Large-scale train-the-trainer initiative improves CPR confidence, preparedness and teamwork across Cambridgeshire, Norfolk and Suffolk
A regional quality improvement project involving 30 CVS veterinary practices has demonstrated how simulation-based training can significantly improve cardiopulmonary resuscitation (CPR) preparedness, confidence and team performance across first-opinion veterinary practice.
The initiative, Cardiopulmonary Resuscitation: Train the Trainer: Simulation-Based Learning and Knowledge Transfer to 30 Small Animal Practices, brought together 313 veterinary surgeons and registered veterinary nurses across the CVS Cambridgeshire, Norfolk and Suffolk region, with the wider programme ultimately aiming to reach around 650 clinical and non-clinical colleagues.
Recognising that successful outcomes during cardiopulmonary arrest (CPA) rely on preparation, communication and teamwork as much as technical skills, the region launched a coordinated programme to improve CPR readiness and standardise approaches in line with the updated 2024 RECOVER guidelines.
The project was developed after audits and clinical governance discussions identified a lack of confidence around CPR across practices. Initial surveys found that only 24% of colleagues felt prepared to lead a CPR event, while confidence levels for basic and advanced life support averaged just 5.2 and 4.4 out of 10 respectively.
To address this, each practice nominated a veterinary surgeon and an RVN to become CPR Champions. These champions attended a dedicated full-day training programme led by the region's Clinical Lead and supported by two RECOVER-certified RVNs. The training combined CPR theory with practical simulation exercises, team communication techniques, leadership skills, debriefing processes, crash-cart preparation and guidance on delivering effective in-house training.
After returning to their practices, the champions delivered local training sessions and simulation exercises, helping to embed regular CPR discussions and emergency preparedness into everyday clinical practice.
The impact was significant. Follow-up surveys showed preparedness to lead a CPR event increased from 24% to 87%, while overall confidence in performing CPR rose from an average of 5.2 out of 10 before training to 8 out of 10 afterwards. Participants also reported improvements in team communication, preparedness, confidence and access to essential CPR resources.
The project also delivered practical changes across participating practices. All sites introduced updated CPR algorithms aligned with the 2024 RECOVER guidelines, established systems for checking crash carts, improved access to simulation training equipment and ensured the availability of AMBU bags to support ventilation during CPR events.
A key element of the initiative was its focus on the human factors that influence patient outcomes during emergencies. Training emphasised psychological safety, leadership, role allocation, closed-loop communication and effective debriefing, recognising that successful resuscitation depends on how teams work together under pressure.
Shameena Shajira, Regional Clinical Lead, said:
The success of the programme has now been recognised nationally, with the project receiving a Highly Commended accolade in the RCVS Knowledge Awards, highlighting the value of large-scale, practice-led quality improvement initiatives in veterinary medicine.
The project has already been shared with the wider profession through regional meetings and presentations at London Vet Show, helping to promote best practice in veterinary CPR training and emergency preparedness.
Looking ahead, the region plans to continue building on the programme's success through refresher training, ongoing simulation exercises and further audits, ensuring that teams maintain the confidence and competence needed when every second counts.
For further information on CVS veterinary group’s learning and development support, visit our careers website.