Failure to Ensure Hands-On CPR Certification for Licensed Nurse
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a licensed nurse maintained appropriate Cardiopulmonary Resuscitation (CPR) certification consistent with facility policy and American Heart Association (AHA) guidelines. One licensed nurse, hired as a registry nurse, obtained CPR certification through an online provider that offered training based solely on written exams without any hands-on skills validation. Review of the online provider’s website showed that while the course followed AHA 2020 cognitive guidelines and allowed unlimited test attempts at any time, it did not include any in-person or virtual instructor-led skills assessment, nor did it require demonstration of CPR techniques on a mannequin. During an interview, the Administrator stated that all licensed nurses, including registry nurses, were required to maintain CPR certification with hands-on training, specifically involving performance of skills on a mannequin, to validate proper technique. The facility’s written policy on Cardiopulmonary Resuscitation, dated 2022, required that licensed nursing staff maintain current CPR for Healthcare Providers through a provider whose training includes a hands-on session, either in a physical or virtual instructor-led setting, in accordance with accepted national standards. The surveyor concluded that the facility failed to ensure this requirement was met for one of two licensed nurses, which decreased the facility’s potential to implement life-saving measures and effective clinical interventions for all residents in the event of a respiratory or cardiac emergency.
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