Riding the Wave of Wellness Conference a UNC-Wilmington from the Building Healthy Academic Communities organizatio

Cotter, Elizabeth, Ph.D, R.N.

Hoepper, Kendra, DNP, PNP-BC

McCormack, Mary, DNP, APRN, FNP-C

Moore, Geraldine Ann, EdD, RN, BC, AE-C

Zarcone, Carole, DNP, APRN, ANP-C

English

Molloy College: Digital Commons @ Molloy

Molloy University DigitalCommons@Molloy Faculty Works: Nursing Nursing 4-2023 Journey to a Heart Safe Community Mary McCormack DNP, APRN, FNP-C Molloy University, mmccormack1@molloy.edu Carole Zarcone DNP, APRN, ANP-C Molloy University, czarcone@molloy.edu Kendra Hoepper DNP, PNP-BC Elizabeth Cotter Ph.D, R.N. Molloy University, ecotter@molloy.edu Geraldine Ann Moore EdD, RN, BC, AE-C Molloy University, gmoore@molloy.edu Follow this and additional works at: https://digitalcommons.molloy.edu/nur_fac  Part of the Cardiovascular Diseases Commons, Interprofessional Education Commons, and the Public Health and Community Nursing Commons DigitalCommons@Molloy Feedback Recommended Citation McCormack, Mary DNP, APRN, FNP-C; Zarcone, Carole DNP, APRN, ANP-C; Hoepper, Kendra DNP, PNP-BC; Cotter, Elizabeth Ph.D, R.N.; and Moore, Geraldine Ann EdD, RN, BC, AE-C, "Journey to a Heart Safe Community" (2023). Faculty Works: Nursing. 30. https://digitalcommons.molloy.edu/nur_fac/30 This Presentation is brought to you for free and open access by the Nursing at DigitalCommons@Molloy. It has been accepted for inclusion in Faculty Works: Nursing by an authorized administrator of DigitalCommons@Molloy. For more information, please contact tochtera@molloy.edu,thasin@molloy.edu. Journey to a HEARTSafeCommunityMary McCormack DNP, FNP-C, Carole Zarcone DNP, ANP-C, Kendra Hoepper DNP, PNP-BC, Elizabeth Cotter PhD, RN  & Geraldine Moore EdD, RNObjectives• Describe the overall journey working towards a HEART Safe Community and emphasize the steps needed to ensure sustainability.• Encourage others to implement similar multi-faceted interdisciplinary evidence-based programs on university campuses and in the community at large.• Demonstrate how the Heart Safe Community initiative has reached beyond the campus and local community.ProblemApproximately 436, 852  episodes of out-of-hospital cardiac arrest (OHCA) occur annually1According to 2021 U.S. data, the majority of adult OHCA’s occur at home (73.4%). Public settings (16.3%) and nursing homes (10.3%) were the second and third most common locations of adult OHCA1Implementation of CPR and AED educational programs for laypersons have been identified by both the National Academy of Medicine and the American Heart Association (AHA) as key strategies for improving OHCA outcomes1, 2Evidence: Preparation is KeyDamar Hamlin Elijah BrownProject Evolution• DNP Project• Student Athlete CPR/AED training2016• All Faculty/Staff• CPR/AED Awareness Week2018• HEART Safe Team• HEART Safe Designation Journey kickoff2021Citizen CPR Foundation: HEART Safe Community Program• Set of criteria and guidelines designed to improve outcomes to sudden cardiac arrest emergencies through a specific set of training, preparation and response protocols3• This criteria supports the cardiac arrest “chain of survival” and encourages communities to put that chain of survival into action3FrameworkEstablishing a High-Performance Lead Agency & Community Team• Heart Safe Community Committee• Faculty/Staff from School of Nursing & Health Sciences• Public Safety Directors• Molloy Student Nurses Association (MSNA)• Heart Safe Sub Committee• Local Volunteer Fire Department • Key Stakeholder Buy In• President/Provost of Molloy University• Office of Student Affairs• Local Village Politicians/Mayor’s Cabinet• University StudentsUsing Data to Drive Regional Strategies & Localized Tactics• No mandatory database for Out of Hospital Cardiac Arrest (OHCA)• Difficult to obtain accurate numbers• Collaborating with Northwell EMS director on OHCA incidence rates/outcomes in Rockville Centre• Molloy University IRB Approval for participant demographic data, pre/post test scoresThis Photo by Unknown Author is licensed under CC BY-SA-NCTrained Citizen Rescuers: Goal 15% of the community receives annual CPR trainingHeart Safe Team Training Sessions• 319 participants in AHA CPR Anywhere sessions (April 2022-February 2023)• Pop Up CPR Sessions: Public Square, RVC Community events• 180 participants• Molloy University students 2,684 with BLS training required for degreeCPR Anywhere Program Data Collection ProcessAnonymous ID Scan QR code with participant demographics/pre-test questionsImplement AHA CPR Anywhere programScan post test QR codeDuring cardiac arrest, what happens to a person?Post-testPre-testWhich is the correct first step when you arrived at a scene where a person has collapsed ?Pre-test Post-testWhen you do Hands-Only CPR, how many chest compressions should you perform each minute ?Pre-test Post-testHow deep should you push on the chest of a teen or adult when doing Hands-Only CPR ?Pre-test Post-testOnce you shout for help, what are the next steps for performing Hands-Only CPR?Pre-test Post-testWhat does an AED do?Pre-test Post-testDo you know where the AED is located in public places that you go to ?Pre-test Post-testWould you feel comfortable performing Hands-Only CPR if someone had a cardiac arrest?Pre-test Post-testStatistical Analysis Pre/Post Test Scores (SPSS)• (n=319)• Pre/posttest consists of seven CPR/AED knowledge questions and one comfort question • Statistical analysis revealed there was a significant difference, t (318) = - 24.23, p < .001 between pre-test  (M = 4.79; SD = 1.78) and post-test scores (M = 7.10; SD .909), indicating an improvement in CPR/AED knowledge and comfort after participating in the sessions. • 98.6% of participants report they would feel more comfortable providing hands only CPR if they witnessed an OHCA after taking the courseAmerican Heart Association: CPR Anytime Kit• Participants offered take home kits • DVD’s & streaming videos in the kit• Participant scan QR code to update team on additional trainingCPR Anytime Data Collection Process• QR code inserted in kit• Ask participants to share training with friends/family• QR code inserted in kit• Participant scan QR code to update team on additional training• 44 participants took kits home and trained an additional 132 family members/friendsData Collection/Analysis Process• Continuous update of participant responses• Immediately populates into excel spreadsheet• Code data• Insert into SPSSRecognizing & Celebrating the Actions of Rescuers• Formal recognition ceremony was held Monday February 27th • February is Heart Health month• Guest speaker Karen Accompora• Provided awards to 20 citizens of our community that have performed CPR/AED use over the past yearHeart Saver Hero Award Ceremony 2/27/23St. Anthony’s High School RescueMolloy Nursing Student Hailey Hickey Chaminade H.S. RescueDivision Avenue H.S. School RescueAtlanta Baseball Tournament RescueHalf Hollow Hills East H.S. RescueEducated & Responsive Citizens• Increase public awareness of OHCA & encourage bystander CPR• Formally aligned with national advocacy group Call, Push, Shock• Molloy University is the first university to align with the organization• Co-branding of educational handouts/posters• Ongoing collaboration with the American Heart Association Regional Community Impact Director• Plan for multiple CPR/AED training events during CPR/AED awareness week June 2023Community OutreachCPR Anywhere Sessions• Village Employees• Recreation Center• Senior Center• MLK Day of Service• Girl Scout TroopsCPR/AED Pop Up Sessions• Street Fairs• Local 5K• Youth Sports Fields• New Student OrientationSenior CenterAnnual Local Street FairPlanned & Practiced Response to Cardiac Arrest• Creation of Cardiac Emergency Response Protocol (CERP) ongoing• Collaboration with Molloy Public Safety & Office of Student Affairs ongoingStrategically Placed & 24/7 Accessible AED’s• 2016 beginning of project 9 AED’s were on campus• 2023 increase to 24 AED’s on campus• Co-branded Call, Push, Shock posters placed beside each AED on campusTelephone Guided CPR & Utilization of AEDs• Collaborating with Northwell EMS regarding policy/protocol for dispatcher assisted CPREstablish a 911 integrated AED Registry• Plan to upload all AEDs on campus to Pulse Point AED app• App users will be notified of closest AED in the event of an emergency• Photos of AEDs with explanation of exact location, contents of box, times of availability (ex: stop the bleed kit etc.)Project FundingExternal Funding• Received EBP Grant from Building Health Academic Communities $2,500 (The Ohio State University)• American Heart Association donated approximately $6,000 in training equipmentInternal Funding• Molloy University Faculty Scholarship Grant $5,000This Photo by Unknown Author is licensed under CC BY-NDSustainability• Badge• Incorporated into University Freshman Studies Curriculum • MSNA Subcommittee • Take home kitsHeart Safe BadgeBadge Applicants• 92 Molloy Undergraduate Students• 5 High School StudentsChallenges• Securing Stakeholder Buy-in• Creating a team• Having enough CPR facilitators• AED Maintenance $• Expired AED pads• Outdated UnitsThis Photo by Unknown Author is licensed under CC BY-NC-NDQuestions ?References1.Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A., Arora, P., Avery, C. L., ... & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2023). Heart disease and stroke statistics—2023 update: a report from the American Heart Association. Circulation, 147(8), e93-e621.2. National Academies of Sciences, Engineering, and Medicine. 2017. Exploring Strategies to Improve Cardiac Arrest Survival: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/23695.3. Citizen CPR Foundation. (2023). HEART Safe Community. https://citizencpr.org/heartsafe/

Journey to a Heart Safe Community

https://digitalcommons.molloy.edu/cgi/viewcontent.cgi?article=1029&context=nur_fac

Journey to a Heart Safe Community

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