8/16/2019 Code Blue Training and Workshop

1/15

CODE BLUE TRAININGAND WORKSHOP

Isabela United Doctors Medical Cen

8/16/2019 Code Blue Training and Workshop

2/15

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$n rati$

8/16/2019 Code Blue Training and Workshop

3/15

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

8/16/2019 Code Blue Training and Workshop

4/15

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

8/16/2019 Code Blue Training and Workshop

5/15

ELEMENTS O. E..ECTI/E TEAM DYNAMICS

1 Closed3loo! communication

2 Clear messa6es

Clear roles and res!onsibilities

;

8/16/2019 Code Blue Training and Workshop

6/15

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$

8/16/2019 Code Blue Training and Workshop

7/15

CODE BLUE LAYOUT

-)"M

.)"D)$

     "

     I     $     C     "     D

MDIC"-I/4

$C/$D$

SWITCH

EVERY 2

MINUTES

8/16/2019 Code Blue Training and Workshop

8/15

TEAM LEADER 

$esident on Dut'/#erall in3char6e

8/16/2019 Code Blue Training and Workshop

9/15

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)

8/16/2019 Code Blue Training and Workshop

10/15

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

8/16/2019 Code Blue Training and Workshop

11/15

MEDICATION NURSE

Medication nurse IH thera!iststablishesmaintains IH access

"dministers emer6enc' dru6s

8/16/2019 Code Blue Training and Workshop

12/15

DE.IBRILLATOR 4 ELECTRICAL THERAPIST

Must be an "C., trained nurse"dministers shocde%ibrillation as ordered

Monitors CE $h'thm

8/16/2019 Code Blue Training and Workshop

13/15

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

8/16/2019 Code Blue Training and Workshop

14/15

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

8/16/2019 Code Blue Training and Workshop

15/15

CODE BLUE .LOW CHART

$F$ -/ FIEU$ 1/