Which action by a UAP performing chest compressions warrants immediate intervention by the nurse?

Which action by a UAP performing chest compressions warrants immediate intervention by the nurse?

• A. The UAP has two hands on the upper half of the sternum.
• B. The UAP notifies the team when getting tired of performing compressions.
• C. The UAP depresses the sternum 1.5-2 inches during compressions.
• D. The UAP counts out loud to keep the rhythm of compressions.

Answer: (A)

Proper hand placement during adult CPR is essential for delivering effective chest compressions. Place the heel of one hand on the center of the chest, on the lower half of the sternum, with the other hand on top and fingers interlaced or raised. Keep the arms straight and shoulders over the hands so each compression is a vertical, downward push of about 2 inches. If the hands are placed on the upper half of the sternum, the force is not applied over the heart, reducing blood flow to the heart and brain and increasing the risk of injury. This is why immediate intervention is needed to reposition the hands to the lower half of the sternum and ensure the depth is appropriate. Other CPR actions, like signaling fatigue to the team or counting aloud to maintain rhythm, are appropriate, but correcting hand placement is the priority.

Proper hand placement during adult CPR is essential for delivering effective chest compressions. Place the heel of one hand on the center of the chest, on the lower half of the sternum, with the other hand on top and fingers interlaced or raised. Keep the arms straight and shoulders over the hands so each compression is a vertical, downward push of about 2 inches.

If the hands are placed on the upper half of the sternum, the force is not applied over the heart, reducing blood flow to the heart and brain and increasing the risk of injury. This is why immediate intervention is needed to reposition the hands to the lower half of the sternum and ensure the depth is appropriate. Other CPR actions, like signaling fatigue to the team or counting aloud to maintain rhythm, are appropriate, but correcting hand placement is the priority.