Date of Award

Summer 2021

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chair

Dr. Jennifer Frank


Dr. Laura Junkin


Hubbard Harvey, JD


Background: An emergency or disaster can strike at any time, even during the day, while numerous students are in school. This paper will discuss how an educational program initiating Stop the Bleed (StB) in public schools prepares and equips school nurses to respond to a bleeding emergency in the school setting.

Design method: Initiate StB as a "train-the-trainer" course for school nurses. School nurses will have knowledge, training, and supplies to train the employees at their schools. Conduct pre- and post-surveys to assess learning objectives and attitudes toward training and readiness.

Conclusion: The StB educational intervention effectively improved knowledge by 22 percentage points, tourniquet application by 40 percentage points, and wound packing by 38 percentage points. Confidence in responding to bleeding emergencies increased from 55% to 70%, and school preparedness increased from 75.8% to 100%.

Implications for Nursing: The implementation of the StB educational intervention provided emergency preparedness education and hands-on skills training to identify and treat bleeding emergencies. The train-the-trainer aspect has the potential to train numerous laypersons in the school setting. Research demonstrates improvements in knowledge and confidence after attending the one-hour StB training course.

Keywords: Stop the Bleed, tourniquet, hemorrhage response, bleeding emergency

Included in

Nursing Commons


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