Code Lab Flashcards
(3) Code Phases
Stage 1: Code Blue - Activation Phase
Stage 2: Staggard Arrival - Chaos Phase
Stage 3: Organized Team Function Phase
What is done in Stage 1 Code Blue Activation
3 C’s
Call for help
CPR
Crash Cart
Stage 2 Steps (3)
Step 1: 3 C’s
Step 2: Backboard and Defibrillator
Bag-valve mask in use, 2 people
CPR compressions
Step 3: Move to designated Position
Team Communication
First person to arrive ensures
3 C’s are addressed
CPR has started
Crash cart is at bedside
When to place defibrillator pads
during CPR
Airway manager uses
bag-valve-mask
How many to do compressions
2 - taking turns
Other Stage 2 steps
Verify IV access by flushing with NS
Need Medicine Nurse to begin to prepare and hand off meds for admin
Stage 3 Roles and placement
Airway mgt - at head of pt
CPR/CPR sub - right of pt
Team Leader/Recorder - foot of pt
Crash cart/defib Nurse - to left of pt and so that CPR can see monitor
Medication Nurse - to left of pt
Who:
Call the code
Provide chest compressions until relieved.
Give information to Team Leader about the patient
Review the chart, advanced directives, last labs, and VS using a WOW
Primary Nurse
Who:
Stay nearby to answer questions
Get finger stick glucose if asked
Compressions if asked
Act as a runner for items requested.
Primary Tech
Who:
Provide basic airway management including bag-mask-valve and high flow oxygen.
Inserts airway adjuncts as appropriate.
Airway Manager
Who:
Initiates IV/IO access
Administers medications
IV Nurse
Who:
Initiate monitoring
Apply defib pads
Prep and label meds
Assemble equipment for intubation
Medication Nurse
Who:
Ensure patient chart in room
Use ACLS form to document
Track time between med passes
Assist with crash cart
Place completed resuscitation record in chart
Recording Nurse
Who:
Resource
Communicate with personnel regarding equipment and services needed.
Remove other patients and visitors.
Coordinate transfer
Notify attending MD
Notify Patient family
Charge Nurse
Who:
Escort Family and visitors to private room
Counsel family, pray with family
Be available for staff afterwards.
Chaplain
Respirations are absent or inadequate, pulse is present is called
Respiratory arrest
Normal respirations
12-18 bpm
A rate less than _______ requires assisted ventilation with a ______________ or ___________ with _________ oxygen
6
bag mask
advanced airway
100%
If not treated quickly and efficiently, respiratory coded will progress to
cardiac code
Respiratory Arrest with pulse: Deliver ventilations Q __________. Recheck the pulse Q __________. Take only __________ to check
5-6 seconds
2 min
5-10 seconds
Causes of Codes: H’s
Hypovolemia
Hypoxia
Hydrogen ions (Acidosis)
Hypothermia
Hyper/Hypo Kalemia
Causes of Codes: T’s
Tension pneumothorax
Toxins
Tamponade
Thrombus
PE
MI
