Presentation Transcript

1. CPR Implementing the new CPR graduation requirement. . Presenter: Courtney Nix - Brunswick County Schools cnix@bcswan.net
2. CPR Graduation Requirement General Assembly of North Carolina Session 2012-197 House Bill 837: Passing a CPR skills test is now a requirement for high school graduation. Who does this affect? All students who graduate in 2015 and subsequent Basically: the upcoming 11th grade class and after
3. Documentation According to this legislation:“The new requirement becomes a record keeping priority” Documentation efforts should have been initiated during 2012-13 school year. It will be imperative to have the Middle School teachers keep close records of the students who have been trained in CPR. These records will be turned into your NCWISE/PowerSchools data manager.
4. Documentation These records will be tracked in NCWISE then transfer to POWER SCHOOL and displayed on transcripts. They will be listed like other EOC test scores and will be marked as PASS or FAIL. There are instructions on the NC Healthful Living Wiki site under CPR that will help your NCWISE/ PowerSchool administrator input the data collected.
5. Essential Standards Alignment This requirement is aligned with our current 8th gradeHealth Education Essential Standards. Although the new requirement is for High School graduation it is in the Middle School curriculum. This means it will not be required to be taught at the high school level so it is imperative that every 8th grader is trained before leaving the middle school. Some school systems have been teaching CPR at the high school level, and it is acceptable for that practice to continue.
6. Essential Standards 8.PCH.4 Analyze necessary steps to prevent and respond to unintentional injury. 8.PCH.4.2 Demonstrate basic CPR techniques and procedures on a mannequin and pass a Red Cross or American Heart Association approved test of CPR skills.
7. High School With this being a High School graduation requirement it will be up to the High Schools to ensure each student is properly trained prior to graduation. It is possible that high schools will have to hold yearly trainings to help students meet this requirement who might have transferred or been absent during trainings.
8. High School HOWEVER… The new law requires that successful CPR instruction be a part of the graduation requirements beginning with the 2014-15 school year. This means that we have two cohorts of students who may have had the CPR instruction before the electronic recording requirement was in place or not at all (class of 2015 & 2016).
9. DPI released a letter stating that: School districts should use NCWISE to identify if the student passed the eighth grade Healthful Living class and verify that CPR was routinely taught as part of that class. If both of these conditions were met, this will satisfy the requirement for verifying successful completion of CPR for students who will be in the ninth or tenth grade in the 2012-13 school year. If the student did not pass the eighth grade Healthful Living class or CPR was not taught, then the school district will need to identify a means to provide CPR instruction for the student before the 2014-15 graduation year. The American Heart Association is exploring options for providing CPR for free or low cost to students in this situation. Please note that the approved American Red Cross program compression tool is a suitable substitute for the mannequin requirement. Contact your local resources such as hospitals, health departments, and/or other health-related agencies for assistance in meeting this legislative requirement.
10. The class of 2015 & 2016 Instead of pulling records on each student to determine if they were taught and tested on manikins BCS opted to train everyone in the 2015 & 2016 graduating class.
11. The class of 2015 & 2016 The class of 2016 (rising 10th grade) were all registered in Health/PE and received training during normal class time from their classroom healthful living teacher. The class of 2015 (rising 11th grade) were also undocumented in the system or untrained but were not registered in a common healthful living course…
12. The class of 2015 & 2016 In order to train the class of 2015 (rising 11th grade) high schools may have to be creative because the numbers could be in the hundreds. Suggestions: Use school based Health teachers Contact local Red Cross/AHA representative Local hospital or EMS services Utilize school nurses or school health occupations teachers
13. Brunswick County’s Plan We trained and tested these students by pulling groups of 20-25 out of non-tested electives (i.e. PE electives, ARTS & JROTC) for one 90 minute period. We provided coverage for 2 health teachers that team taught to complete the training in 90 minutes. We were able to train the 386 rising 11th grade in 4 days.
14. Requirements Students will need to be trained in: Compression or Hands-Only Adult/Youth CPR and AED use This means that neither staff nor student need to be “certified” in CPR This shortens the time it takes to teach because the breathing strategies and child/infant skills will not have to be taught nor tested. However, teachers may opt to still teach additional skills.
15. Student Assessment Students must be “hands on” trained with manikins and have exposure to AED use. They must also pass the skills test on manikins. Most districts should provide you with the necessary funding to order supplies to train students. If not seek supplies from local AHA.
16. Student Assessment This is a Pass or Fail “test” There is no required written portion to the test required by the state. However, many schools are choosing to assess much of the knowledge portion of the “CPR Checklist” in the form of a written test.
17. North Carolina High School CPR Graduation Requirement Checklist DPI worked with the American Heart Association and Red Cross to develop a CPR Graduation Requirement Checklist.
18. The “Checklist” The “checklist” only lists the knowledge necessary to check off. For easier use I have put these concepts into question form and supplemented necessary information on the “CPR Skills Review” sheet. In the attached lesson plan are questions and prompts that can be used to complete the checklist on this “CPR Skills Review”
19. Family & Friends CPR Anytime The program several schools are adopting is the American Heart Association’s: “Family & Friends CPR Anytime” kits They are easy to use and very inexpensive at $30 a kit. Each kit comes with an inflatable Mini Anne manikin and instructional DVD It includes: Adult Hands-Only CPR & General AED awareness These can be purchased at shopcpranytime.org.
20. Sample CPR Lesson Plan The following is a sample lesson plan that covers the content and teaches the skills necessary to complete the CPR graduation requirement.
21. Disclaimer… This is what has worked for me…you may find a way that works better for your situation. Students just tend to be less nervous in the small groups and it allows me to watch their skills more closely and help them when necessary and monitor students still practicing from the door window. Successfully Teaching Middle School Health has a great lesson for 8.PCH.4 as well. Both can be downloaded from the Healthful Living Wiki resources.
22. Hands-Only CPR Lesson Plan Objective: 8.PCH.4.2 Demonstrate basic CPR techniques and procedures on a mannequin and pass a Red Cross or American Heart Association approved test of CPR skills. PowerPoint introduction Watch Family & Friends DVD Watch AED use and demonstrate Students practice on manikins with DVD Review skills with the PowerPoint Allow students to review and practice Do “checklist review” questions orally or written Do skills checklist in small groups Materials Needed: Family & Friends CPR Anytime DVD Projector & Laptop Mini Anne Manikin Practice AED Copies of Student Review Sheet CPR PowerPoint *Optional: Copies of written test
23. Hands-Only CPR Lesson Plan Review: Start class with the CPR PowerPoint. This presents facts about CPR and video hyperlinks that introduce CPR. This show students the importance of knowing CPR and offer a basis for this discussion. *Video segments are optional Statement of Objectives: To learn when and how to provide Hands-Only CPR on an adult or youth.
24. Hands-Only CPR Lesson Plan Teacher Input: Once you reach slide 12 it will instruct you to start the Family & Friends CPR Anytime DVD. Watch the “Learn Adult Hands-Only CPR” section all the way through without practicing on manikins yet. You may want to demonstrate on a manikin during the video. Tip: Inflate the “Mini Anne” manikins prior to class. If you have you can skip Chapter 4 on the video.
25. Hands-Only CPR Lesson Plan Teacher Input: continued On the DVD click on “Other Lifesaving Techniques” and proceed to the “AED Demonstration.” After the video have students gather around a table and have volunteers use a practice AED to walk students through the steps they just learned. Tip: With the Mini Anne manikins it can be difficult to attach the pads “exactly” in the correct spot since it is a shortened torso so just have students get them as close as possible.
26. Hands-Only CPR Lesson Plan Guided Practice: Set up Mini Anne manikins on the floor where students can still see the screen. Have students follow the “Practice Adult Hands-Only CPR” video section, replaying it until each student has had a chance to practice.
27. Hands-Only CPR Lesson Plan Guided Practice: continued After each student has practiced, reopen the CPR PowerPoint to “Let’s Review.” Students can review and ask questions about any additional information not on the DVD but that they need to know for the “Checklist”. The PowerPoint is set up to display the question and allows students to answer before showing the answer. Independent Practice: Handout a copy of the CPR Skills Review sheet and give students time to practice their skills or quiz each other.
28. Hands-Only CPR Lesson Plan Assessment: Here is where you can opt to give students the written test or question them orally in small groups. Written test: have students turn these in after they finish and highlight the sections they missed. While in small groups for the “Hands on Skills Test review the questions missed. Oral test: have students come to test in pairs/small groups. They just need to stand together, not kneel at a manikin yet. Tell them to answer loudly as a group unless specifically called for an answer. Using the students review sheet ask students the “I. AWARENESS” questions.
29. Hands-Only CPR Lesson Plan Hands on Skills Test: Set up the appropriate # of manikins needed depending on group size on the floor & the practice AED close by. In groups of 2-4 students (dependent upon time/class size) come into the hallway (or other suitable area). Students who are not testing at that time may continue to practice their skills in the classroom.
30. Hands-Only CPR Lesson Plan Hands on Skills Test: continued Next, continue onto “II. 911” section. Set the scene by saying they have just walked up to this scene (referencing the manikins on floor) then proceed to ask the questions for that section. Have students demonstrate all actions. Proceed onto the “III. COMPRESSION” questions.
31. Hands-Only CPR Lesson Plan Hands on Skills Test: continued For the “IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE” portion have students leave their manikin and gather around 1 sitting on a desk. As a group, students will walk through the steps to administer the AED. Ask questions to group members to keep them involved. Tell them it is their responsibility to speak up if their group member is not using it correctly.
32. Review of Lesson Plan PowerPoint introduction Watch Family & Friends DVD Hands Watch AED use and demonstrate Students on manikin practice with DVD Review skills with the PowerPoint Allow students to review and practice Do “checklist review” questions orally or written Do skills checklist in small groups

33. Hands-Only CPR

    You could save a life…
34. Did you know… On average less than one third of out-of-hospital cardiac arrest victims receive bystander CPR. CPR can double or triple a person’s chance of surviving cardiac arrest!
35. Teenager saves her mom: video
36. Did you know… Most bystanders are worried they might do something wrong or make things worse. Panic was cited as the major obstacle for why untrained people didn’t start CPR.
37. Good Samaritans Law If you decide to help in an emergency situation you can not be sued or held accountable for possible injury or death. You were acting in good faith to try to help.
38. College basketball player: video
39. Did you know… Hands-Only CPR is an alternative method of CPR using only chest compressions for cases of an adult witnessed sudden cardiac arrest.
40. Be the Beat : video
41. Staying Alive! Hands-Only CPR is easy to learn and remember!
42. Ken Jeong Demo : video
43. Objective Demonstrate basic CPR techniques and procedures on a mannequin and pass a test of CPR skills.
44. Family & Friends CPR Anytime We are now going to learn how to give hands-only CPR and have time to practice by watching the Family & Friends CPR Anytime video.
45. Let’s Review
46. I. AWARENESS a. What is the leading cause of death in adults? Answer: Sudden cardiac arrest b. What life saving technique doubles a person’s chance of survival from sudden cardiac arrest? Answer: CPR – Cardio Pulmonary Resuscitation
47. I. AWARENESS c. What are examples of cardiac events/sudden death emergencies? Answers: heart attack drowning electrocution asphyxiation.
48. I. AWARENESS What are signs or symptoms of cardiac events/sudden death emergencies? Answers: Unconsciousness Not breathing Only gasping No signs of life/movement.
49. II. 911 a. You just walked up on a scene what is the first thing you should do? Answer: Secure the scene. What is the first thing you check for when you approach the victim? Answer: Consciousness
50. II. 911 How can you tell if the victim is conscious? Answer: Tap & Shout b. The scene is secure and the victim is unconscious, what should you do next? Answer: Locate nearest phone and call 911
51. II. 911 What information will you need to provide EMS? c. Answer: current address d. Answer: phone number for EMS to contact If you have bystanders what should you do? Answer: Yell for help. Send someone to phone 911. Send someone to get an AED. Have them assist you with compressions.
52. III. COMPRESSIONS After calling 911, what do you want to check before starting compressions? Answer: Breathing a. What 3 things can you do to check for signs of breathing? Answer: Look Listen Feel
53. III. COMPRESSIONS How would you position yourself to check for signs of breathing? Answer: Lean over victim, put ear close to their mouth, with eyes looking down their chest. What you are looking, listening and feeling for? Answer: Look: for the chest to rise Listen: for breathing Feel: for breaths against your cheek
54. III. COMPRESSIONS How do you know you should start CPR? Answer: Victim is unconscious and not breathing or only gasping. b. How would you position yourself for compressions? Answer: Position yourself by kneeling next to the victim with their head to one side of your knees Place heal of your hand in the center of chest and place other hand on top Lace hands together and lean over victim until shoulders are over the victims chest and lock out elbows
55. III. COMPRESSIONS c. At what depth should compressions be performed? Answer: two inches At what rate should compressions be performed? Answer: 100 per minute For your skills check off you will have to demonstrate compressions for 1 minute Be sure the manikin’s chest is clicking on each compression and are being performed at a rate of 100 beats per minute (Staying Alive song)
56. III. COMPRESSIONS d. How long should you continue compressions? Answer: Until the victim begins breathing Emergency personnel arrives If an AED is ready to use A bystander is prepared to switch
57. IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE a. Determine location of nearest AED. Finding the closest AED will be different depending on your location. At school there is usually one in the nurses office, front office, athletic trainer or library. If at a public place (like Walmart or a grocery store) they are usually found at the customer service desk. In places, like at a park or at your home, just call 911 and most law enforcement vehicles carry them.
58. IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE b. Turn on AED and follow automated instructions. i. Adjust victim’s clothing to ensure pad-to-skin contact. ii. Open pad package and plug in pad connector. iii. Peel pad backing and apply both pads. iv. Wait and stand clear as AED performs analysis. v. If instructed, press shock button.
59. Additional Resources CPR School Roster AHA Hands Only CPR Lesson Plan AHA Be the Beat Web Quest Lesson Plan Successfully Teaching Middle School Health
60. Questions? Please feel free to email me for any resources or questions that may arise at cnix@bcswan.net.