Calling a Code
When would you call a Code Blue?
Patient is unresponsive
What is the number to call rapid response?
6-1123 Shreveport
7-5555 Monroe
Name 3 emergency medications found on the cart.
Oxygen, epinephrine, amiodarone, atropine, adenosine, diltiazem, digoxin, lidocaine, Mg Sulfate, dobutamine, dopamine, narcan
When should the nurse call Rapid Response?
When there is a worsening change in the patient's condition
What is the most important thing to know about the patient before starting CPR?
Code Status
When would you start CPR?
ASAP if no pulse
Compressions, Airway, Medications, Defibrillation, Crash Cart, Team Lead, Recorder
What should you grab for effective compressions?
Backboard
Where should the code be documented?
Code Narrator
What should be documented during Code Blue?
Patient assessment, ECG strip, Treatments initiated and patient response, transfer, etc
What should be your primary patient assessment every time you walk into a patients room?
ABC's
If a compressor gets tired, when is the best time to switch?
During breaths, or defibrillation
What kind of defibrillator does Ochsner use?
Zoll
What is the amount and sequence of joules should be used during defibrillations on our Zoll defibrillators?
120J, 150J, 200J
What is found on the back of the crash cart?
Backboard
During RR and Code Blue, who should always remain at bedside for information about the patient?
Primary Nurse
Who intubates?
Physician, CRNA,
X-ray, Bilateral breath sounds, chest rise, ETc02 detector
Some ways to determine proper intubation.
What is the intervention for asystole? (3 things)
CPR, Epinephrine, Treat the cause.
What is the number to call a code?
626-1123 Shreveport
5555 Monroe
Who is in charge of getting the crash cart?
Anyone who is close
Who else should be present?
House Supervisor, Chaplain, Lab, RT
What else would be found on the cart?
O2 tank, portable suction, ambu bag
What items should you have ready for an intubation?
Crash cart, meds, ETT, stylet, Laryngoscope handle and blade, ambu bag, oxygen, ETc02 detector.
What are the only 2 shockable rhythms to defibrillate?
V-Fib and Pulseless V-tach