Emergency Codes
Red
Fire
True or False? You take the MAR to the bedside.
True
The MD has ordered "NS bolus STAT".
What information is missing?
Amount/dose, Duration/rate
What type of unit is D2?
Hemodialysis/Medicine
How do you call Rapid response team?
x5555
Blue
Emergent Medical intervention required (Cardiopulmonary arrest, emergency situation)
What are the five safety checks before administering medication?
Right patient, right medication, right time, right route, right dose.
At what hemoglobin level do you transfuse blood?
Below 70.
What is the extension for C5?
4187
If you are calling RRT for your patient, who else must you page?
Patient's MRP
Yellow
Missing person
What is pharmacy's extension?
2527
Your pt. is post operative day #1. They are not tolerating CF. What is your next action?
Anti-emetics, vitals check, NPO, page MD.
Freebie points: What is your favourite unit to work on?
Whichever unit is your favourite :)
Name 3 patient indicators for a rapid response call.
Airway: threatened, stridor, excessive secretions
Breathing: RR </=8 or >=20, distressed breathing, O2 sat <=90% on >=50%O2 or 6L/min
Circulation: Systolic blood pressure <90mmHg or >200mmHg or decrease >40mmHg, Heart rate <40 or >130
Disability: Decreased level of consciousness
(GCS decrease >2 points)
Other: Urine output <100mls over 4hrs
(except dialysis patients), Serious concern about the patient
White
Violent person
What is pharmacy missing dose extension?
x2531
The MD has given you a telephone order, what information is missing?
Tylenol 1g QID PRN
Route
What type of unit is D6?
Surgical/Oncology
If your patient's RR is 28, O2 sat 87%, and they are on 6L NP, what priority action would you do next?
Apply oxygen via a venturi mask or non-rebreather mask.
How do you call a code?
Dial 5555. State your code type and exact location (including Wing, floor, room)
The MD has ordered hydromorphone 1mg IV x1 dose now. The vial comes in 2mg/ml. How many ml do you administer?
0.5ml
Your patient's blood pressure is 88/62. They have anti-hypertensive medications due. What action will you take?
Re-check other arm BP. Check for symptoms. Ask what patient's baseline is/check chart for baseline BP. Check MAR for past/future BP med's you may need to hold. Hold medication. Page MD to inform and confirm holding the medication.
What type of unit is D3?
Cardiology
Practice Calling Rapid Response Team as if you are calling x5555.
Hi, I'd like to call Rapid response team to Unit ____, ___Wing, ____ floor, Room ____.