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Transcript of Code Blue:
CALL A CODE!
The Code Team Arrives!
Just a few more things to consider...
STEP 3: BLS
The First Two Minutes
You are ASSESSING for...
Shake & Shout
Severe chest pain/clutching chest
Gasping for breath
Choking (with no resolution)
ANY OF THESE ISSUES?
CALL FOR HELP & REMAIN IN ROOM
...What are you looking for?
-CALL OUT LOUD for
-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
for patients with
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...
Can the patient wait
10-15 minutes for additional help?
(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
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
until instructed otherwise (trade off as required)
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
report to CODE TEAM LEADER
Note the time!
Rapid Response Team/Medical Emergency Team
(or as appropriate for your institution)
IF the patient *
* 10-15 min for or if you are
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
to delivering timely, safe, and effective patient care.
Emergency equipment overview...
Head Wall Equipment
Oxygen and Medical Air Flow
Emergency Respiratory Kit/Bin
(different from Crash Cart)
Know your patient's
"GOALS OF CARE"
Introduce yourself to the
Code Team Leader
(Name, Occupation, Designation)
"I am Colette, RN, charge nurse"
identify patient by name, describe what happened, provide vital information ( I.e. Goals of Care designation
diagnosis, pertinent medical hx, date of admission, co-morbidity, allergies, current meds, pertinent labs, etc
details about how you found the patient, current statuts and other relevant assessments
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)
Informing Patient's Family (or significant others)
Attend to upset room mates
Consider debriefing needs of staff
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.
Pulse... NO PULSE!