Nurses helping more bystanders perform CPR on cardiac arrest victims
Dr Shalini and staff nurses seconded to the SCDF operations centre. (Photo: Chan Luo Er)
“The advantage is when a caller is distressed and needs to be calmed down and given instructions on the phone, the nurses are able to relate to them, and give medical advice. "They don’t have to follow a computerised system - a fixed script - they can use their clinical expertise to guide the conversation and their interpersonal skills,” said Dr Shalini.The importance of early intervention is not lost on 30-year-old Geraldine Goh, a senior staff nurse at Singapore General Hospital. Ms Goh has been a nurse for a decade and has spent the last four years seconded to the call centre."My dad, he passed away back in 1998, he died of a cardiac arrest in a carpark and at that point in time, there was no (such thing as) bystander CPR. So this job motivated and inspired me to help other people," said Ms Goh.Each call that Ms Goh answers clocks in below eleven minutes - the time it typically takes for an ambulance to arrive. Over the years, she has coached callers through childbirth and taught them how to resuscitate patients.SCDF says the move to have trained professionals at the call centre has contributed to the number of CPRs performed by members of the public. Of the cardiac arrest victims given CPR in 2011, 22 per cent were administered by bystanders. This went up to nearly 55 per cent in 2015.The collaboration with SingHealth began in 2011 and was formalised in an agreement last year. It includes giving the nurses access to the National Electronic Health Record."They can also do a quick search into a particular patient's records to see if they have known history of having a heart attack before or breathing condition and this is important information relayed to paramedics on the ground," said Dr Shalini. "This will also enable paramedics to improve their care and give certain interventions.”Under the agreement, nurses also conduct research to improve the triage process such as how to better frame questions to get the desired responses in a shorter time.
Source : https://www.channelnewsasia.com/news/singapore/nurses-helping-more-bystanders-perform-cpr-on-cardiac-arrest-10808654