BACHELOR OF SCIENCE IN NURSING

LIMITED FACE TO FACE | WEEK 02

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.

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.

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 Key Areas of
Competency
Responsibility
Demonstrates knowledge about the clients’
health status and set priorities in nursing care
based on clients’ needs
Provides sound decision making in the care of
1. Safe and
individual/ family considering their beliefs and
Quality Values
Nursing Care
Promotes safety, comfort, and privacy
Administers medications and other health
therapeutics safely (accurately and correctly)
Organizes workload to facilitate client care.
2. Management of
Resources
Utilizes resources to support client care by
ensuring proper functioning of equipment
3. Health Develops health education plan based on
Education assessed learning needs
Adheres to practices in accordance with the
4. Legal
nursing law, institutional policies and
Responsibility
protocols, and other relevant legislation.
Adheres to Code of Ethics of Nurses and
5. Ethico-moral
respect rights of the client and other
responsibility
individuals involved in the care of the client.
6. Personal and
Professional Project a professional image of the nurse
Development
7. Quality Identifies and reports variances and
Improvement recommends appropriate solutions.
Enhances competency level in the utilization
of different forms of data gathering and
8. Research principles of assessment and nursing care.
Analyzes and interprets data, disseminate
findings and apply recommend actions.
Maintains accurate and updated
9. Records documentation of client care observing legal
Management imperatives in documentation and record
keeping.
Identifies verbal and non-verbal cues
10. Communication Uses appropriate information technology to
facilitate communication.
11. Collaboration Collaborates plan of care with the other health
and Teamwork care team members.
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.
Maintain the privacy and confidentiality of client’s
information.
Accepts responsibility and accountability on the
decisions made relating to the client’s care.
Performs nursing tasks according to professional
standards.
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.
Identifies and reports inadequacies and problem(s)
encountered in the provision of CPR procedures and
processes.
Recommends practical and appropriate solutions.
Specifies researchable problems related to CPR
procedures and related client care.
Gather, analyze, and interpret relevant data.
Utilizes findings in research in the provision of CPR-
related measures and client care.
Records outcome of client care.
Submits legible, accurate and updated documentation
and/or information regarding the client care.
Interprets and validates client’s body language and facial
expressions
Utilizes appropriate means and/or channels of
communication to support the delivery of care to clients
with conditions needing CPR.
Respects the role of other members of the health care
team in administering CPR measures to the client.
Refers the client to the appropriate allied health team
partners.
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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 CPR has not 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)

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

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TASKS:
1. Quick Assessment (5 minutes) – 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)

OBSERVATIONS CHART
Patient Profile: Age/ Sex:
Date/
Time
Subjective Data: Objective Data:

Quick Assessment: Critical Points to check:

IMPLEMENTING CARE

ONGOING CARE

Complete the assessment data to provide high quality, individualized care for the patient.

Name: Section & Group:

Grade:
Signature over Printed Name of Clinical Instructor Date:

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