code team members roles and responsibilities

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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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