scholarly journals 2021 Interim Guidance to Health Care Providers for Basic and Advanced Cardiac Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19

2021 ◽  
Author(s):  
Antony Hsu ◽  
Comilla Sasson ◽  
Peter J. Kudenchuk ◽  
Dianne L. Atkins ◽  
Khalid Aziz ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Life Support ◽  
Advanced Cardiac Life Support ◽  
Care Providers

Current Controversies in Prehospital Resuscitation of the Terminally Ill Patient

1990 ◽  
Vol 5 (1) ◽  
pp. 49-57 ◽  
Author(s):  
R. Jack Ayres
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Health Care Providers ◽  
Care Provider ◽  
Life Support ◽  
Terminally Ill ◽  
Advanced Life Support ◽  
Care Providers ◽  
Emergency Health Care ◽  
Prehospital Emergency

Prehospital health-care providers regularly are called upon to assist terminally ill patients in residential or institutional, non-hospital settings such as nursing homes or hospices. Among the most crucial issues regarding such patients is whether they should be resuscitated. With alarming frequency, EMS providers are encountering vigorous and sometimes violent refusals of examination, treatment, and/or transportation from the terminally ill patient, members of the patient's family, or third persons ostensibly acting on the patient's behalf. Today, the prehospital emergency health-care provider repeatedly is faced with the legal and ethical questions that surround the issue of resuscitation and advanced life support.

scholarly journals Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Lakshmi Rajeswaran ◽  
Megan Cox ◽  
Stoffel Moeng ◽  
Billy M. Tsima
Keyword(s):  
Health Care ◽  
Cardiopulmonary Resuscitation ◽  
Registered Nurses ◽  
Health Care Providers ◽  
Life Support ◽  
Hospital Setting ◽  
Care Providers ◽  
Knowledge And Skills ◽  
District Hospitals ◽  
Post Test

Background: Nurses are usually the first to identify the need for and initiate cardiopulmonary resuscitation (CPR) on patients with cardiopulmonary arrest in the hospital setting. Cardiopulmonary resuscitation has been shown to reduce in-hospital deaths when received from adequately trained health care professionals.Aim: We aimed to investigate nurses’ retention of CPR knowledge and skills at district hospitals in Botswana.Methods: A quantitative, quasi-experimental study was conducted at three hospitals in Botswana. A pre-test, intervention, post-test, and a re-test after 6 months were utilised to determine the retention of CPR knowledge and skills. Non-probability, convenience sampling technique was used to select 154 nurses.The sequences of the test were consistent with the American Heart Association’s 2010 basic life support (BLS) guidelines for health care providers. Data were analysed to compare performance over time.Results: This study showed markedly deficient CPR knowledge and skills among registered nurses in the three district hospitals. The pre-test knowledge average score (48%) indicated that the nurses did not know the majority of the BLS steps. Only 85 nurses participated in the re-evaluation test at 6 months. While a 26.4% increase was observed in the immediate post-test score compared with the pre-test, the performance of the available participants dropped by 14.5% in the re-test 6 months after the post-test.Conclusion: Poor CPR knowledge and skills among registered nurses may impede the survival and management of cardiac arrest victims. Employers and nursing professional bodies in Botswana should encourage and monitor regular CPR refresher courses.

Survey of Medical Services at Major League Baseball Stadiums

1995 ◽  
Vol 10 (4) ◽  
pp. 268-271 ◽  
Author(s):  
O. John Ma ◽  
Ronald G. Pirrallo ◽  
Jonathan M. Rubin
Keyword(s):  
Health Care ◽  
Alcohol Consumption ◽  
Health Care Providers ◽  
Life Support ◽  
Major League Baseball ◽  
The United States ◽  
Medical Services ◽  
Care Providers ◽  
Missing Responses ◽  
Major League

AbstractObjective:To analyze the availability and level of medical services for fans at major league baseball games in the United States.Methods:A 10-item questionnaire was sent to the operations managers of each of 28 major league baseball stadiums. The survey was distributed in cooperation with a major league baseball club. Telephone follow-up was used to complete missing responses. The survey addressed five areas of fan medical services: 1) health-care provider availability and compensation; 2) advanced cardiac life support (ACLS) capabilities, including equipment; 3) presence of on-site ambulance(s); 4) fan fatalities; and 5) alcohol consumption limitations.Results:Survey response was 100%. Healthcare providers are on-site at all stadiums: nurses (86%), physicians (75%), emergency medical technicians (EMTs, [68%]), and paramedics (50%). Ninety-six percent use a combination of health-care providers. The most common medical teams are nurse + EMT + physician (25 %) and nurse + EMT + paramedic + physician (18%). All health-care providers receive some form of compensation. All stadiums have at least one ACLS-certified provider; 96% have ACLS equipment. Ambulances are on-site 75% of the time. Sixty-eight percent of the clubs reported at least one fan fatality through the 1992 and 1993 seasons (mean 1.1, range 0–4). All clubs limit alcohol consumption; 96% use multiple approaches. The various approaches include: 1) specific inning discontinuation (86%); 2) maximum purchase (68%); 3) restricted sale locations (64%); and 4) crowd conduct (57%). Advertisement for responsible alcohol consumption is displayed at 75% of the stadiums; designateddriver programs exist at 46%.Conclusions:All major league baseball clubs provide medical services for fans. Furthermore, almost all stadiums have ACLS capabilities. Responsible alcohol consumption also is a recognized priority for fan safety.

Basic Newborn Resuscitation: Health Care Providers’ Level of Knowledge and Factors Affecting in the Hospitals of Southern Ethiopia

2020 ◽  
Vol 34 (4) ◽  
pp. 187-195
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Teklemariam Gultie ◽  
Nega Degefa ◽  
Agegnehu Bante
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Life Support ◽  
Southern Ethiopia ◽  
P Value ◽  
Care Providers ◽  
Factors Affecting ◽  
Newborn Resuscitation ◽  
Adequate Knowledge ◽  
Level Of Knowledge

Background: The health care provider’s knowledge and clinical experience determine the success of newborn resuscitation. Adequate knowledge of health care providers on newborn resuscitation is vital to avert adverse neonatal outcomes. But, a few studies assessed health care providers’ level of knowledge on basic newborn resuscitation, including Ethiopia. Objective: To assess the health care provider’s level of knowledge on basic newborn resuscitation and factors affecting it. Methods: In this cross-sectional survey, 445 health care providers involved by using a simple random sampling method from the hospitals of southern Ethiopia. The data were collected by self-administered questionnaires and an observational checklist. A binary logistic regression model was used and P-value < .05 was considered to declare a statistically significant association. Results: Health care providers with an adequate level of knowledge on basic newborn resuscitation indicated 76.2% (95% CI [72.2%, 80.3%]). Age, training, recent involvement in basic newborn resuscitation, and the well-equipped facility had shown significant association. Conclusions: This study indicated that adequate knowledge of health care providers on basic newborn resuscitation was optimum. Hence, health care providers train periodically, and the health facilities should equip with materials to provide essential life support for the newborns.

463 “The ABCD Team – Reducing Patient Harm: Non-Technical Skills-Based Education”

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Mohamed
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Life Support ◽  
Advanced Life Support ◽  
Medical Emergency ◽  
Care Providers ◽  
Ward Staff ◽  
Emergency Situations ◽  
Complex Process ◽  
Assessment Time

Abstract Background Although health-care workers are trained to provide basic, intermediate, or advanced life support from a technical perspective, working as a team is a more complex process in acute situations. Responding to the emergency buzzer from the ward staff, and before the medical emergency arrival, could be sometimes chaotic. This may result in deficient initial management or missing basic measures. Context The “ABC Team” is a project, aimed to enhance the health care providers' skills in dealing with emergency situations, within the surgical ward, in an organized manner. Innovation Guidance for the staff was created to identify an exact job for every health care provider in the shift by assigning one job/person. Over a period of 5 months, individual training was given to the ward staff. Roles are assigned in the shift handover and A, B, C, D cards (to be attached to the ID) were printed with the information needed for a quick response. Simulation training sessions were organized before launching the project. Implications Streamline patient care significantly improved and ABCD assessment time is broken down to half. Pre and post project surveys showed approximately 80% of staff are now satisfied, confident and clear with their role in the emergency event.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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