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  1. Borak, Meredith MSN, RN
  2. Francisco, Mary Ann MSN, APN, GCNS-BC, CCRN
  3. Stokas, Mary Ann MSN, RN, OCN
  4. Maroney, Mary MSN, RN, FNP-BC
  5. Bednar, Valerie MA, BSN, RN, CCRN
  6. Miller, Megan E. MD
  7. Pakieser-Reed, Katherine PhD, RN


Early defibrillation is an essential step in the "chain of survival" for patients with in-hospital cardiac arrest. To increase the rate of early defibrillation by nurse first responders in noncritical care areas, our institution employed a quality resuscitation consultant, implemented nursing education programs, and standardized equipment and practices. Automated external defibrillator application by nurse first responders prior to advanced cardiac life support team arrival has improved from 15% in 2011 to 76% in 2013 (P < .001).