Code Lab

Question 1

(3) Code Phases

Answer 1

Stage 1: Code Blue - Activation Phase
Stage 2: Staggard Arrival - Chaos Phase
Stage 3: Organized Team Function Phase

Question 2

What is done in Stage 1 Code Blue Activation

Answer 2

3 C’s
Call for help
CPR
Crash Cart

Question 3

Stage 2 Steps (3)

Answer 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

Question 4

First person to arrive ensures

Answer 4

3 C’s are addressed
CPR has started
Crash cart is at bedside

Question 5

When to place defibrillator pads

Answer 5

during CPR

Question 6

Airway manager uses

Answer 6

bag-valve-mask

Question 7

How many to do compressions

Answer 7

2 - taking turns

Question 8

Other Stage 2 steps

Answer 8

Verify IV access by flushing with NS
Need Medicine Nurse to begin to prepare and hand off meds for admin

Question 9

Stage 3 Roles and placement

Answer 9

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

Question 10

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

Answer 10

Primary Nurse

Question 11

Who:
Stay nearby to answer questions
Get finger stick glucose if asked
Compressions if asked
Act as a runner for items requested.

Answer 11

Primary Tech

Question 12

Who:
Provide basic airway management including bag-mask-valve and high flow oxygen.
Inserts airway adjuncts as appropriate.

Answer 12

Airway Manager

Question 13

Who:
Initiates IV/IO access
Administers medications

Answer 13

IV Nurse

Question 14

Who:
Initiate monitoring
Apply defib pads
Prep and label meds
Assemble equipment for intubation

Answer 14

Medication Nurse

Question 15

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

Answer 15

Recording Nurse

Question 16

Who:
Resource
Communicate with personnel regarding equipment and services needed.
Remove other patients and visitors.
Coordinate transfer
Notify attending MD
Notify Patient family

Answer 16

Charge Nurse

Question 17

Who:
Escort Family and visitors to private room
Counsel family, pray with family
Be available for staff afterwards.

Answer 17

Chaplain

Question 18

Respirations are absent or inadequate, pulse is present is called

Answer 18

Respiratory arrest

Question 19

Normal respirations

Answer 19

12-18 bpm

Question 20

A rate less than _______ requires assisted ventilation with a ______________ or ___________ with _________ oxygen

Answer 20

6
bag mask
advanced airway
100%

Question 21

If not treated quickly and efficiently, respiratory coded will progress to

Answer 21

cardiac code

Question 22

Respiratory Arrest with pulse: Deliver ventilations Q __________. Recheck the pulse Q __________. Take only __________ to check

Answer 22

5-6 seconds
2 min
5-10 seconds

Question 23

Causes of Codes: H’s

Answer 23

Hypovolemia
Hypoxia
Hydrogen ions (Acidosis)
Hypothermia
Hyper/Hypo Kalemia

Question 24

Causes of Codes: T’s

Answer 24

Tension pneumothorax
Toxins
Tamponade
Thrombus
PE
MI