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Code RED FIRE
Code WHITE VIOLENT PATIENT
Code PURPLE HOSTAGE TAKING/PERSON WITH A WEAPON
Code BLACK BOMB/SUSPICIOUS PKGE
Code YELLOW MISSING PATIENT
Code GREEN EVACUATION
Code GREY AIR EXCLUSION
Code ORANGE External DisasterCode AMBER Missing Infant/ChildCode BROWN Hazardous Spill/Leak
Code Blue and Code Pink…..
A respiratory or Cardiac ArrestCan be actual or impending
Code Blue 18 yrs of age or olderCode Pink 0-12yrsCode Pink Adolescent 13-17yrs
Staff and Students…#1 Responsibility
If Code Blue is announced on your unit, all staff and students should
return to the unit immediately
Initiating a Code Blue
Push the “code button” in the roomOR
Dial 5555
Seniors’ Health Center dial 9 and then 911
Okay so I dialed 5555 now what?
Information they need to know:
– Type of Code
– Where are you? Unit, Room, Bed Number
Codes & Who Responds
Second floor up: CrCU staff (excluding pediatrics)
First floor, ground floor (including the cafeteria), lower level: ED Staff
Codes & Who Responds
Hospital Grounds/Parking Lot: ED staff respond as well as 911 is called simultaneously
4000 Leslie Street & Seniors’ Health Center: 911 is called
MD on Scene
Internal Medicine Physician or the Emergency Room PhysicianResponsible for running the Resuscitation
Anesthetist/RRT
Establishes or assists in securing and maintaining a patent airway
Anesthetist is on call if needed
CrCU or ER nurseDelegates & Coordinates:- C-A-B- IV access/ Medication - Documentation/Monitoring - Ensures room is not overcrowded- Accompanies patient during transfer- Defibrillation according to ACLS standards (certified RN only)
Nurse & Lab Technician
Nurse (most skilled in the room) ensures patent IV route is established if not already in place (16-20G preferable)
Lab Technician provides ECG/Venipuncture as needed
Charge Nurse/Unit Co-ordinator
Notify most responsible physician & call familyConsult Chaplaincy/Social Worker as neededEnsure Crash Cart equipment and drugs are replenished immediately after codeFacilitate completion of Cardiac Arrest Record
Primary Nurse/First Qualified Person on Site
Stay where you are – don’t leave the patientCall for HELP!!Check the patient’s CAB’s– Circulation – Check for a pulse– Airway/Breathing- look, listen, feel– Participate in compressions if you are CPR
certified
Nurse #2/Second Qualified Person on Site
Initiate Code Blue if not already doneDon mask, gloves, gown and goggles before entering roomPlace backboard under patientRelieve First Nurse to don 4 point PPE & grab ambu-bag/orange roll1 person – CPR1 person – Bagging with Ambu Bag –hook up to oxygen
3rd and 4th RN/Qualified Person
Bring the Crash Cart if not already thereEnsure patient’s chart and MAR are readily available
Ensure other patients are being cared for**especially in the same room (Students to remove patients from room if possible)
Do not forget the Family
Every patient has someone who loves them. They need your support.
Family and loved ones should be present during the resuscitation whenever possible
Code is done now what?
Call someone who cares…– Preceptor/ Nurse Educator– Your Clinical Advisor– Fellow Student
Participating in the Debriefwill be helpful to you.
Talking is the best medicine!
Name these Codes!
1. A gunman has entered the ED and is threatening staff.
2. A pregnant woman is about to give birth in the elevator- she is only 6 months along!
3. A patient chokes in the cafeteria.4. A visitor slips on ice outside the main entrance
and is bleeding profusely from their head.5. An unknown caller tells you that “something
bad is going to happen. And they have left us a gift”.
Name these Codes!6.There has been a large pile up on the 404 due to
an ice storm. Large numbers of victims are expected.
7. A nurse has spilled chemotherapy on the floor.8. You have not been able to find your patient
despite searching for him.9. A chemical plant upwind of the hospital is on
fire. Toxic fumes are headed our way.10.There has been a fire on an inpatient unit.11. The fire has now spread and staff are unable
to contain it.