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8/16/2019 Code Blue Training and Workshop
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CODE BLUE TRAININGAND WORKSHOP
Isabela United Doctors Medical Cen
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ADULT CPR KEY CONCEPTS
Push hard (≥ 2 inches [5cm]) and fast (≥100min)
Minimi! int!rr"#ti$ns incom!ressions
"#oid !%&!ssi'! '!nti(ati$n
$otate com!ressor !'!r) * min"t!s
I% no ad#ance air&a' +,-*&$m#r!ssi$n '!nti(ati$n rati$
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IMPORTANT PRINCIPLES
"ttach monitor (i% a#ailable)
nsure *ualit' CP$
Code +lue ,!ecialist nurse &ill %acilitate
CP$ until arri#al o% -eam .eader ($/D)
-he $ecorder also acts as time ee!er
reminds the team e#er' 2 minutes c'cle
and e#er' 35 minutes inter#al o%
medication administration
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IMPORTANT PRINCIPLES
/4 ,PCI". "$", the %irst !erson &hoidenti%ies a cardiac arrest must immediatel'
start CP$ until Code +lue $escuers arri#e
C/D +.U Messa6e must be clear and
concise 7Code +lue at $oom8889 23:
"#oid o#ercro&din6
"ll nursin6 sta%% must ha#e at least +.,
-rainin6
"ll -eam .eaders must ha#e "C., trainin6
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ELEMENTS O. E..ECTI/E TEAM DYNAMICS
1 Closed3loo! communication
2 Clear messa6es
Clear roles and res!onsibilities
;
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CODE BLUE TEAM
-"M ."D$
CB,- C/MP$,,/$
"I$" M"4"E$
MDIC"-I/4 4U$,DIFI+$I.."-/$ .C-$IC". -B$"PI,-
C/D +.U $C/$D$
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CODE BLUE LAYOUT
-)"M
.)"D)$
"
I $ C " D
MDIC"-I/4
$C/$D$
SWITCH
EVERY 2
MINUTES
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TEAM LEADER
$esident on Dut'/#erall in3char6e
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CHEST COMPRESSOR
First !erson on the scene 012* #!rs$ns3Deli#er' o% !ff!&ti'! CPR (Chest
Com!ressions)
,&itches !osition &ith air&a' mana6er
(i% there is 11 com!ressor G air&a' ratio)
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AIRWAY MANAGER
,econd bedside or code rescuer 012*#!rs$ns3
Deli#er' o% !ff!&ti'! CPR (Hentilation+HM)
,&itches !osition &ith com!ressor (i% there
is 11 com!ressor G air&a' ratio)
Maintains !atent air&a' (suction !rn) and
administers o:'6en as needed
"ssist the $/D durin6 intubation
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MEDICATION NURSE
Medication nurse IH thera!iststablishesmaintains IH access
"dministers emer6enc' dru6s
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DE.IBRILLATOR 4 ELECTRICAL THERAPIST
Must be an "C., trained nurse"dministers shocde%ibrillation as ordered
Monitors CE $h'thm
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CODE RECORDER
Char6e 4urseDocumentation and recordin6
$e#ie&s case &ith the -eam .eader
-ime Mana6ement G reminds the Code +lue
-eam o% !'!r) * min"t!s C'cle on CP$ and!'!r) +25 min"t!s inter#al %ormedications
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PHARMACOLOGY
Vent. Fib./Tach.
!ine!hrine
Haso!ressin (&ill be remo#ed in2015 6uidelines)"miodarone.idocaine
Ma6nesium
Asystole/PEA
!ine!hrineHaso!ressin"tro!ine (remo#ed %rom al6o
!er 2010 "C., Euidelines
Bradycardia
"tro!ine!ine!hrineDo!amine
TachycardiaadenosineDiltia@em
+eta3blocers"miodarone
Di6o:inHera!amil
Ma6nesium
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CODE BLUE .LOW CHART
$F$ -/ FIEU$ 1/
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