Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Code Blue:

No description
by

Lorna Bennett

on 3 October 2014

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Code Blue:

Thank You!
STEP 2:
CALL A CODE!
The Code Team Arrives!
...What now?
Just a few more things to consider...
STEP 3: BLS
The First Two Minutes
Code Blue
You are ASSESSING for...
Unresponsiveness:
Shake & Shout
Severe chest pain/clutching chest
Gasping for breath
Unexpected seizure
Choking (with no resolution)
Severe trauma
ANY OF THESE ISSUES?

CALL FOR HELP & REMAIN IN ROOM
Assess!
...What are you looking for?
STEP 1
-CALL OUT LOUD for
HELP
, &
-Pull the call bell cord, or
-Hit the code button on the wall
You enter your patient's room, and something isn't quite right...

What do you do?
KNOW THAT YOU *CAN* CALL
THE RRT/MET
for patients with
ALL
"
Goals of Care" Designations



...What if your patient does *NOT* meet any of the aforementioned criteria but *IS* deteriorating and you *ARE* worried about them...
Ask yourself:
Can the patient wait
10-15 minutes for additional help?
IF SO...
Dial 33#
(or your institution's emergency call number, I.e. *Dial 66# for Covenant Health sites)
State clearly two times:
"Code Blue, (location: Building, level, area)
Identify whether Adult or Pediatric code
I.e. Code Blue, Robbins Pavilion, Level 4, Unit 45, pediatric code)

Bring to room:
Code cart, patient's chart, Kardex
Access back board and assist to place
Assist with CPR (I.e. ventilate)
Set up Ambu-bag/bagger (if not done)
Set up suction
Do or direct others to...
Provide gloves as needed
Remove headboard (if not done)
Assist with CPR as needed
Start IV (if able)
Clear room - furniture, patients
Direct the Code Team from the elevator
Begin documentation
At this point, 1st responder has already established unresponsiveness, no breathing and no pulse, a CODE has been called. NOW...

REMAIN IN THE ROOM
Start chest compressions
continue until replacement arrives or ordered by CODE TEAM to stop
Continue
compressions
until instructed otherwise (trade off as required)
Continue
ventilations
until Respiratory Therapist arrives
Reassure and remove patients from the room
Record events (use one clock for duration of event)
Call switchboard at the end of the code to report off
Primary nurse to remain in the room to p
rovide
SBAR
report to CODE TEAM LEADER
Note the time!
SECOND RESPONDER
OTHER RESPONDERS
FIRST RESPONDER
Additional Resources
*CALL RRT/MET*
Rapid Response Team/Medical Emergency Team
(or as appropriate for your institution)

IF the patient *
CANNOT WAIT
* 10-15 min for or if you are
UNSURE
,
CALL A CODE BLUE!
"The First Two Minutes"
presentation was developed through the collaborative efforts of:
L. Bennett, RN, BScN, M. Creighton, E. Toderovich,
C. Foisy-Doll, T. Paananen, J. Boone & C. Zhang for use at MacEwan University October 2, 2014

Equipment knowledge is
vital
to delivering timely, safe, and effective patient care.


Emergency equipment overview...
Patient Bed
Code button
Headboard removal
Side rails
Brakes
Head Wall Equipment
Oxygen and Medical Air Flow
Suction
Emergency Respiratory Kit/Bin
(different from Crash Cart)
CPR Backboard
Know your patient's
"GOALS OF CARE"
DESIGNATION
Introduce yourself to the
Code Team Leader
(Name, Occupation, Designation)
"I am Colette, RN, charge nurse"

SITUATION:

identify patient by name, describe what happened, provide vital information ( I.e. Goals of Care designation
)

BACKGROUND
:
diagnosis, pertinent medical hx, date of admission, co-morbidity, allergies, current meds, pertinent labs, etc
.


ASSESSMEN
T:
details about how you found the patient, current statuts and other relevant assessments

RECOMMENDATIONS:
offer to assist in any way you can, contribute to conversations, and clarify expectations as requests arise using
CLOSED LOOP COMMUNICATION
(repeat back and report back)
SBAR

Informing Patient's Family (or significant others)
Attend to upset room mates
Complete documentation
Consider debriefing needs of staff
Other...
Critique this video using the checklist provided
Continuing with your patient...
Position patient supine and completely flat
(use CPR Button on bed for rapid action)
Lower bed rails
Remove pillow, blankets, constrictive clothing, etc.
Assess
Breathing
Assess
Pulse... NO PULSE!
Full transcript