Standard Operating Procedure
SITE: Southern Illinois Healthcare
EFFECTIVE DATE: 4/22/2020
SUBJECT: LUCAS 3 application and usage
REVISION DATE:
DOCUMENT NUMBER:
LOCATION OF TEMPLATE:
AUTHORIZED BY: Tressa Furlow MSN,RN
DATE: 4/22/2020
SOP OWNER:
Garrett Burton, System Director of Emergency
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P a g e
Activity / Task
6
Remember DO NOT interrupt CPR for longer than 10 seconds from last manual compression to first
mechanical compression.
7
Unpacking LUCAS device:
Unpack the LUCAS device and Push ON/OFF on the user control panel for 1 sec to allow
for self- test. Green LED adjacent to ADJUST key illuminates when device is ready for use.
8
Back Plate
: With manual CPR continuing, position the LUCAS back plate at the head of the patient. Temporarily
stopping CPR, one member supports the patients head and shoulders and either roll patient from side to side or gently
lift the patient forward and another team member slide back plate behind patient’s shoulders. For both options ensure
back plate is in correct position below armpits and patients arms are outside back plate.
Upper Part (Hood):
During manual CPR, attach support leg nearest to compressor to the back plate. Slide other
support leg through the arms of the manual compressor and attach to back plate so both support legs are securely
locked into back plate.
Suction Cup: Set device to ADJUST mode. Correctly position suction cup on patient’s chest. Compression point should
be the same landmark as in manual CPR. Stop manual compressions-Lower Suction Cup to pressure pad and is in
correct position, the lower edge of the Suction cup should be placed immediately above the end of the sternum
The landmark at the lower end of the suction cup should be marked with permanent marker or skin marker
If not correctly positioned in relation to the patient, ADJUST position by pulling on the support legs. Person assembling
the device ensures correct position.
If the Suction Cup is pushed down to hard or too loose to the chest, LUCAS will adjust the Suction Cup to the correct
START position.
Initiating Mechanical Compressions:
Push ACTIVE (continuous) or ACTIVE (30:2) to start compressions
Do not leave patient or device unattended while LUCAS is active
Check that device is working as should- compression vs. frequency and depth
To stop compressions, push PAUSE
Stabilization Strap
:
Remove neck strap from carrying case, extend neck strap fully at the buckles
Lift head and put cushion behind neck as near to shoulders as possible
Connect buckles on support leg straps with buckles on neck strap. Ensure not twisted.
Hold LUCAS support legs stable while tightening neck strap.
Make sure Suction Cup position remains correct on patient’s chest.
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Defibrillation:
Pause compression for < 5 second to check rhythm.
RESUME COMPRESSIONS PER LUCAS
If shockable rhythm; perform defibrillation per ACLS protocol
. You do not need to PAUSE to defibrillate with the
LUCAS device.