Procedures - CPR Training Procedures
Section: Human Resource Procedures
Procedure Owner: Ignition633 Ministries Nigeria Human Resources
Procedure Name: CPR Training Procedures
Origination Date: December 2024
Purpose
To ensure staff are equipped with the skills and knowledge to respond effectively to life-threatening emergencies involving cardiac arrest or respiratory failure. This training helps protect the safety and well-being of children by enabling prompt and appropriate action, reducing risks, and potentially saving lives.
Scope
includes guidelines for staff to learn and practice CPR techniques, such as chest compressions and rescue breathing, tailored to infants and young children. It covers certification requirements, frequency of training updates, access to training resources, and the use of automated external defibrillators (AEDs) if applicable.
Definition
CPR, or Cardiopulmonary Resuscitation: is a life-saving emergency procedure performed when someone's breathing or heartbeat has stopped.
Training: is the process of teaching or developing skills, knowledge, or behaviors through instruction, practice, and experience.
CPR Training Procedures
As the watchful eyes of children when their parents are away, daycare or childcare workers are expected to be vigilant observers and confident rescuers. To be a proficient rescuer in choking, allergic reaction, head injury, or something else, daycare or childcare workers must earn their infant, child, and adult CPR training and certifications.
Training Requirements
- Initial Training
All newly hired childcare workers must complete a CPR training course within the first 90 days of their employment.
- Certification Renewal
CPR certification must be renewed every two years to ensure that childcare workers remain current in their CPR skills.
- Training Providers
CPR training sessions will be conducted by the ministry’s doctor, who is duly certified and authorized to provide CPR training following Nigerian regulations governing healthcare professionals.
- Content
CPR training must cover adult, child, and infant CPR techniques, including chest compressions, rescue breathing, and using an Automated External Defibrillator (AED) properly.
Training Implementation
- Scheduling
The childcare designated supervisor is responsible for scheduling CPR training sessions for all childcare workers.
- Cost Coverage
The ministry will cover the cost of CPR training and certification for all childcare workers.
- Attendance
Attendance at CPR training sessions is mandatory for all childcare workers. Any scheduling conflicts must be reported to the supervisor in advance.
- Documentation
Childcare workers must provide documentation of CPR certification to the principal upon completion of training. This documentation will be kept on file and monitored for renewal.
Responsibilities
- Principal/ Supervisor
Collaborates with Campus Doctor to coordinate CPR training sessions, ensuring compliance with training requirements, maintaining documentation of CPR certification, and monitoring certification renewal deadlines.
- Childcare Workers
Responsible for attending CPR training sessions, actively participating in training, maintaining current CPR certification, and providing certification documentation to the supervisor as required. Failure to comply with CPR training requirements may result in corrective action, including suspension or termination of employment.
Procedure for CPR
The ministry shall provide basic life support, including CPR, to a resident who requires such emergency care before the arrival of emergency medical services, consistent with the doctor’s orders.
Supplies
- Backboard
- Face mask or Resuscitator Bag
- Automated External Defibrillator (AED)
- Crash Cart
- Basic airway equipment
- Oxygen masks, tubing, cannulas, etc.
- Suction Machine and equipment
Procedure
- The employee will verify the safety of the scene/environment.
- Check for the victim’s response: Tap or shake the victim's shoulder, asking, “Are you okay?”
- Simultaneously assess the victim for breathing and pulse for 10 seconds.
If necessary, open the airway:
- Head-tilt/chin-lift technique
- If a head, neck, or spinal injury is suspected, utilize the modified jaw-thrust maneuver
- Shout for help or use the provided phone to call for help. Quickly get the AED and emergency equipment. If you see the collapse and are alone, activate the emergency response system or immediately call the doctor and get the AED (unless someone else can get it) before starting CPR.
- Advance directives: Check for advance directives. Advance directives could include:
- POLST: Physician Orders for Life-Sustaining Treatment Form that indicates that resuscitation is not desired
- MOLST: MOLST forms are medical orders signed by a healthcare provider that translate ‘patients' preferences for life-sustaining treatment, including CPR, into actionable medical orders.
- DNR: Do Not Resuscitate.
Follow the trained procedures. If directives say DNR or DNAR (Do Not Attempt Resuscitation), do not perform CPR.
- If no DNR order or advance directive exists or if the advance directive does not indicate “Do Not Resuscitate,” begin resuscitation efforts.
- If the victim does not exhibit normal breathing and has a pulse, begin rescue breathing, 1 breath every 5-6 seconds (10-12 per minute) using a face mask or Resuscitator Bag.
- If they are presenting with agonal breaths, continue as if the resident is not breathing.
Agonal breathing is when someone who is not getting enough oxygen is gasping for air. It is usually due to cardiac arrest or stroke. It's not true breathing. It's a natural reflex when your brain is not getting the oxygen it needs to survive.
Check pulse approximately every 2 minutes.
- If there is no pulse, begin CPR (Please note: if AED is immediately available, use the defibrillator as soon as possible when the device is ready for use):
- Place the backboard under the victim in bed or assist the victim to a firm, flat surface if possible
- Compress chest compressions at a rate of 100-200 per minute (place 2 hands on the lower half of the sternum)
- Compress to a depth of at least 2” (inches)
- Ensure full recoil following each compression
- Minimize any pauses in compressions
- Ventilate 2 breaths after 30 compressions, each breath delivered over 1 second, causing the chest to rise (30:2 Ratio for both 1 or 2 rescuers). Use a face mask or resuscitator bag.
Automated External Defibrillator (AED)
Follow the manufacturer’s recommendations and training procedure. Check rhythm.
- If AED indicates yes, shockable, give 1 shock. Resume CPR immediately for approximately 2 minutes until the AED prompts a rhythm check. Continue resuscitation efforts until one of the following occurs:
- If the victim has a heartbeat and is breathing on their own, transfer care to emergency responders for advanced support.
- If the rescuer is unable to continue due to exhaustion or dangerous conditions or if resuscitation efforts pose risks to others.
- If reliable signs of irreversible death are present, if obvious signs of death are identified, or if resuscitation criteria are met.
- If AED indicates no, non-shockable, Resume CPR immediately for approximately 2 minutes until the AED prompts a rhythm check. Continue resuscitation efforts until one of the following occurs:
- If the resident has a heartbeat and is breathing on their own, let emergency responders take over for advanced support.
- If the rescuer can't continue due to exhaustion, danger, or risks to others.
- If clear signs of irreversible or obvious death are present or if resuscitation criteria are met.
- Turn CPR over to emergency personnel upon arrival.
- Perform hand hygiene.
- Notify the doctor of the victim’s status and obtain further orders.
- Notify the family of the incident.
- Prepare for transfer, including documentation information to be sent with the doctor/emergency responders to the hospital.
- Document all appropriate information, including the transfer, in the medical record.
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This procedure will be reviewed annually and is subject to change. Any changes will be communicated to all employees promptly.
For any questions or further assistance regarding this policy, employees should contact the HR department at hr.nigeria@ignition633.org.