top of page

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.

Quick Rolling Refresher How-To

​Offer “tidbits” at each Refresher session:

  • Don’t over-ventilate

  • 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

  • Any ergonomic issues - is a stepstool at the bedside?

  • Other items/issues pertinent to patient or situation

  • Any system or clinical issues 

Target Key Staff​

  • Identify the 5 patients who are most likely to require chest compressions.
  • Have bedside RN or neighbors, RT and MDs (attending, fellows, residents) “Refresh”.

  • ​Identify preceptors or travelers that also need to be refreshed.

  • Offer to staff daily and at different shifts.

 

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” (4 cm) or > 1/3 chest diameter 

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

        • Adults: 2”- 2.5” max. (5-6 cm max.)

      • Complete chest recoil between compressions

    • Duration of each Refresher session should be no more than 5 minutes/person.

To build your own Rolling Refresher Cart, please refer to the Rolling Refresher Cart Purchasing Guide below for information and specifications.

Supported by an unrestricted research grant from 
Additional support provided by
LaerdalLogo.png
AHA_LIW_logo.png
EndowedChairLogo.png

 Made in Phil    delphia

2025

bottom of page