The presence of patients' families during resuscitation has been an important practice issue. An American Association of Critical-Care Nurses (AACN) practice alert “Family Presence During Resuscitation and Invasive Procedures” supports family members of patients undergoing resuscitation being given the option of bedside presence. Parent Advocacy Group for Events of Resuscitation (PAGER) is an interdisciplinary collaborative in the pediatric intensive care unit.Objectives
To ensure that patients' families are provided the option of being with their child during cardiopulmonary resuscitation.Methods
Resuscitation data were collected for 12 months by using the AACN practice alert audit tool. The Family Nurse Caring Belief Scale was administered to 150 pediatric intensive care unit nurses. PAGER nurses received crisis education.Results
Pediatric intensive care unit nurses were supportive of providing the option of family presence during resuscitation. Family Nurse Caring Belief Scale data revealed areas for improvement in family caring practices. PAGER was implemented with positive outcomes for 2 families.Conclusions
PAGER has improved the care of families whose children experience cardiopulmonary resuscitation and should be implemented in pediatric critical care units. PAGER nurses are prepared to serve as role models in providing family-sensitive care during crisis. (Critical Care Nurse. 2016; 36: 58-64)
A young child is experiencing cardiopulmonary resuscitation in a pediatric intensive care unit. The parents are in a waiting room nearby. A nurse asks the care team, “May I bring the parents to the bedside?” No one from the care team replies. Again, the nurse asks, “Do you think it is time to bring the parents to the bedside?” No one from the care team replies. The family is not provided with the opportunity to be present with their child during 5 hours of resuscitation efforts, arriving at the bedside only minutes before their child dies.
˜This scenario contains details that are real and fictional.