recording and reporting of patient safety incidents in relation to resuscitation.review of audit data using National Cardiac Arrest Audit data for benchmarking), quality improvement - action plans based on audits (e.g.DNACPR decisions), and advanced care planning (this is usually in collaboration with palliative care teams), preparing and implementing a policy on resuscitation decisions, (e.g.preparing and implementing policies relating to prevention of cardiac arrest,.preparing and implementing policies relating to resuscitation and treatment of anaphylaxis,.determining requirements for and choice of resuscitation training equipment,.planning adequate provision of training in resuscitation,.ensuring that appropriate resuscitation drugs (including those for peri-arrest situations) are available and ready for use,.ensuring that resuscitation equipment for clinical use is available and ready for use,.defining the role and composition of the resuscitation team,.ensuring implementation and adherence to national resuscitation guidelines and standards,.Responsibilities of the Resuscitation Committee include:.At least twice-yearly meetings of the Resuscitation Committee are recommended.The Resuscitation Committee must determine the level of resuscitation training required by staff members.In some healthcare communities this is achieved very effectively by having a Resuscitation Committee that spans all the relevant organisations. According to local arrangements, it is recommended that the Resuscitation Committee provides advice to other local healthcare organisations who do not have the necessary expertise in resuscitation issues.In the absence of other organisational arrangements, the Resuscitation Committee must also be responsible for implementing operational policies governing the prevention of cardiac arrest.The Resuscitation Committee is responsible for implementing operational policies governing cardiopulmonary resuscitation, practice and training.The Resuscitation Committee must have administrative support.This individual would be expected to have the authority to drive and implement change. The chair of the Resuscitation Committee must be a senior clinician with an active and credible involvement in resuscitation.The exact composition of the committee will depend on local needs and arrangements. ambulance service, anaesthesia, cardiology, dentistry, emergency medicine, general practice, intensive care medicine, mental health, neonatology, obstetrics, paediatrics). doctors, nurses, resuscitation officers, pharmacists, management, patient/lay representative), and appropriate specialties (e.g. The Resuscitation Committee must include representatives from stakeholder groups (e.g.clinical governance, clinical risk, quality improvement, education committees). The Resuscitation Committee must be part of the organisation’s management structure (e.g.According to Health Services Circular 2000/028, Chief Executives must ensure that ‘a non-executive Director of the Trust is given designated responsibility on behalf of the Trust Board to ensure that a resuscitation policy is agreed, implemented, and regularly reviewed within the clinical governance framework.’ The organisation must have a board member responsible for resuscitation services.Healthcare organisations admitting acutely ill patients must have a Resuscitation Committee with clearly defined terms of reference.Īlongside the quality standards, there is an acute care equipment and drug list. The core standards for the provision of cardiopulmonary resuscitation across all healthcare settings are described in the Introduction and overview page. The appendix provides a list of suggested measures to assess adherence to the standards specified in each section. Acute care refers to acute hospitals that provide inpatient and/or day-case medical and/or surgical care to adults, children or both.Įach section of this document contains the quality standards, supporting information and supporting tools for a specific aspect of cardiopulmonary resuscitation in acute care. This document provides quality standards for cardiopulmonary resuscitation practice and training in the acute care setting. Healthcare organisations have an obligation to provide a high-quality resuscitation service, and to ensure that staff are trained and updated regularly to a level of proficiency appropriate to each individual’s expected role.
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