BACHELOR OF SCIENCE IN NURSING:

INTENSIVE NURSING PRACTICUM

RLE LCP MODULE RLE LCP UNIT WEEK
3 1a 1

CARDIOPULMUNARY RESUSCITATION (Pediatric Client)

 Read course and laboratory unit objectives

 Read study guide prior to class attendance
 Read required learning resources; refer to course unit
terminologies for jargons
 Participate in weekly discussion board (Canvas)
 Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Apply the nursing process in the care of groups of clients across the lifespan with conditions
and/or in situations needing cardiopulmonary resuscitation:
a. Assess the pediatric client’s total health condition and resources.
b. Formulate nursing diagnoses based on the given scenario.
c. Develop a plan of care for pediatric clients with conditions and/or in situations needing
CPR.
d. Implement a plan of care applying the appropriate principles, guidelines, and steps in
administering CPR to pediatric client(s).
e. Evaluate the outcomes(s) of care post CPR administration.
2. Demonstrate competencies of a beginning staff nurse, nurse leader, and researcher.
3. Promote personal and professional growth by showing independence in performing varied
tasks and responsibilities.
Skills laboratory equipment and materials
To facilitate the practice of students’ nursing skills, the following rules must be implemented:
1. The use of the Nursing Skills laboratory equipment and materials appropriate of the given
case scenario are allowed.
2. Use resources from the required readings.
3. Students must perform the tasks in the worksheet at a given period.
Key Areas of
Competency
Responsibility
1. Safe and Demonstrates knowledge
Quality Nursing about the clients’ health status
Care and set priorities in nursing
care based on clients’ needs
Provides sound decision
making in the care of
individual/ family considering
their beliefs and Values
Promotes safety, comfort, and
privacy
Administers medications and
other health therapeutics
safely (accurately and
correctly)
2. Management of Organizes workload to
Resources facilitate client care.
Utilizes resources to support
client care by ensuring proper
functioning of equipment
3. Health Develops health education
Education plan based on assessed
learning needs
4. Legal Adheres to practices in
Responsibility accordance with the nursing
law, institutional policies and
protocols, and other relevant
legislation.
Expected Performance and Criteria
Identifies the client’s health status in
determining the need for CPR.
Gathers and analyzes data relevant to the
client’s health condition perform the correct
CPR procedure.
Maintains a safe environment and performs
age-specific CPR procedures and protocols
safely ensuring privacy in all aspects of care.
Conforms to the 10Rs of medication
administration and health therapeutics
Identifies nursing tasks and performs them
based on priorities.
Finishes tasks on time.
Observes appropriate protocols and
institutional policies.
Ensures availability, completeness, and
functionality of equipment and nurse’s
paraphernalia relevant to the performance of
CPR procedures.
Implements applicable age-appropriate health
education activities to the client based on
needs assessment
Acts and performs nursing tasks related to
CPR procedures in accordance with
established norms of conduct expected of a
nurse and an OLFU student as well as with the
other relevant legislation.
 Key Areas of
Competency Expected Performance and Criteria
Responsibility
5. Ethico-moral Adheres to Code of Ethics of Maintain the privacy and confidentiality of
responsibility Nurses and respect rights of client’s information.
the client and other individualsAccepts responsibility and accountability on
involved in the care of the the decisions made relating to the client’s
client. care.
6. Personal and Project a professional image Performs nursing tasks according to
Professional of the nurse professional standards.
Development Demonstrates good manners and right
conduct at all times.
Observes proper grooming and hygiene.
Adapts to changes willingly by being open to
new strategies or approaches relevant to the
performance of CPR.
7. Quality Identifies and reports Identifies and reports inadequacies and
Improvement variances and recommends problem(s) encountered in the provision of CPR
appropriate solutions. procedures and processes.
Recommends practical and appropriate
solutions.
8. Research Enhances competency level in Specifies researchable problems related to
the utilization of different forms CPR procedures and related client care.
of data gathering and Gather, analyze, and interpret relevant data.
principles of assessment and
nursing care.
Analyzes and interprets data, Utilizes findings in research in the provision of
disseminate findings and CPR-related measures and client care.
apply recommend actions.
9. Records Maintains accurate and Records outcome of client care.
Management updated documentation of Submits legible, accurate and updated
client care observing legal documentation and/or information regarding
imperatives in documentation the client care.
and record keeping.
10. Communication Identifies verbal and non- Interprets and validates client’s body language
verbal cues and facial expressions
Uses appropriate information Utilizes appropriate means and/or channels of
technology to facilitate communication to support the delivery of care
communication. to clients with conditions needing CPR.
11. Collaboration Collaborates plan of care with Respects the role of other members of the
and Teamwork the other health care team health care team in administering CPR
members. measures to the client.
Refers the client to the appropriate allied
health team partners.
THE CASE OF BABY BOY JUAN

Prehospital Scenario:
You arrive at the scene together with the EMS team for an infant
reported as “not breathing.” A woman, carrying an infant, runs to you.
She shouts, “Help me! My baby, my Juan, is not breathing! I was just
feeding him with Cerelac; help him!”

It was reported that no bystander CPR has been provided.

You overhear the mother informing the EMS team that her Baby Juan is
11 months old and based from his last check up, Juan is approximately 19 pounds.

Demonstrate what you should do next.

TASKS: Complete the following activities to provide high quality, individualized care for the patient.
Accomplish the worksheet below (Prehospital Care Record)

1. Quick Assessment (5 mins) – You are one of the EMS team arriving at the scene. Collect,
organize and document information about the patient. Data will be used to
a. Inform the emergency hotline of the situation.
b. For you to be able to implement the necessary and appropriate interventions.
2. Implementing Care (20 minutes)
a. Perform compression-only CPR (single-rescuer)
b. Prepare to administer Epinephrine IV bolus of 0.01 mg/kg and then for infusion:
0.2mcg/kg/minute (Recall correct procedure in medication administration of epinephrine
to pediatric clients.)
3. Ongoing Care (15 minutes) - document the care that has been provided as follows:
a. Using the CHART (Complaint, History, Assessment, Rx – Drugs, Treatment) format – so
that this is communicated with other healthcare professionals.
b. Discharge instructions (METHOD)
 .
Disposition Procedures & Meds Patient Survey Situation Unit Information
Adapted from PreMIS (https://ncems.org)
Patient Care Report Narratives
Time: C:

Date: H

A:

R:

T:

_________________ ________ _____________________ _______________

Patient Received By Date Drv/Medic Certification & Number
_________ ________________________ _________________
Date Medic 1 Certification & Number
_________ ________________________ _________________
Date Medic 2 Certification & Number
 BLS Checklist – Infant (Single Rescuer)
Skill Tested YES NO
1. The student secures the scene. (Scene is safe)
2. Assesses victim and activates emergency response system (this must
precede before starting compressions) within 30seconds after
determining that the scene is safe.
a. Checks for responsiveness by tapping and shouting
b. Checks for breathing (no breathing or gasping) by scanning
from head to chest for a minimum of 5 seconds and no more
than 10 seconds.
c. Checks brachial pulse for a minimum of 5 seconds and no more
than 10 seconds (can be done simultaneously with checks for
breathing).
3. Demonstrates / performs correct CPR placing fingers in the center of the
chest and with correct body positioning over patient. (Must be initiated
within 10 seconds of identifying cardiac arrest.)
4. Demonstrates correct compression rate (100-120/min) and depth (1.5 in.
or 4cm).
5. Allows for complete chest recoil between compressions.
6. Provides effective breaths with a barrier device, and observes visible chest
rise.
7. Have the student perform a second round of CPR. (AED has arrived, switch
providers giving compressions)
8. Demonstrates correct placement of AED, without interrupting CPR. (AED
analyzes rhythm)
9. Student clears patient for rhythm check and shock. (Shock delivered)
10. Student immediately returns to CPR after shock delivered.

(Evaluation Tool – refer to the given checklist)

Date Completed:
Date Submitted:
AHA (2020). Highlights of the 2020 American Heart Association
(AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and
Emergency Cardiovascular Care (ECC). Retrieved from
https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-
files/highlights/hghlghts_2020_ecc _guidelines_english.pdf

American Red Cross (2021). Child and baby CPR.

https://www.redcross.org/take-a-class/cpr/performing-cpr/child-
baby-cpr

ncems.org (n.d). PreMIS Preliminary Report (Rrevision2) https://www.ncems.org/pdf/PreMIS

PreliminaryReport.pdf

O’Connor, R. E. (December 2019). Cardiopulmonary resuscitation (CPR) in infants and children,

MSD Manual: Professional Version. https://www.msdmanuals.com/professional/critical-care-
medicine/cardiac-arrest-and-cpr/cardiopulmonary-resuscitation-cpr-in-infants-and-children

WHO (May 2019). Fact sheet: Emergency medical teams (EMTs). Retrieved from
https://reliefweb.int/sites/reliefweb.int/files/resources/WHO%20Fact%20Sheet%20-
%20Emergency%20Medical%20Teams.pdf