Authors (including presenting author) :
Leung LK (1)
Affiliation :
(1) Department of Orthopaedics & Traumatology and Gynaecology, Tseung Kwan O Hospital
Introduction :
Early defibrillation, effective chest compressions, airway management, and timely adrenaline administration are crucial components of high-quality CPR. Successful integration of these elements relies on seamless team dynamics and effective communication.
CPR Record Audit Reports (2020–2023) at Tseung Kwan O Hospital identified the need to enhance IV adrenaline administration within the first five minutes of CPR for cardiac arrest patients with non-shockable rhythms. In response, intraosseous (IO) vascular access was introduced as an alternative route and is now a standard in resuscitation trolleys. It is also included in medical emergency response training that is held by the Nursing Service Division from 2024. To implement these updates and reinforce CPR fundamentals, a training program was conducted in an Orthopaedics & Traumatology and Gynaecology mixed specialty ward to improve nursing competence, confidence, and teamwork.
Objectives :
● Enhance skills in defibrillation, chest compressions, airway management, timely adrenaline use, and advanced equipment like AEDs, LUCAS devices, and IO access.
● Improve team dynamics and communication.
● Update knowledge and skills per current guidelines and CPR audit recommendations.
Methodology :
In November 2024, four resuscitation refresher workshops were held, combining demonstrations and hands-on practice with manikins. Key topics included:
1. Nurse-Led Automatic Defibrillation Workflow
2. LUCAS CPR Device Application
3. Airway Management and Equipment Use
4. IO Vascular Access Preparation and Post-Care
Each workshop, involving 4–5 participants, reflected real-life team dynamics by including nurses with diverse seniority levels. A 10-question satisfaction survey was conducted post-training to assess self-competence, confidence, and practical application.
Result & Outcome :
The workshops were highly effective, with 92% of participants reporting increased competence in nurse-led AED use, 100% in LUCAS device and airway management, and 92% in IO vascular access. Return demonstrations were impactful, with 92% of participants finding them effective for skill reinforcement.
An impressive feature of this program was its inclusion of four advanced CPR practices, exceeding mandatory CPR audit requirements and preparing participants for complex scenarios. Participants highlighted the training's relevance and scalability, with potential to expand to other wards.
Overall, 83% strongly agreed that their confidence improved, and all 16 participants expressed satisfaction. The program's success underscores its value in enhancing clinical preparedness and its potential for broader implementation.
