin
      • Ventilations should be slow: 1 every 5 sec on the adult; 1 every 3 sec on the infant
      • When doing compressions on the adult manikin,  keep elbows straight, use step stool to get over top of manikin and use your body weight or place the manikin on the floor
      • Successful completion is based on percentage of correct ventilations, compressions, and cycles.  If more than 3 corrections given in a testing period, you may want to stop the test and start over
      • Assessments - always make it count, even if you think you didn’t pass. You can do the testing as many times as it takes
        • Ventilation assessment - if one or two corrections received, give a few additional breathsb.
        • Compression assessment - if one or two corrections given on the compressions assessment, give a few additional compressions.
        • CPR Assessment – pay attention to the corrections given during the assessment. Do not continue the cycle if you are getting a number of corrections, but rather restart the scenario after a short break and rest period.
      • If you have not been successful after 30 – 45 minutes, contact XX

       

       

      From Michelle Helin:

       

      HEARTCODE PARTS 2 & 3 TIPS FOR SUCCESS
      • Part 2 is simply practice; you can practice first, or test right away.
      • Placing adult manikin on floor is better for success.
      • Always wait until the computer says “you can begin when you are ready”.
      • If you have trouble with one manikin, work with the other manikin and then come back.  If you find yourself getting frustrated, consider leaving for a while and finishing later.
      • Compressions:--on the adult, if the computer says “need to allow for recoil”, you probably need to move hands further up on the chest.  Sometimes this is also a rate issue – pushing harder and faster can help.
        • on the adult, if the computer says “press harder”, sometimes moving hands down a little on the chest helps.
        • on the infant, it is best to place the manikin on a table. --must press very hard on both manikins.
      • Ventilations:--on adult, if computer says “give less air”, give slower & longer breaths; only enough to make chest rise.  Do not “huff” or use force at the beginning of the breath, nice gradual chest rise – slow gradual breaths.  Try pocket mask if having difficulty with bag-mask, or vice versa. --on infant, short puffs is all that is necessary.

         

      Q: Accelerated HeartCode BLS Competency Agenda - what equipment, manikins are you using for this? What do use to meet the "instrumented directive feedback device" during student practice and testing?

       

      A:

       

      From Erica Dupree:

      We use the SkillGuide with the QCPR manikins.
      From Janet Rotkiewicz:
      Our current QCPR infants will probably need to be updated from Laerdal's website - see this page of downloads.
      From Michelle Helin:
      I bought a CPRmeter and use it in traditional BLS classes Heartsaver classes.  It's really nice because it also keeps track of the CCF for you instead of trying to run 2 stopwatches!

       

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