Code White
When a Code White is called, this person should take command of the overall response and make sure staff are assigned appropriately.
Who is the Shift Lead?
When responding to a Code Pink, the Shift Lead should first make sure they know these two things about the situation.
What are 'what happened and where it happened?'
This person is responsible for initiating the Incident Report when they observe or discover an unusual occurrence.
Who is the employee who observes or discovers the incident?
A PRT is initiated for these main 3 reasons
Serious harm to self, Serious harm to others, or Serious property destruction
Three staff hear a Code White and immediately run toward the client. You are the SL. Your first leadership concern should be this.
What is who is maintaining supervision of the other clients?
Instead of having every staff member run toward the emergency, the Shift Lead should do this.
What is assign specific roles and responsibilities?
During a Code Pink, this should continue even while staff are responding to the emergency.
What is supervision of the remaining clients?
Incident reports, per state compliance, need be done within this time frame.
What is 24 hours of the incident?
HWC PRT stands for this.
Handle with care primary restraint technique
During an emergency, one staff member is standing around asking, "What should I do?" Your response should be this.
What is give them a specific assignment?
During an emergency, the Shift Lead must make sure these clients are still supervised even if several staff respond to the Code White.
Who are the uninvolved clients?
If multiple staff respond to a Code Pink on unit without assigned responsibilities, the Shift Lead should do this.
What is assign specific staff to specific tasks?
Two staff witness a client AWOL. The incident report is completed by who?
Who is the person that called the code pink?
The goal of PRT is not punishment. It is intended to do these two things.
What are keep the client and others safe and help the client regain control?
A client is being physically held, another client is watching and becoming increasingly agitated, and two additional staff are standing around watching the PRT. What should the SL recognize?
What is the response needs to be organized and the uninvolved clients need to be managed?
A Code White is escalating, and three staff members are all shouting different instructions. The Shift Lead should establish this.
What is clear command and communication?
The Shift Lead should use this type of communication during an emergency: short, direct, and easy for staff to understand.
What is clear and concise communication?
The max number of staff a hold should require.
What is 4 (2 in the hold, supervising nurse, and SL or APD)? SL & APD should be temporary support.
During a PRT, one staff member should take on this specific role.
Who is the spokesperson?
You are responding to a Code Blue when someone tells you another client has walked out of the building. What should you NOT do?
What is abandon the Code Blue response and run after the missing client yourself?
The Shift Lead's primary responsibility during a Code White is not necessarily to be the person physically dealing with the client. Instead, the SL should do this.
What is manage the overall response and coordinate the team?
A Code Pink is occurring, but another client begins escalating on the unit. The SL's responsibility is to recognize that they now have to manage this.
What is more than one safety concern at the same time?
After an incident, the Shift Lead should not simply say "we're good" and move on. These three things should be considered before the event is truly finished.
What are documentation, notification, and debrief/follow-up?
If an injury or illness occurs as a result of an incident, this person should be notified at the time of the occurrence.
Who is the immediate Supervisor?
A Code Blue ends successfully. Everyone is relieved and wants to move on. The SL says, "Hold up—we're not done yet." Name the three major areas the SL needs to make sure are addressed.
What are client/staff safety, required notifications/documentation, and debrief/follow-up?