RN Roles
Who is the Primary Nurse (or whoever discovers the patient)?
The team leader that runs the code until LIP arrives.
Who is the ACLS or PALS RN?
The time when the patient is found unresponsive.
What is the documented start time on the Code Sheet?
Brings code cart to room./Simultaneously places backboard under patient/places defibrillator pads on patient's chest and turns zoll on and analyzes rhythm./Shock, if indicated
Who is the First Responder RN?
Arrives and ACLS begins and assumes position at the foot of the bed.
Who is the Team Leader?
AHA guidelines recommended time to first shock for Ventricular Fibrillation/pulseless V-tach
What is 2 minutes?
Relieves Primary Nurse for chest compressions and Primary Nurse assumes airway until respiratory or anesthesia arrives.
Who is the Second Responder RN?
Gives Report to Team Leader & ensures chart/RIC at bedside./All other personnel ensure safety/reassurance to other patients on floor.
Who is the Primary Nurse?
Ensure doorway is not blocked
What are the key components about the Code Cart?
Assumes Recorder/Scribe Role
Who is the Third Responder RN?
Ensures all positions are covered.
Who is the Charge RN?
Do not delay calling a Code Blue and starting CPR.
What should the RN do while confirming DNR/DNI status?
Opens crash cart and passes out supplies/ensures IV access/becomes medication nurse when ACLS protocol begins.
Who is the Fourth Responder RN?
PGY3 (3rd year resident), MD or NP
Who can assume the role of Team Leader?
Inpatient or Outpatient/Adult or Pediatric patient/Location: ROPH or IR/Room # or bedspot #
What information is provided to the 3-2-1 operator?