Upon finding an adult patient lying motionless in the emergency-department bay, which action should the nurse perform first according to the current American Heart Association Basic Life Support algorithm for healthcare providers?
Attach the cardiac monitor/defibrillator
Check the patient's carotid pulse
Start chest compressions immediately
Verify that the scene is safe for both staff and patient
The Adult BLS Algorithm begins with ensuring that the environment is safe for both the rescuer and the patient. Only after scene safety is confirmed should the nurse check for responsiveness, shout for help/activate the code team, and rapidly assess breathing and pulse. Starting chest compressions, checking a carotid pulse, or attaching the defibrillator are critical next steps, but they must occur only after the rescuer is certain the area poses no hazards. This sequence protects staff from injury and prevents delays that could occur if rescuers themselves become victims.
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BCEN CEN
Cardiovascular Emergencies
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