code blue nursing care management and health professional's roles

2.  An emergency situation announce in a
hospital institution in which a patient is in
cardio pulmonary arrest requiring a team of
providers to rush to the specific location and
begin immediate resuscitative efforts

3.  Causes
- Myocardial Infarction
- Profound Shock
- Asystole
- Ventricular Fibrillation
>Treatment
-ABC ROLE
-cardiac massage
-defibrillation (if pulseless VT or VF)
IV/ET Adrenaline
IV lidocaine
Sodium Bicarb 1meq/kg
Continue CPR
-ASYSTOLE
CPR
1 ml Adrenaline
1mg Atrophine
1meq/kg Sodium Bicarb

4.  To respond to a patient with Respiratory /
Cardiac Arrest or other emergency conditions in
a rapid and expected manner
 Code BLUE TEAM
 -cardiologist;if present
 -Medical Specialist / Pediatrician
 -Pulmonologist; if present
 -Anesthesiologist
 -Anesthesia Tech
 -Chief Nurse
 -Laboratory Tech

5.  Staff member finding a patient in a medical
emergency situation, assess the situation in no
pulse/respiration are found, a CODE BLUE must be
initiated
 Begin LIFE SUPPORT procedures the second person
responding ensures that CODE BLUE has been called
and assist the 1st rescuer
 Nursing Personel responding to the area will bring
the crash cart
 CODE BLUE TEAM is responsible for responsing
immediately and initiating ACLS protocol
 The RN familiar with pt. remains at the scene,
responsible for documentation
 The team will cont. CPR until the decision to end is
made by primary care physician/ CPR team leader

6.  The primary care physician will notify the pt’s
family of the changing status.
 The Emergency crash cart is checked and re-stock
as per procedure

7.  The code blue will be documented on the
CODE BLUE record and signed by the
recording RN and CODE physician
 A code blue eval will be completed and
signed by RN and Code physician
 Code blue events will be monitored, printed
and reported through the hospital’s
performance and improvement activities