Implementing the new CPR graduation requirement.. Presenter:
Courtney Nix - Brunswick County Schools [email protected] CPR
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CPR Graduation Requirement General Assembly of North Carolina
Session 2012-197 House Bill 837: Passing a CPR skills test is now a
requirement for high school graduation. Who does this affect? All
students who graduate in 2015 and subsequent Basically: the
upcoming 11 th grade class and after
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Documentation According to this legislation:The new requirement
becomes a record keeping priority Documentation efforts should have
been initiated during 2012-13 school year. It will be imperative to
have the Middle School teachers keep close records of the students
who have been trained in CPR. These records will be turned into
your NCWISE/PowerSchools data manager.
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Documentation These records will be tracked in NCWISE then
transfer to POWER SCHOOL and displayed on transcripts. They will be
listed like other EOC test scores and will be marked as PASS or
FAIL. There are instructions on the NC Healthful Living Wiki site
under CPR that will help your NCWISE/ PowerSchool administrator
input the data collected.
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Essential Standards Alignment This requirement is aligned with
our current 8th grade Health Education Essential Standards.
Although the new requirement is for High School graduation it is in
the Middle School curriculum. This means it will not be required to
be taught at the high school level so it is imperative that every 8
th grader is trained before leaving the middle school. Some school
systems have been teaching CPR at the high school level, and it is
acceptable for that practice to continue.
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Essential Standards 8.PCH.4 Analyze necessary steps to prevent
and respond to unintentional injury. 8.PCH.4.2 Demonstrate basic
CPR techniques and procedures on a mannequin and pass a Red Cross
or American Heart Association approved test of CPR skills.
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High School With this being a High School graduation
requirement it will be up to the High Schools to ensure each
student is properly trained prior to graduation. It is possible
that high schools will have to hold yearly trainings to help
students meet this requirement who might have transferred or been
absent during trainings.
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High School HOWEVER The new law requires that successful CPR
instruction be a part of the graduation requirements beginning with
the 2014-15 school year. This means that we have two cohorts of
students who may have had the CPR instruction before the electronic
recording requirement was in place or not at all ( class of 2015
& 2016).
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DPI released a letter stating that: School districts should use
NCWISE to identify if the student passed the eighth grade Healthful
Living class and verify that CPR was routinely taught as part of
that class. If both of these conditions were met, this will satisfy
the requirement for verifying successful completion of CPR for
students who will be in the ninth or tenth grade in the 2012-13
school year. If the student did not pass the eighth grade Healthful
Living class or CPR was not taught, then the school district will
need to identify a means to provide CPR instruction for the student
before the 2014-15 graduation year. The American Heart Association
is exploring options for providing CPR for free or low cost to
students in this situation. Please note that the approved American
Red Cross program compression tool is a suitable substitute for the
mannequin requirement. Contact your local resources such as
hospitals, health departments, and/or other health-related agencies
for assistance in meeting this legislative requirement.
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The class of 2015 & 2016 Instead of pulling records on each
student to determine if they were taught and tested on manikins BCS
opted to train everyone in the 2015 & 2016 graduating
class.
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The class of 2015 & 2016 The class of 2016 (rising 10 th
grade) were all registered in Health/PE and received training
during normal class time from their classroom healthful living
teacher. The class of 2015 (rising 11 th grade) were also
undocumented in the system or untrained but were not registered in
a common healthful living course
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The class of 2015 & 2016 In order to train the class of
2015 (rising 11 th grade) high schools may have to be creative
because the numbers could be in the hundreds. Suggestions: Use
school based Health teachers Contact local Red Cross/AHA
representative Local hospital or EMS services Utilize school nurses
or school health occupations teachers
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Brunswick Countys Plan We trained and tested these students by
pulling groups of 20-25 out of non-tested electives (i.e. PE
electives, ARTS & JROTC) for one 90 minute period. We provided
coverage for 2 health teachers that team taught to complete the
training in 90 minutes. We were able to train the 386 rising 11 th
grade in 4 days.
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Requirements Students will need to be trained in: Compression
or Hands-Only Adult/Youth CPR and AED use This means that neither
staff nor student need to be certified in CPR This shortens the
time it takes to teach because the breathing strategies and
child/infant skills will not have to be taught nor tested. However,
teachers may opt to still teach additional skills.
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Student Assessment Students must be hands on trained with
manikins and have exposure to AED use. They must also pass the
skills test on manikins. Most districts should provide you with the
necessary funding to order supplies to train students. If not seek
supplies from local AHA.
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Student Assessment This is a Pass or Fail test There is no
required written portion to the test required by the state.
However, many schools are choosing to assess much of the knowledge
portion of the CPR Checklist in the form of a written test.
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DPI worked with the American Heart Association and Red Cross to
develop a CPR Graduation Requirement Checklist. North Carolina High
School CPR Graduation Requirement Checklist
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The Checklist The checklist only lists the knowledge necessary
to check off. For easier use I have put these concepts into
question form and supplemented necessary information on the CPR
Skills Review sheet. In the attached lesson plan are questions and
prompts that can be used to complete the checklist on this CPR
Skills Review
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Family & Friends CPR Anytime The program several schools
are adopting is the American Heart Associations: Family &
Friends CPR Anytime kits They are easy to use and very inexpensive
at $30 a kit. Each kit comes with an inflatable Mini Anne manikin
and instructional DVD It includes: Adult Hands-Only CPR &
General AED awareness These can be purchased at
shopcpranytime.org.shopcpranytime.org
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Sample CPR Lesson Plan The following is a sample lesson plan
that covers the content and teaches the skills necessary to
complete the CPR graduation requirement.
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Disclaimer This is what has worked for meyou may find a way
that works better for your situation. Students just tend to be less
nervous in the small groups and it allows me to watch their skills
more closely and help them when necessary and monitor students
still practicing from the door window. Successfully Teaching Middle
School Health has a great lesson for 8.PCH.4 as well. Both can be
downloaded from the Healthful Living Wiki resources.
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Hands-Only CPR Lesson Plan Objective: 8.PCH.4.2 Demonstrate
basic CPR techniques and procedures on a mannequin and pass a Red
Cross or American Heart Association approved test of CPR skills.
PowerPoint introduction Watch Family & Friends DVD Watch AED
use and demonstrate Students practice on manikins with DVD Review
skills with the PowerPoint Allow students to review and practice Do
checklist review questions orally or written Do skills checklist in
small groups Materials Needed: Family & Friends CPR Anytime DVD
Projector & Laptop Mini Anne Manikin Practice AED Copies of
Student Review Sheet CPR PowerPoint *Optional: Copies of written
test
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Hands-Only CPR Lesson Plan Review: Start class with the CPR
PowerPoint. This presents facts about CPR and video hyperlinks that
introduce CPR. This show students the importance of knowing CPR and
offer a basis for this discussion. *Video segments are optional
Statement of Objectives: To learn when and how to provide
Hands-Only CPR on an adult or youth.
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Hands-Only CPR Lesson Plan Teacher Input: Once you reach slide
12 it will instruct you to start the Family & Friends CPR
Anytime DVD. Watch the Learn Adult Hands-Only CPR section all the
way through without practicing on manikins yet. You may want to
demonstrate on a manikin during the video. Tip: Inflate the Mini
Anne manikins prior to class. If you have you can skip Chapter 4 on
the video.
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Hands-Only CPR Lesson Plan Teacher Input: continued On the DVD
click on Other Lifesaving Techniques and proceed to the AED
Demonstration. After the video have students gather around a table
and have volunteers use a practice AED to walk students through the
steps they just learned. Tip: With the Mini Anne manikins it can be
difficult to attach the pads exactly in the correct spot since it
is a shortened torso so just have students get them as close as
possible.
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Hands-Only CPR Lesson Plan Guided Practice: Set up Mini Anne
manikins on the floor where students can still see the screen. Have
students follow the Practice Adult Hands-Only CPR video section,
replaying it until each student has had a chance to practice.
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Hands-Only CPR Lesson Plan Guided Practice: continued After
each student has practiced, reopen the CPR PowerPoint to Lets
Review. Students can review and ask questions about any additional
information not on the DVD but that they need to know for the
Checklist. The PowerPoint is set up to display the question and
allows students to answer before showing the answer. Independent
Practice: Handout a copy of the CPR Skills Review sheet and give
students time to practice their skills or quiz each other.
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Hands-Only CPR Lesson Plan Assessment: Here is where you can
opt to give students the written test or question them orally in
small groups. Written test: have students turn these in after they
finish and highlight the sections they missed. While in small
groups for the Hands on Skills Test review the questions missed.
Oral test: have students come to test in pairs/small groups. They
just need to stand together, not kneel at a manikin yet. Tell them
to answer loudly as a group unless specifically called for an
answer. Using the students review sheet ask students the I.
AWARENESS questions.
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Hands-Only CPR Lesson Plan Hands on Skills Test: Set up the
appropriate # of manikins needed depending on group size on the
floor & the practice AED close by. In groups of 2-4 students
(dependent upon time/class size) come into the hallway (or other
suitable area). Students who are not testing at that time may
continue to practice their skills in the classroom.
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Hands-Only CPR Lesson Plan Hands on Skills Test: continued
Next, continue onto II. 911 section. Set the scene by saying they
have just walked up to this scene (referencing the manikins on
floor) then proceed to ask the questions for that section. Have
students demonstrate all actions. Proceed onto the III. COMPRESSION
questions.
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Hands-Only CPR Lesson Plan Hands on Skills Test: continued For
the IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE portion
have students leave their manikin and gather around 1 sitting on a
desk. As a group, students will walk through the steps to
administer the AED. Ask questions to group members to keep them
involved. Tell them it is their responsibility to speak up if their
group member is not using it correctly.
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Review of Lesson Plan PowerPoint introduction Watch Family
& Friends DVD Hands Watch AED use and demonstrate Students on
manikin practice with DVD Review skills with the PowerPoint Allow
students to review and practice Do checklist review questions
orally or written Do skills checklist in small groups
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HANDS-ONLY CPR You could save a life
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Did you know On average less than one third of out-of- hospital
cardiac arrest victims receive bystander CPR. CPR can double or
triple a persons chance of surviving cardiac arrest!
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Teenager saves her momTeenager saves her mom: video
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Did you know Most bystanders are worried they might do
something wrong or make things worse. Panic was cited as the major
obstacle for why untrained people didnt start CPR.
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Good Samaritans Law If you decide to help in an emergency
situation you can not be sued or held accountable for possible
injury or death. You were acting in good faith to try to help.
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College basketball playerCollege basketball player: video
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Did you know Hands-Only CPR is an alternative method of CPR
using only chest compressions for cases of an adult witnessed
sudden cardiac arrest.
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Be the BeatBe the Beat : video
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Staying Alive! Hands-Only CPR is easy to learn and
remember!
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Ken Jeong DemoKen Jeong Demo : video
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Objective Demonstrate basic CPR techniques and procedures on a
mannequin and pass a test of CPR skills.
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Family & Friends CPR Anytime We are now going to learn how
to give hands-only CPR and have time to practice by watching the
Family & Friends CPR Anytime video.
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Lets Review
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I. AWARENESS a. What is the leading cause of death in adults?
Answer: Sudden cardiac arrest b. What life saving technique doubles
a persons chance of survival from sudden cardiac arrest? Answer:
CPR Cardio Pulmonary Resuscitation
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I. AWARENESS c. What are examples of cardiac events/sudden
death emergencies? Answers: heart attack drowning electrocution
asphyxiation.
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I. AWARENESS What are signs or symptoms of cardiac
events/sudden death emergencies? Answers: Unconsciousness Not
breathing Only gasping No signs of life/movement.
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II. 911 a. You just walked up on a scene what is the first
thing you should do? Answer: Secure the scene. What is the first
thing you check for when you approach the victim? Answer:
Consciousness
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II. 911 How can you tell if the victim is conscious? Answer:
Tap & Shout b. The scene is secure and the victim is
unconscious, what should you do next? Answer: Locate nearest phone
and call 911
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II. 911 What information will you need to provide EMS? c.
Answer: current address d. Answer: phone number for EMS to contact
If you have bystanders what should you do? Answer: Yell for help.
Send someone to phone 911. Send someone to get an AED. Have them
assist you with compressions.
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III. COMPRESSIONS After calling 911, what do you want to check
before starting compressions? Answer: Breathing a. What 3 things
can you do to check for signs of breathing? Answer: Look Listen
Feel
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III. COMPRESSIONS How would you position yourself to check for
signs of breathing? Answer: Lean over victim, put ear close to
their mouth, with eyes looking down their chest. What you are
looking, listening and feeling for? Answer: Look: for the chest to
rise Listen: for breathing Feel: for breaths against your
cheek
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III. COMPRESSIONS How do you know you should start CPR? Answer:
Victim is unconscious and not breathing or only gasping. b. How
would you position yourself for compressions? Answer: Position
yourself by kneeling next to the victim with their head to one side
of your knees Place heal of your hand in the center of chest and
place other hand on top Lace hands together and lean over victim
until shoulders are over the victims chest and lock out elbows
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III. COMPRESSIONS c. At what depth should compressions be
performed? Answer: two inches At what rate should compressions be
performed? Answer: 100 per minute For your skills check off you
will have to demonstrate compressions for 1 minute Be sure the
manikins chest is clicking on each compression and are being
performed at a rate of 100 beats per minute (Staying Alive
song)
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III. COMPRESSIONS d. How long should you continue compressions?
Answer: Until the victim begins breathing Emergency personnel
arrives If an AED is ready to use A bystander is prepared to
switch
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IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE a.
Determine location of nearest AED. Finding the closest AED will be
different depending on your location. At school there is usually
one in the nurses office, front office, athletic trainer or
library. If at a public place (like Walmart or a grocery store)
they are usually found at the customer service desk. In places,
like at a park or at your home, just call 911 and most law
enforcement vehicles carry them.
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IV. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) KNOWLEDGE b. Turn on
AED and follow automated instructions. i. Adjust victims clothing
to ensure pad-to-skin contact. ii. Open pad package and plug in pad
connector. iii. Peel pad backing and apply both pads. iv. Wait and
stand clear as AED performs analysis. v. If instructed, press shock
button.
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Additional Resources CPR School Roster CPR School Roster AHA
Hands Only CPR Lesson Plan AHA Hands Only CPR Lesson Plan AHA Be
the Beat Web Quest Lesson Plan AHA Be the Beat Web Quest Lesson
Plan Successfully Teaching Middle School Health Successfully
Teaching Middle School Health
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Please feel free to email me for any resources or questions
that may arise at [email protected]. Questions?
