Code 22
What number do you call to activate a Code 22?
5555
When should you activate a Code 44?
When a nurse feels that a patient needs immediate intervention to prevent further deterioration
What is Magnesium Sulfate primarily used for?
Seizure prophylaxis for the woman in the antepartum, intrapartum, or postpartum period with preeclampsia
Name three reasons you would activate a Code 22 on Labor & Delivery
Stat C/S, Breech vaginal delivery, Emergent precipitous RN delivery, Emergent maternal condition, Unresolved shoulder dystocia, Prolapsed cord, Category 3 FHT's, Infant unresponsive to PPV after delivery
Name three reasons you may active a Code 44.
Nurse or family member concerned or worried with patient’s condition, Heart Rate less than 50 or greater than 120, Systolic BP less than 90, Respiratory rate less than 8 or greater than 28, Pulse Oximetry less than 90%, Acute mental status change from baseline, Acute significant bleed, Seizures, failure to respond to treatment
When should a Magnesium Sulfate baseline assessment be performed?
Within 30 minutes of initiation
Name three reasons you would activate a Code 22 on the Mother/Baby unit
Suspected seizures, Cyanotic episodes (circumoral, unresponsive to Blow by oxygen),Acute change, lethargy, Decreased/abnormal tone, fall or drop, Apnea-Persistent requiring PPV, Bradycardia (HR persistently <80), RR>70, Grunting/Flaring Retracting O2 sats 85-89, HR persistently >210 for more than 10 mins
What is the primary nurses responsibility during a Code 44?
Provide background information to the Support Team on the patient’s condition, Speak with the patient/family about the situation, Assist the Team as needed, Administer treatment as prescribed
What is the anecdote for Magnesium Sulfate?
Calcium Gluconate
Who responds to a Code 22?
Labor/Transition Nurse, Neonatal Nurse Practitioner/Neonatologist, NICU Nurse, Neonatal Respiratory Therapist, Nursing Supervisor
What is the nursing supervisors role during a Code 44?
Maintain calm environment on the unit, Support staff as needed on the unit as the primary nurse of the deteriorating patient is occupied, Assure that the Code 44 Support Team has the resources (supplies) needed, Arrange transfer to higher level of care if required.
Name two signs of Magnesium toxicity
Severe respiratory depression and decreased level of consciousness