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AED /Defibrillator arrives

- check rhythm

- If shockable,

  • give 1 shock ,
  • resume CPR immediately for 5 cycles

- Not shockable

  • resume CPR immediately

Mock Code Blue Inservice

1. Establish patient's unresponsiveness

-Assess the victim for a response. If no response, shout for help.

Assigned Roles

1. Team Leader (runs the code, usually a physician)

2. Medication Nurse

(IV Access)

3. Airway control

4. Chest Compressions

5. Recorder

6. Runner (s) retrieves items needed during the code

7. Crowd/Noise Control

8. Printing needed documents (demographics, med list)

Bring emergency equipment to the scene

  • Place backboard under the patient to provide a firm surface under the patient, making chest compressions more effective

  • Set up ambu bag

-attach O2 a full 15 l/min

-use BVM

-Ensure you have good ventilation by watching for rise and fall of chest

  • Set up suction equipment

-many patients will vomit and suction is essential to maintain airway

  • Establish IV access

-always establish two IV lines in a code situation.

  • Establish cardiac monitoring

-Hook patient up to the EKG machine

  • Continuous CPR

-don't forget to continue CPR at all times

-chest compressions are hard to do, this person may need relief.

3. Open the victim's airway and check for breathing (take at least 5 seconds and no more than 10 seconds).

Remember, adults are often in V-fib and it is very important to get help on the way.

The chance of survival from cardiac arrest caused by V FIB falls by 7 to 10 percent with every minute that passes without CPR and defibrillation.

4. If no adequate breathing, give 2 breaths

5. Check the victims pulse (take at least 5 seconds and no more than 10 seconds).

6. If you do not feel a pulse, perform 5 cycles of compressions and ventilations (30:2).

2. Call 911/overhead page CODE BLUE

-Get the AED

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