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* MCKNIGHT’S LONG-TERM CARE NEWS * MCKNIGHT’S SENIOR LIVING * MCKNIGHT’S HOME CARE Log In Register Subscribe HAVE WE GOT NEWS FOR YOU! *CountryUnited States McKnight's Clinical Daily McKnight’s Business Solutions On McKnight's Weekly Roundup McKnight's Spotlight On McKnight's Daily Update I would like to receive relevant information via email from McKnight's . By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our privacy policy and terms and conditions SIGN UP FOR OUR NEWSLETTERS Privacy Policy | Terms & Conditions Log In MORE FROM MCKNIGHT’S * MCKNIGHT’S LONG-TERM CARE NEWS * MCKNIGHT’S SENIOR LIVING * MCKNIGHT’S HOME CARE Subscribe * News * News * Clinical Daily News * Business Daily News * Tech Daily News * HealthDay News * The Brighter Side * Weekly Roundup * Magazine Issue Archive * Sign Up for E-Newsletters * Magazine * Digital and Print archive * Subscribe * Columns * Editors’ Notes * Guest Columns * Marketplace Columns * Living Leadership * Rehab Realities * The Real Nurse Jackie * The World According to Dr. El * Things I Think * Submission guidelines for mcknights.com * Market News * Earnings News * On the Move * Resources * Newsmakers Podcasts * Market Leaders Podcasts * Game Changers * Business Solutions On * E-Books * Executive Decisions * Dealmaker’s Handbook * Technology Supplement * Workforce Development Guide * Magazine Archive * Webinar Plus * Whitepapers * Videos * Industry Directory * Events * McKnight’s Women of Distinction Awards and Forum * McKnight’s Women of Distinction Honorees * Webinars * McKnight’s Tech Awards + Summit * Pinnacle Awards * McKnight’s 40 for 40 * Topics * COVID-19/Coronavirus * Payment * Policy * Executive Leadership * Workforce Issues * Clinical Update Clinical Daily News NURSING HOMES SHOULD RETHINK CARE STANDARDS FOR AED USE IN CARDIAC ARREST, DOC SAYS Alicia Lasek June 21, 2023 Share › * Share on Facebook * Share on Twitter * Share on LinkedIn * Share by Email * Print Nursing facilities in the United States must reevaluate their procedures for cardiopulmonary resuscitation (CPR) attempts, according to a medical director and author of a new review published in JAMDA. Changes may be necessary in order to match current evidence and community standards, especially involving the use of automated external defibrillators (AEDs), according to Rebecca D. Elon, MD, MPH, CMD, of Johns Hopkins School of Medicine in Baltimore. Elon, who also serves as chief medical officer at FutureCare Health and Management Corp., based in Towson, MD, reviewed data about CPR outcomes in older adults and nursing facility settings. She found that although AEDs have been the standard of care for out-of-hospital cardiac arrest response in community settings over 20 or more years, adoption of AEDs varies in nursing homes and the number of U.S. facilities with the devices is unknown. Federal regulations do not require that all federally supported nursing facilities have the capacity to provide on-site automated external defibrillation as part of their basic life support (BLS) protocols. But the use of AEDs may make a difference within the few minutes available to successfully perform resuscitation before permanent brain damage and irreversible death occur, Elon wrote. PROVIDER HESITANCY, LACK OF DATA Yet evidence is lacking about the deployment and outcomes of AEDs in nursing facilities, and much of what is known comes from international studies, she noted. In addition, cost-effectiveness studies regarding the deployment of AEDs have not considered the unique circumstances of nursing facility settings and residents. “Concern over negative outcomes of the procedure is a factor that may explain the hesitancy of many providers to expand nursing facility CPR capacity by adding AEDs,” she wrote. That said, new CPR standards, including the introduction of AEDs, may be warranted in these settings, Elon added. Recent research has found improved outcomes in a limited cohort with witnessed cardiac arrests, early bystander CPR and an initial amenable rhythm, who were shocked with an AED before the arrival of emergency medical services personnel. In addition, clinical staff in nursing homes already are required to undergo BLS/CPR training that includes the use of AEDs, and providing them with the tools to implement their knowledge may not pose an additional burden, she noted. A RISK MANAGEMENT TOOL When properly done, including the use of informed consent, providing AEDs for nursing facility staff to use in their BLS/CPR protocols “might prove to be an important quality improvement intervention and risk management tool for nursing facilities,” Elon proposed. Changes to standard of care in U.S. nursing facilities is unlikely without regulatory intervention, but Elon recommended that nursing home medical directors who wish to promote evidence-based medicine should analyze and discuss the following for their facilities: * the facility’s current processes for determining and documenting code status, * processes and outcomes of its current BLS/CPR procedures, * the community standard of care, and * the needs and wishes of the population being served by the facility. This can help to determine “whether the status quo is appropriate or whether facility processes and procedures might need to evolve to improve outcomes,” Elon wrote. “The efforts of individual medical directors and teams within individual facilities and companies have the potential to raise the bar of current practice for the benefit of those we serve.” Related articles: Clinicians should be on lookout for cognitive changes after CVD events: study Mild cognitive impairment can undermine heart-attack care: study Multiple heart-related conditions may triple dementia odds Insomnia linked to 69% greater risk of heart attack MORE FROM MCKNIGHT'S LONG-TERM CARE NEWS siteName McKnight's Long-Term Care News siteURL https://www.mcknights.com siteID 5 Warm handoffs, cool tech help providers smooth transitions: expert Kimberly Marselas 21 June 2023 mcknights.com With quality metrics increasingly driven by patient satisfaction, the urgency of smoothly transitioning patients from on… siteName McKnight's Long-Term Care News siteURL https://www.mcknights.com siteID 5 Blacks less likely to be prescribed insomnia meds, study finds Alicia Lasek 15 June 2023 mcknights.com Patients who belong to racial minority groups are much less likely to be prescribed medications after an insomnia diagno… siteName McKnight's Long-Term Care News siteURL https://www.mcknights.com siteID 5 CMS initiative finds no harm when residents receive acute care in the nursing home Alicia Lasek 9 June 2023 mcknights.com On-site acute care in the nursing home did not result in any harm, and may have benefited long-stay residents, according… siteName McKnight's Long-Term Care News siteURL https://www.mcknights.com siteID 5 Ask the payment expert … about an LPN’s MDS role Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT 9 June 2023 mcknights.com Q: We’ve been trying to fill an open MDS position and have an LPN applicant who would be great in the role. 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By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our privacy policy and terms and conditions SIGN UP FOR OUR NEWSLETTERS Privacy Policy | Terms & Conditions * MORE FROM OUR NETWORK siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 People in the news, June 20 Foster Stubbs 20 June 2023 mcknightsseniorliving.com Appointments and promotions at Commonwealth Senior Living, Erickson Senior Living, Kendal Corp., National Church Residen… siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 SCOTUS ruling clears way for more cases, big verdicts against nursing homes Kimberly Marselas 9 June 2023 mcknightsseniorliving.com Nursing homes under county or state control could see an explosion of lawsuits following a Thursday US Supreme Court rul… siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 Use of wearable devices low for those with cardiovascular disease risk Haymarket Media 9 June 2023 mcknightsseniorliving.com Older age, lower educational attainment and lower household income were independently associated with lower use of weara… siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 How a senior living provider freed up employees to pursue their passions Kimberly Bonvissuto 8 June 2023 mcknightsseniorliving.com A few years ago, United Methodist Communities embarked on a digital transformation to improve productivity, drive innova… siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 Workforce issues at forefront as assisted living providers gather in DC Lois A. Bowers 5 June 2023 mcknightsseniorliving.com Assisted living workforce issues are expected to dominate discussions when representatives of the National Center for As… siteName McKnight's Senior Living siteURL https://www.mcknightsseniorliving.com siteID 3 In-hospital wearable activity trackers tied to improved outcomes Haymarket Media 16 June 2023 mcknightsseniorliving.com Patients using wearable trackers had higher physical activity and functioning. FEATURED CONTENT View All Market Leaders Podcasts F694 (PARENTERAL/IV FLUIDS): UPDATED GUIDANCE ON INFECTION PREVENTION Market Leaders Podcasts HOW APCS AND SPECIALTY ONCALL SERVICES ARE CHANGING THE POST-ACUTE LANDSCAPE – FOR THE BETTER WANT TO READ MORE? Please login or register first to view this content. Login Register * * News * Subscribe * About Us * Contact Us * Advertise * * * * * * * Copyright © 2023 Haymarket Media, Inc. 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