Download Code Team Requirements

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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DEFINITION
Code Team is multidisciplinary
team that responds to code calls.
Purposes of Code Team
Notification and availability of Members
 Avoid confusions and panic
 Optimal care in minimal time limits
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Code Team Requirements
Basic Cardiac Life Support (BCLS)
 Advance Cardiac Life Support (ACLS) .
 Pediatric Advance Life Support (PALS) .
 All Code team members and emergency
nurses must be familiar with the code cart
contents .
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Code Team Members
Roles and Responsibilities
1. Director of the Code
2. Primary nurse
3. Nurse
4. Nursing supervisor
5. Nurse or assistant
6. Anesthesiologist/ nurse anesthetist/emergency
physician
7. Respiratory therapist
8. Code management pharmacist/technician
9. ECG technician
10. Chaplain
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* 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
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* Nurse
 Coordinate use of the crash cart
Prepare medications
 Assemble equipment (intubation,
suction)
 Defibrillate
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* Nursing supervisor
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Control the crowd
Assist medications and procedures
Ensure bed in Critical C.U.
Assist transfer
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* Nurse or assistant
Record events
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* Anesthesiologist/
nurse anesthetist/emergency physician
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Intubate patient
Manage airway and oxygenation
* Respiratory therapist
Set up respiratory equipment &
Assist ventilation
 Draw ABGs
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* Code management
pharmacist/technician
o
o
Assist medication administration
Prepare IV infusions
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* ECG technician
Obtain 12-Lead ECG
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* Chaplain
Support family
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Priorities during a code
1. Recognition of arrest
2. Arrival of resuscitation team, emergency cart, monitordefibrillator, automatic external defibrillator
3. Rhythm diagnosis
4. Prompt defibrillation
5. Intubation
6. Venous Access
7. Drug administration
8. Assessment response to therapy
9. Drawing arterial and venous blood specimens
10. Documentation
11. Controlling or limiting crowd
12. Family notification
13. Transfer Critical C.U.
14. Critique
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Crash Cart
Contents of a crash cart
Main Items
Specific Supplies
Back
Cardiac board
Side
Portable suction machine, bagvalve device & o2 tank
Top
Monitor-defibrillator with
recorder, clipboard with code
record and drug calculation
reference sheets
Suction canister and tubing,
face mask, o2 tubing
ECG Leads, electrodes, gel or
pads; pacemaker
Contents of a crash cart
Main Items
Specific Supplies
Airway supply drawer
Oral & nasal airways, ETTs,
stylet, laryngoscope handle and
curved and straight blades,
Magil forceps, lubricating jelly,
5-ml syringes and tape
IV supply drawer
IV catheters of various sizes,
tape, syringes, needles and
needleless adaptors, IV fluids
(NS, Ringer’s lactate solution,
and D5W), & IV tubing.
Contents of a crash cart
Main Items
Specific Supplies
Medication drawer
All IV push emergency
medications in prefilled
syringes if available, sterile
water and NS for injection & IV
infusion emergency medication.
Miscellaneous supply drawer
Sterile and nonsterile gloves,
suction catheters, nasogastric
tubes, chest tubes, blood
pressure cuff, blood collection
tubes, sutures, pacemaker
magnet, extra ECG recording
paper
Cut-down, tracheostomy and
central line insertion trays
Procedure trays
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