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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Developing a Decision Pathway for Family Presence During Resuscitation.

Carolina Dimsdale Tennyson, John P Oliver, Karen Roussel Jooste

Dimensions of Critical Care Nursing : DCCN

|March 30, 2023

Summary

Implementing a standardized family presence during resuscitation (FPDR) pathway ensures safe, coordinated care. This patient-centered approach enhances family autonomy and positively impacts patient and family experiences.

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Area of Science:

Medical Education
Patient Care
Healthcare Management

Background:

The standard of care for family presence during resuscitation (FPDR) is evolving, necessitating institutional policies.
While supported, FPDR practices were not standardized at this institution.

Purpose of the Study:

To standardize the care of families during inpatient code blue events.
To implement a patient-centered decision pathway for FPDR.

Main Methods:

An interprofessional group developed a decision pathway for inpatient code blue events.
The pathway was refined through simulation events, emphasizing the family facilitator role and teamwork.
Pathway recommendations integrated current literature, expert consensus, and institutional regulations.

Main Results:

The pathway is a patient-centered algorithm promoting safety and family autonomy.
An on-call chaplain serves as the family facilitator for all code blue events.
Staff reported positive effects on patient and family care one year post-implementation.
Inpatient FPDR frequency did not increase.

Conclusions:

The implemented decision pathway ensures FPDR is a safe and coordinated option.
Standardization of FPDR improves patient and family experiences during critical events.