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.

Printable Refresher Guidelines

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

Rolling Refresher Cart Purchasing Guide