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Mandated CPR On Inmates: Good Or Not So Good?

 

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Male_user Squeeze 113 posts

Revised CPR techniques simply require mainly chest compressions, most of us should be carrying face shields to begin with or have them accessable to us as most states require mandatory cpr/1st aid compliance.

 
Getty_rf_photo_of_cat_and_praying_mantis Campi 156 posts

Well I am not sure if it is good or bad but if there is not a spit shield I do not know their medical history and I am to treat every inmate and their bodily fluids as if they are infected with AIDS, Hep, or any of the other communicable diseases. I have no duty to put my life at risk.

 
Male_user Squeeze 113 posts

All states require cpr as part of training for Officers. I went to a national training conference where this subject was discussed. As “wards of the state” if you have been following another thread. the officers have a duty to perform cpr when appropriate and within the scope of their employment. We have had several saves here in our jail then transported to local hospitals only to pass there. Does that count as a save but hospital loss? Both sentenced violent criminals, is that a win?

 
Male_user Doc Kleemann 5 posts

Even though I may be a rook in the Correctional Field, I’ve been a Medic in the Army for awhile. Even when I was downrange in Iraq we did CPR on Iraqi’s. There is a difference however, I will go no gloves/straight mouth to save the life of a man/woman wearing the same uniform as I do. As for Iraqi’s (or prisoners in this case), that is why we have gloves and barrier devices.

Besides, the rescue breaths really are not that important, rather the compression’s are. If you can get a BVM (Bag-Valve-Mask) and AED while another guy does straight compression’s you will do more good than you would if you stop compression’s every 30 seconds.

But I suppose it comes down to your local policy.

 
Male_user commander 277 posts

I agree Jamestown. We too have AED’s and are instructed how to use them along with CPR and basic first aid every two years. It seems most states are similar in their practices and policies.

 
Correction_officer jamestown0509 313 posts

As a CPR instructor the American Heart Association has changed the standards for immediate CPR in accordance with the 2010 national CPR standards. Previously we did rescue breathing with inmates who had no pulse and were not breathing as was required by the standards at that time. With the new protocols you no longer have to give breaths to adults thus they have changed the process from A-B-C (airway, breathing, circulation) to C-A-B (circulation, airway, breathing). Thus in a correctional setting you do not have to give rescue breaths, only compressions as the scientists and doctors have found that doing compressions is adequate to provide proper air exchange and circulation at the same time. If an officer therefore just does compressions he or she is in compliance with the 2010 standards and has the added benefit of not exposing themselves to inadvertent exposure to bodily fluids, vomit, etc. In New York all correction officers are required by state law to be CPR and first aid trained every two years.We also have an AED on each tier or floor so properly trained officers can utilize them if needed.

 
Male_user commander 277 posts

At my old facility, security comes first. We all carried a CPR mask on our belt. Once we clear out the area, after calling for medical, we would then assess and start CPR.

 
Male_user Afrobob 18 posts

I believe CPR certification is mandatory for all public servants. At my facility staff members must perform CPR if an emergency arises. However, we are to do chest compressions only unless we have a breathing mask on hand.

 
Buckeye_flag Mudflap 293 posts

I totally agree, Jennin.

 
Female_user Jellin 2 posts

CPR to inmates….. I spent many years working in ICU & ER and inmate or not, I’m not giving mouth to mouth without protection and I wouldn’t expect anyone else to either. Neither would most of people I have worked with over the years. Personal Protection Equipment first, then rescue attempt. Dirtbag or not, it’s part of my job, but I’m a nurse. The good thing about mandating that everyone learn CPR is that at least everyone has been educated on how to perform it. God forbid if anyone’s friends or family might need it someday. After a victim has stopped breathing, every 1 minute CPR is delayed the victims survival rate is decreased by 10%. While millions of people are saved with CPR. I read somewhere that your chance of surviving cardiac arrest outside a hospital and keep your noggin intact is around 7%…. not very reassuring is it. I totally get the icky factor, and I can understand the compression only idea and I agree that anything is better than nothing. All chest compressions are not created equal, the quality of compressions make a huge difference. Doing CPR is hard, and doing it correctly is even harder. The truth is compressions alone won’t fix dead.

 
Buckeye_flag Mudflap 293 posts

It sounds like you have some poor instructors, Striker. About the “every other year” thing, Ohio has dropped their standards to the national level.

 
Srt-misc_266 Striker 34 posts

I think it’s funny how they give us CPR training once a year and instead of really teaching..it’s read out of a book…now with it going every other year…like to see how that works out

 
Buckeye_flag Mudflap 293 posts

No, the last one was about to get it, the nurse came running back with the defibbulater but he had already started breathing and I was chewing him out for scaring the hell out of me… :)

LOL!

More people would take CPR more seriously if they had just one instance of wanting to help but not knowing what to do. Too many of the people where I work think they suffer through CPR class for the inmate population and not for home or out on the street. You can look through the handbook all you want and never see the word “inmate”. I’ve talked with people who were grateful that someone else knew CPR when a family member went down, even if the family member didn’t make it. I constantly hear “they did all they could do” whether CPR was performed on an inmate or to someone out on the street.

Kudo’s to you.

 
Flag shakey 191 posts

No, the last one was about to get it, the nurse came running back with the defibbulater but he had already started breathing and I was chewing him out for scaring the hell out of me… :)

As for the others, one was back in 89 and we didn’t have the defidds yet and the other 2 were during auto accidents to clear airways and assist in breathing untill the EMT’s arrived to take over. As for second guessing, I think it’s mainly because with each one I just started to do something and would later think did I go thru the right steps like I was trained, did I forget something. I do remember I called for help each time, at least I always got that step right.

 
Buckeye_flag Mudflap 293 posts

That’s awesome, Shakey. “Second guessing” makes sense and I can relate to that. Did any of those get defibbed?

 
Flag shakey 191 posts

I work in the infirmary as a officer and had one Inmate that I had to give chest compresions to after he stoped breathing last year and he can out of it. He was # 4 since 1983 that I helped with CPR or other assistance during all my years in law enforcement and corrections. Let me tell you each one made me feel freaky for a few days afterwards, even though I have not lost one, I keep on thinking, did i do it right or what else I could have done, (does that make any sence???). I just hope I never have to do it again, it mentaly drained the hell out of me after each one.

sorry for any errors in the grammer.

 
Buckeye_flag Mudflap 293 posts

Two inmates had heart attacks this year. Both were clinically dead and had turned purple. Both received staff-initiated CPR and defib. One survived (and is back). The other didn’t make it.

 
Buckeye_flag Mudflap 293 posts

Yeah, I understand. It does seem that the most important skills we need and will use several times a day are left for us to learn a little bit at a time. That would be a good topic for a new thread!

By the way… Ohio DRC is going to start CPR re-cert every other year. Is anyone else out there doing that?

 
Male_user Gunfighter 21 posts

I have written about this at length until I am blue in the face. We practice CPR and recertify each year. However, the true skills in inmate manipulation, deception and aggression detection is left to OJT????

 
Buckeye_flag Mudflap 293 posts

It’s been a year since the original post. Does anyone personally know of any “saves” by a CO, either at work or on the street?

 
Female_user Best Jail.com 6 posts

In Florida we have always been mandated to learn CPR. It was taught in the academy. I think everyone should know it because it may be a fellow officer that you save. We also have the 2 way breathing mask that is used to give CPR and you are not mandated to put your own life at risk. We have the mask available on our post or in the supervisors office. Under the good samaitain act we also can assist others that might need CPR. I think its a good technique that we all should know in any job that we have.

 
Male_user OCCD 57 posts

Mandatory here as well. With a large full time medical staff and clinic, I’ve only heard of two instances where CPR was performed. Never successfully. One of the deaths was caused by blunt head trauma, so CPR had little effect. We also have AEDs and mandatory staff instruction in those as well.

 
Small_986654 maniac 12 posts

its mandated here. It has been ever since I started, almost 6 years ago. Not once in that time have I heard of a CO not starting CPR. Now I have heard several times on the radio, “housing unit# contact medical and have them respond immediately”. Our medical isnt the fastest responders. We are issues masks that have a one way valve, but there is also an inflateible sealing ring like the ambu-bag masks have. These masks can be attached to the bag if needed. but the little stem used to inflate the ring is easy to break. In about a year I have broken about 2 or 3. Not from use, but from general abuse from being on my duty belt. As for me personally. I think I would be one to start CPR. I know the risks involved, but I also know that I’m the kind of person that would HAVE to do something in that situation. Guess I’m just a glutton for punishment.

 
Female_user Kellie 14 posts

We are all CPR certified….we have done CPR on a numberof inmates….I will venture to say that staff will start CPR if there is an issue…..everyone spouts off that they will not do CPR, I have never seen anyone refuse. There are masks that you can carry with one way valves that protect you. I suggest that you get one and have it available. If you choose not to start CPR…you have live with yourself!!!

 
Female_user blondeco 4 posts

Interesting convo. I work in a prison…..and all staff is trained in CPR….it is mandated here. We at first balked at having to save an Inmates life. Our version of CPR was, tap him a few times with our foot, and radio for medical to respond. But, everyone at the facility I work at, have come understand why we are mandated to give CPR. We have masks, and now that the Red Cross has changed the standards of CPR…..more chest compressions than mouth to mouth, it has made the idea of giving CPR easier for all of us to handle. Because, like everyone else, we went to work disease free, we want to leave the same way. We know the conditions we work in, yet we also have to accept the responsiblity of the position. To some people, its just a “job”, to others, it is a career choice. I have had to respond to many situations since I work in the “lock down” unit and suicide attempts run high there. I have had to save many Inmates lives. That is my job and my duty. Some die, some you save. This job is not for everyone. We know the risks we take every day when we walk into a prison. That main gate closes behind us and the ratio is basically 1 C/O to every 120-150 Inmates. Giving CPR is just another risk we take.

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