Rolling Refreshers

For patients identified as 'high risk', a designated clinician will brief their bedside provider for anticipated challenges, equipment calibration and optimal positioning, supply/medication availability, and "refreshing" of resuscitation psychomotor skills with Rolling Refresher cart.

Rolling Refresher Guidelines 

To be offered to staff daily and at different shifts

  • ID Staff

    1. Identify the 5 patients who are most likely to require chest compressions

    2. Have bedside RN or neighbors, RT and MDs (attending, fellows, residents) “Refresh”

    3. Identify preceptors or travelers that also need to be refreshed

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  • Refresh

    •  Staff should be able to:

      • Demonstrate proper placement of dual sensor defib electrodes/pads in anterior/posterior position on the manikin (pedi, child or adult, depending on size of their patient) 

      • Turn on defibrillator to gray /ON section  

      • Utilize the Zoll with appropriately placed pads to get compression feedback 

      • Complete 10-20 consecutive compressions meeting all targets:

        • Rate = 100-120/min

        • Depth =  

          • Infants: ~1.5” or 4 cm (>=1/3 diameter of chest

          • Children: ~2” inches or 5 cm (>=1/3 diameter of chest)

          • Adults: 2”- max 2.5” or 5- max 6 cm  

        • Complete chest recoil between compressions

      • Duration of Refresher session should be no more than 3 minutes/person

   Give “tidbits” with each Refresher:

  • Don’t over-ventilate (10 vents/minute, or 1 ventilation every 6 seconds)

  • Push hard/ push fast

  • Minimize interruptions

  • Keep compressing while charging for a shock

  • Switching “Count Down” – count down from 5 when CC provider is about to switch

  • Other items/issues pertinent to patient or situation

  • For international sites that need to purchase their own Refresher carts, please see linked document for information, examples and specifications.

  • (also attached below)

  • Refresher Cart Purchasing Info

  • Click on any image to open in new page/print

For sites that need to purchase their own refresher carts, please refer to the Refresher Cart Purchasing document below for information and specifications.
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Made in Phil   delphia

2020