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use only. For copyright permission information:Published online
http://www.ajcconline.org 2007 American Association of
Critical-Care Nurses
2007;16:283Am J Crit CareFamily Presence During CPR and Invasive
Procedures
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members who demonstrate combative or violent
behaviors, uncontrolled emotional outbursts).
Develop proficiency standards for all staff
involved in family presence.
Determine your units rate of compliance in
offering families the option of family presence during
CPR and invasive procedures. If compliance is lessthan 90%,
develop a plan to improve compliance.
Other helpful resources: Call the AACN Practice Resource Network
at
(800) 394-5995, ext 217.
Presenting the Option
of Family Presence, 2nd
edition (product #120632).
Available online from
the AACN Bookstore,
www.aacn.org.
Critical Care FamilyAssistance Program: Repli-
cation Toolkit(product
#120631). Available
online from the AACN
Bookstore, www.aacn.org.
Davidson and col-
leagues, Clinical Practice
Guidelines for Support
of the Family in the
Patient-Centered Intensive
Care Unit: American
College of Critical CareMedicine Task Force
2004-2005 (abstract
available at:
www.ccmjournal.com).
F
amily members of all patients undergo-
ing cardiopulmonary resuscitation (CPR)
and invasive procedures should be given
the option of being present at the bed-
side, but only 5% of critical care units in
the United States have written policies allowing
family presence.
Heres what you can do:Ensure that your healthcare facility has
written
policies and procedures that support family pres-
ence during CPR and invasive procedures. Include
the following components
in new policies, procedures,
and educational programs:
Benefits of family
presence for the patient and
family. Criteria for assessing
the family to ensure uninter-
rupted patient care.
Role of the family
facilitator (eg, nurses, physi-
cians, social workers, chap-
lains) in preparing families
for being at the bedside and
supporting them before,
during, and after the event.
Support for the
patients or family membersdecision notto have family
members present.
Contraindications to
family presence (eg, family
www.ajcconline.org AJCC AMERICAN JOURNAL OF CRITICAL CARE, May
2007, Volume 16, No. 3 283
AJCC Patient Care Page
Adapted from an AACN Practice Alert issued November 2004
(available atwww.aacn.org) and published as asupplement to the
article by Duran and colleagues, Attitudes Toward and Beliefs About
Family Presence: A Sur-vey of Healthcare Providers, Patients
Families, and Patients (American Journal of Critical Care.
2007;16:270-282).
The AJCC Patient Care Page is a service of the American Journal
of Critical Care and the American Association of Critical-Care
Nurses. Designedto elaborate AACN practice guidelines based on
content in select articles, this page may be photocopied
noncommercially for use by readers in their work-place, in
continuing education programs, or for distribution to colleagues,
patients, or patients families. To purchase bulk reprints, call
(800) 899-1712.
Family Presence DuringCPR and Invasive ProceduresAACN Practice
Department, Editors Birck Cox, Illustrator
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