NURSING SEMINAR IN HOSPITAL CARDIAC ARREST MANAGEMENT UP

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NURSING SEMINAR IN HOSPITAL CARDIAC ARREST MANAGEMENT UP DATE Sugiyono. S. Kep. Ns. .

NURSING SEMINAR IN HOSPITAL CARDIAC ARREST MANAGEMENT UP DATE Sugiyono. S. Kep. Ns. . CHt. CNNLP Nurse Specialist t cardiovascular Emergency in national Cardiovascular Center Harapan KIta Nursing Trainer Cardiovascular Emergency (BTCLS, ACLS, EKG Transpersonal Hypnotherapist and Consultant Trainer of Hypnotherapist (Certified hypnotist and hypnotherapist from Indonesian Broad Hypnotherapist (IBH) (Certified practitioner NLP Indonesian Broad Neo NLP society) )

Curiculum Vittae • Nama : Sugiyono • Moto : “Selalu Menuju Perbaikan dan Keep

Curiculum Vittae • Nama : Sugiyono • Moto : “Selalu Menuju Perbaikan dan Keep Spirit , Belajar, Amal, Ibadah” • No Telepon/WA : 081326616855 • Email/fb: sugiyononers@gmail. com , Fb sugie poenya • Youtube channel /Ig: sugiyono ners Hypnoterapis

Riwayat Pendidikan • • • SPK PPNI SEMARANG UNIVERSITAS NGUDI WALUYO SEMARANG PROGRAM PROFESI

Riwayat Pendidikan • • • SPK PPNI SEMARANG UNIVERSITAS NGUDI WALUYO SEMARANG PROGRAM PROFESI NERS BASIC CARDIOVASCULAR ADVANCE CARDIOVASCULAR/POST BASIC On Going Magister Keperawatan peminatan KMB 1999 -2002 -2006 -2007 2010 2017 2018

RIWAYAT PEKERJAAN • Ners specialist cardiology di Emergency National Cardiovascular Center Harapan Kita Hospital

RIWAYAT PEKERJAAN • Ners specialist cardiology di Emergency National Cardiovascular Center Harapan Kita Hospital Jakarta mulai 2008 -Sekarang • Dosen pengajar Mata Kuliah Keperawatan Gadar di STIKES Banten mulai 2010/IMC Bintaro dan Bimbingan Pendidikan Profesi Ners Tangerang dan beberapa PTS di Tangerang • Tim instruktur pengajar BCLS Diklat RS PJNHK • Tim instruktur pengajar Kegawat daruratan BTCLS dan ACLS di Pro Emergency, Cibinong Bogor • Tim instruktur pengajar basic ECG dan Advance • Enterpreuner, Trainer hypnosis, Hypnoterapist dan khitan Modern • Pembicra seminar keperawatan Nasional dan Kesehatan

Background

Background

Background

Background

Background • Penyakit jantung dan pembuluh darah menduduki peringkat teratas di dunia dan peringkat

Background • Penyakit jantung dan pembuluh darah menduduki peringkat teratas di dunia dan peringkat ke dua di Indonesia penyebab kematian • Perlu penanganan segera pada kegawatdaruratan jantung dan pembuluh darah

Trends of Cardiac Arrhythmias

Trends of Cardiac Arrhythmias

INCIDENCE IHCA

INCIDENCE IHCA

What is cardiac arrest? Definition Sudden cardiac arrest is the sudden, unexpected loss of

What is cardiac arrest? Definition Sudden cardiac arrest is the sudden, unexpected loss of heart function, breathing and consciousness. Sudden cardiac arrest usually results from an electrical disturbance in your heart that disrupts its pumping action, stopping blood flow to the rest of your body.

ECG MONITOR CARDIAC ARREST? VT (VENTRIKEL TACHICARDIA) NO PULSE VF (VENTRIKEL FIBRILASI) ASISTOLE LETHAL

ECG MONITOR CARDIAC ARREST? VT (VENTRIKEL TACHICARDIA) NO PULSE VF (VENTRIKEL FIBRILASI) ASISTOLE LETHAL ARITMIA PEA ( PULSELESS ELECTRICAL ACTIVITY)

Ventrikel Takikardi (VT) Ventrikel Fibrilasi (VF)

Ventrikel Takikardi (VT) Ventrikel Fibrilasi (VF)

PEA (PULLESS ELECTRICAL ACTIVITY)

PEA (PULLESS ELECTRICAL ACTIVITY)

SURVIVAL RATE VT/VF ASISTOLE PEA 63 -69 % 15 -20 %

SURVIVAL RATE VT/VF ASISTOLE PEA 63 -69 % 15 -20 %

CAUSE CARDIAC ARREST

CAUSE CARDIAC ARREST

CAUSES CARDIAC ARREST (PEA) �� Hypovolemia �� Hypoxia �� Hydrogen ion (acidosis) �� Hypo-/hyperkalemia

CAUSES CARDIAC ARREST (PEA) �� Hypovolemia �� Hypoxia �� Hydrogen ion (acidosis) �� Hypo-/hyperkalemia �� Hypothermia �� Tension pneumothorax �� Tamponade, cardiac �� Toxins �� Thrombosis, pulmonary �� Thrombosis, coronary

CHAIN OF SURVIVAL BLS-AHA 2015

CHAIN OF SURVIVAL BLS-AHA 2015

MANAGEMENT CARDIAC ARREST D Amankan diri sendiri – Lingkungan - Penderita R Cek Respons

MANAGEMENT CARDIAC ARREST D Amankan diri sendiri – Lingkungan - Penderita R Cek Respons : Panggil, Tepuk – tepuk, Call for help, bawakan AED, Cek napas sekaligus cek nadi tidak lebih dari 10 detik C Compression 30 : 2 ventilasi or Compression Only ( Rate 100 – 120 x/mnt ) A Buka Jalan Napas : Head Tilt Chin Lift, Chin Lift , Jaw Thrust B Cek Napas : Look-Listen-Feel Tidak Napas Berikan Napas Buatan 2 Kali

HIGH QUALITY CPR

HIGH QUALITY CPR

ADVANCE CARDIAC LIFE SUPPORT • 2015 AHA Physio Adult ALS poster. pdf

ADVANCE CARDIAC LIFE SUPPORT • 2015 AHA Physio Adult ALS poster. pdf

In-Hospital Cardiac Arrest Response Teams q. Resuscitation Team (i. e. , Emergency Code Team)

In-Hospital Cardiac Arrest Response Teams q. Resuscitation Team (i. e. , Emergency Code Team) q. Rapid Response Teams (RRTs), also known as Medical Emergency Teams (METs) q. Pediatric RRT-METs

q The initial rescuer performing CPR q. High quality CPR performance and CPR certified

q The initial rescuer performing CPR q. High quality CPR performance and CPR certified q Managing defibrillation q. Defibilator is cheeked and used ready q Managing airway and ventilation q Managing lines, drugs and tubes q As the staff in charge of resuscitation documentation q Implementing Utstein-style reporting q Prompting team members of critical actions required

Nursing Journal

Nursing Journal

CONCLUSION

CONCLUSION

Nursing Roles for In-Hospital Cardiac Arrest Response NURSING ROLE Bedside Nurses EDUCATION COMPETENCY Improvement

Nursing Roles for In-Hospital Cardiac Arrest Response NURSING ROLE Bedside Nurses EDUCATION COMPETENCY Improvement to training standard BLS certification Prepared and quickly, efficiently act in the few minutes of CODE ORGANIZATIONAL ENGAGMENT How Nurse Work to identify Training and the organizational. EMPOWERMENT In general, Nurses are empowered to Activate a Rapid response team and Code team, to Allow bedside Nurses use Defibrillator and AED

NURSING ROLE EDUCATION COMPETENCY Rapid Response Respon Team and code Team Nurses team selected

NURSING ROLE EDUCATION COMPETENCY Rapid Response Respon Team and code Team Nurses team selected ensure the highest competence at some site, and member received regular training ORGANIZATIONAL ENGAGMENT At some site the nurses participating in codes by the : RESUSCITATION QUALITY INPROVEMENT TEAM IHCA EMPOWERMENT RN and team leader, always improve bedside Nurses self efficacy

NURSING ROLE Nurse Leadership EDUCATION COMPETENCY Strong Nursing Leadership advocated for nurses to receive

NURSING ROLE Nurse Leadership EDUCATION COMPETENCY Strong Nursing Leadership advocated for nurses to receive education ORGANIZATIONAL ENGAGMENT EMPOWERMENT Improvement nurses for facility quality, such as acting on training needs and ensuring receive data from Resuscitation committee Some Hospitals Position Nurses in IHCA leaderships roles or as clinical champions

SUDDEN CARDIAC ARREST SUDDEN CARDIAC ARREST CAUSE ASUDDEN CARDIAC ARREST SUDDEN CARDIAC ARREST CAUSE A
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Cardiac Arrest Arrhythmias Terry White RN Cardiac ArrestCardiac Arrest Arrhythmias Terry White RN Cardiac Arrest
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Cardiac Arrest Alireza Sedaghat MD FCCM Cardiac ArrestCardiac Arrest Alireza Sedaghat MD FCCM Cardiac Arrest
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CRITICAL CARDIAC ARREST PATIENT NURSING IT IS NOWCRITICAL CARDIAC ARREST PATIENT NURSING IT IS NOW
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MODULE 5 CARDIAC CARDIAC ANATOMY CARDIAC CYCLE TRANSITIONMODULE 5 CARDIAC CARDIAC ANATOMY CARDIAC CYCLE TRANSITION
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