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1 Code Team Members Roles and Responsibilities Jamileh Mokhtari nori, MSN, PhD candidate Nursing Faculty , Nursing Management Dept., Baqiyatallah Medical Sciences University.
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Code Team MembersRoles and Responsibilities
Jamileh Mokhtari nori, MSN, PhD candidate Nursing Faculty , Nursing Management Dept., Baqiyatallah Medical Sciences University.
Code Team is multidisciplinary team that responds to code calls.
DEFINITION
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Purposes of Code TeamPurposes of Code Team
Notification and availability of MembersNotification and availability of Members Avoid confusions and panicAvoid confusions and panic Optimal care in minimal time limitsOptimal care in minimal time limits
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Code Team RequirementsCode Team Requirements
Basic Cardiac Life Support (BCLS)Basic Cardiac Life Support (BCLS) Advance Cardiac Life Support (ACLS) .Advance Cardiac Life Support (ACLS) . Pediatric Advance Life Support (PALS) .Pediatric Advance Life Support (PALS) . All Code team members and emergency All Code team members and emergency
nurses must be familiar with the code cart nurses must be familiar with the code cart contents . contents .
Code Team MembersCode Team MembersRoles and Responsibilities Roles and Responsibilities
Code Team MembersCode Team MembersRoles and Responsibilities Roles and Responsibilities
1. Director of the Code2. Primary nurse3. Nurse4. Nursing supervisor5. Nurse or assistant6. Anesthesiologist/ nurse anesthetist/emergency
physician7. Respiratory therapist8. Code management pharmacist/technician9. ECG technician10. Chaplain
1. Director of the Code2. Primary nurse3. Nurse4. Nursing supervisor5. Nurse or assistant6. Anesthesiologist/ nurse anesthetist/emergency
physician7. Respiratory therapist8. Code management pharmacist/technician9. ECG technician10. Chaplain
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* Director of the Code
(usually a physician)
Make diagnoses and treatment decisions
* Director of the Code
(usually a physician)
Make diagnoses and treatment decisions
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* Primary nurse
Provide information to code director
Contact attending physician Assist medications and
procedures
* Primary nurse
Provide information to code director
Contact attending physician Assist medications and
procedures7
* Nurse
Coordinate use of the crash cart Prepare medications Assemble equipment (intubation,
suction) Defibrillate
* Nurse
Coordinate use of the crash cart Prepare medications Assemble equipment (intubation,
suction) Defibrillate
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* Nursing supervisor
Control the crowd Assist medications and
procedures Ensure bed in Critical C.U. Assist transfer
* Nursing supervisor
Control the crowd Assist medications and
procedures Ensure bed in Critical C.U. Assist transfer
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* Nurse or assistant
Record events
* Nurse or assistant
Record events
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* Anesthesiologist/
nurse anesthetist/emergency physician
Intubate patient Manage airway and oxygenation
* Anesthesiologist/
nurse anesthetist/emergency physician
Intubate patient Manage airway and oxygenation
* Respiratory therapist Set up respiratory equipment
& Assist ventilation Draw ABGs
* Respiratory therapist Set up respiratory equipment
& Assist ventilation Draw ABGs
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* Code management pharmacist/technician
o Assist medication administration
o Prepare IV infusions
* Code management pharmacist/technician
o Assist medication administration
o Prepare IV infusions
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* ECG technician
Obtain 12-Lead ECG
* ECG technician
Obtain 12-Lead ECG
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* Chaplain
Support family
* Chaplain
Support family
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Priorities during a codePriorities during a codePriorities during a codePriorities during a code
1. Recognition of arrest1. Recognition of arrest2. Arrival of resuscitation team, emergency cart, monitor-2. Arrival of resuscitation team, emergency cart, monitor-
defibrillator, automatic external defibrillatordefibrillator, automatic external defibrillator3. Rhythm diagnosis3. Rhythm diagnosis4. Prompt defibrillation4. Prompt defibrillation5. Intubation5. Intubation6. Venous Access6. Venous Access7. Drug administration7. Drug administration8. Assessment response to therapy 8. Assessment response to therapy 9. Drawing arterial and venous blood specimens9. Drawing arterial and venous blood specimens10. Documentation10. Documentation11. Controlling or limiting crowd11. Controlling or limiting crowd12. Family notification12. Family notification13. Transfer Critical C.U.13. Transfer Critical C.U.14. Critique14. Critique
1. Recognition of arrest1. Recognition of arrest2. Arrival of resuscitation team, emergency cart, monitor-2. Arrival of resuscitation team, emergency cart, monitor-
defibrillator, automatic external defibrillatordefibrillator, automatic external defibrillator3. Rhythm diagnosis3. Rhythm diagnosis4. Prompt defibrillation4. Prompt defibrillation5. Intubation5. Intubation6. Venous Access6. Venous Access7. Drug administration7. Drug administration8. Assessment response to therapy 8. Assessment response to therapy 9. Drawing arterial and venous blood specimens9. Drawing arterial and venous blood specimens10. Documentation10. Documentation11. Controlling or limiting crowd11. Controlling or limiting crowd12. Family notification12. Family notification13. Transfer Critical C.U.13. Transfer Critical C.U.14. Critique14. Critique
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Crash CartCrash Cart
Contents of a crash cartContents of a crash cartContents of a crash cartContents of a crash cart
Main ItemsMain Items Specific SuppliesSpecific Supplies
Back Back
Cardiac boardCardiac board
Side Side
Portable suction machine, Portable suction machine, bag-valve device & o2 tankbag-valve device & o2 tank
Suction canister and tubing, Suction canister and tubing, face mask, o2 tubingface mask, o2 tubing
TopTop
Monitor-defibrillator with Monitor-defibrillator with recorder, clipboard with recorder, clipboard with code record and drug code record and drug calculation reference sheetscalculation reference sheets
ECG Leads, electrodes, gel ECG Leads, electrodes, gel or pads; pacemaker or pads; pacemaker
Contents of a crash cartContents of a crash cartContents of a crash cartContents of a crash cart
Main ItemsMain Items Specific SuppliesSpecific Supplies
Airway supply drawerAirway supply drawer
IV supply drawerIV supply drawer
Oral & nasal airways, ETTs, Oral & nasal airways, ETTs, stylet, laryngoscope handle stylet, laryngoscope handle and curved and straight and curved and straight blades, Magil forceps, blades, Magil forceps, lubricating jelly, 5-ml lubricating jelly, 5-ml syringes and tapesyringes and tape
IV catheters of various IV catheters of various sizes, tape, syringes, sizes, tape, syringes, needles and needleless needles and needleless adaptors, IV fluids (NS, adaptors, IV fluids (NS, Ringer’s lactate solution, Ringer’s lactate solution, and D5W), & IV tubing.and D5W), & IV tubing.
Contents of a crash cartContents of a crash cartContents of a crash cartContents of a crash cart
Main ItemsMain Items Specific SuppliesSpecific Supplies
Medication drawerMedication drawer
Miscellaneous supply Miscellaneous supply drawerdrawer
Procedure traysProcedure trays
All IV push emergency All IV push emergency medications in prefilled medications in prefilled syringes if available, sterile syringes if available, sterile water and NS for injection & water and NS for injection & IV infusion emergency IV infusion emergency medication.medication.
Sterile and nonsterile Sterile and nonsterile gloves, suction catheters, gloves, suction catheters, nasogastric tubes, chest nasogastric tubes, chest tubes, blood pressure cuff, tubes, blood pressure cuff, blood collection tubes, blood collection tubes, sutures, pacemaker sutures, pacemaker magnet, extra ECG magnet, extra ECG recording paperrecording paper
Cut-down, tracheostomy Cut-down, tracheostomy and central line insertion and central line insertion traystrays
با با تشكر از تشكر و از و صبر حوصله صبر و حوصله عزيزان و شما عزيزان سروران شما گراميگراميسروران
نباشيدخسته
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