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    Sop of Code Blue

    Uploaded by

    sucharita Das
    This document outlines policies and procedures for Code Blue calls, which deal with cardiac arrest. It aims to standardize guidelines to identify cardiac arrest within 10 seconds, activate Code Blue as early as possible, and improve patient survival and life expectancy. It details the scope of areas covered, responsibilities of the code blue team and others, and the process for code blue calls including activation, arrival of the team, and use of crash carts. Record keeping and audit forms are also specified.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Sop of Code Blue

    Uploaded by

    sucharita Das
    1K views5 pages
    This document outlines policies and procedures for Code Blue calls, which deal with cardiac arrest. It aims to standardize guidelines to identify cardiac arrest within 10 seconds, activate Code Blue as early as possible, and improve patient survival and life expectancy. It details the scope of areas covered, responsibilities of the code blue team and others, and the process for code blue calls including activation, arrival of the team, and use of crash carts. Record keeping and audit forms are also specified.

    Original Description:

    cardiac arrest

    Original Title

    SOP OF CODE BLUE

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    This document outlines policies and procedures for Code Blue calls, which deal with cardiac arrest. It aims to standardize guidelines to identify cardiac arrest within 10 seconds, activate Code Blue as early as possible, and improve patient survival and life expectancy. It details the scope of areas covered, responsibilities of the code blue team and others, and the process for code blue calls including activation, arrival of the team, and use of crash carts. Record keeping and audit forms are also specified.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views5 pages

    Sop of Code Blue

    Uploaded by

    sucharita Das
    This document outlines policies and procedures for Code Blue calls, which deal with cardiac arrest. It aims to standardize guidelines to identify cardiac arrest within 10 seconds, activate Code Blue as early as possible, and improve patient survival and life expectancy. It details the scope of areas covered, responsibilities of the code blue team and others, and the process for code blue calls including activation, arrival of the team, and use of crash carts. Record keeping and audit forms are also specified.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Documented policies and Procedure guide the care of patients requiring CPR

    1. POLICY

    Code Blue CALL deals with identifying cardiac arrest as soon as possible
    (preferably within 10 sec) and improving survival of the patient.

    2. AIM

    To ensure standardized guideline are laid down for performing Code Blue.

    3. GOAL

    3.1. To identify Cardiac Arrest within 10 sec

    3.2. To activate Code Blue as early as possible

    3.3. To improve patient survival

    3.4. To improve life expectancy

    4. SCOPE

    4.1. Wards
    4.2. OPD
    4.3. Kitchen
    4.4. Physiotherapy
    4.5. Maintenance
    4.6. Diagnostic Rooms
    4.7. USG Rooms
    4.8. Procedure rooms
    4.9. Canteen
    4.10.Security Department
    4.11. Lab
    4.12. MRD
    4.13. Housekeeping Department
    4.14. Blood bank
    4.15. Conference hall
    4.16. CSSD
    4.17. Terrace
    4.18. Mortuary
    4.19. Eye OPD
    4.20. Laundry
    4.21. Dialysis
    4.21. HR Department
    4.22. IT Department
    4.23. Board Room
    4.24.Nursing Office
    4.25. Store room

    Exclusion: ICUs, HDU2, PCU, OT, EMR, CCU, CTVS, CATHLAB

    5. RESPONSIBILITY

    5.1. CODE BLUE TEAM

    5.2. DOCTOR

    5.3. NURSES

    5.4. MOD

    5.5. TRANSPORT

    5.6. SECURITY

    6. PROCESS DETAILS

    6.1. Criteria: -Any person found Unresponsive , Pulseless, Apenic,


    6.2. Identification: As soon as possible (preferably within 10 Sec)
    6.3. Check response by tapping on shoulder “Are You Okay”
    6.4. Ask somebody (TL / Sister/ Brother, Health care workers) to help.
    6.5. Activation Methodology:
    Activation : CODE BLUE to be activated by dialing 444 (Tele com) and
    informing “CODE BLUE, Floor, Department, Bed No for once and
    taking repeat back (to make it confirm) from other side.
    Example – CODE BLUE First Floor, Pvt Ward Bed No 138
    Announcement: CODE BLUE to be announced by Telecom for three
    times .If there is any failure in announcement team
    will get wrong information and arrival will be late.
    Arrival: CODE BLUE team to be arrived within 1 minute
    (Maximum 3 minutes ) with Code Blue kit and Defibrillators or AED
    Crash Cart: Crash Cart to be kept ready after each used. Crash Cart to be
    Checked twice a month, zip lock needs to be used while it is
    replenishment completed.
    CRASH TROLLEY CHECK LIST

    ITEM NAME Date

    Top Shelf QTY.


    Ambu Bag-Adult 1
    Ambu Bag-Pedia 1

    Sharps Container 1

    Intubation Tray with:


    Batteries (Size AA,C) 1 Pair
    Gauze pack 5
    ETT Introducer (Child/Adullt) 1
    ETT (2.5,3,3.5,4,4.5,5,5.5) 1 each
    ETT (6,6.5,7,7.5,8,8.5) 1 each
    Laryngoscope Pedia (blade1,2,3) 1
    Laryngoscope Adult(Blade1,2,3,4) 1
    Laryngeal Mask Airway (3 & 4) 1
    Laryngoscope bulb 1
    Maggils Forceps 1
    Sterile Gloves (6.5,7,7.5) 2 each
    Syringe 10ml 5
    Tracheostomy Tube (6.5,7,7.5,8) 1 each
    Xylocaine Jelly 2% 1
    Dynaplast/Roller bandage 1 each
    Bougie 1
    Bottom Shelf
    Mannitol 20% 100 ml 2
    Normal Saline 0.9% 500 ml 2
    Ringer Lactate 500 ml 2
    Dextrose 25% 100 ml 2
    Drawer No:1
    Inj. Atropine .6mg 5
    Inj. Adrenaline 1mg/ml 5
    Inj.Calcium Gluconate 10ml 2
    Inj. Amiodarone 150mg/3ml 2
    Inj. Dopamine 200mg/5ml 2
    Inj.HCO3 8.4% 25 ml 6
    Inj. Midazolam 10ml 2
    Inj. MgSO4 2 ml 2

    Inj. Noradrenaline 2mg/2ml 2


    Drawer No:2
    Syringe (2,5,10,20 & 50ml) 5each
    Needle 18 gauge 5
    Scissors 1

    Drawer No: 3
    Gauze Packets 5
    Dressing - Tegaderm 2
    Tourniquet (Rubber) 2
    Venflon (16,18,20,22,24 gauge) 2each
    3 Way Connector/Extn. 10 cm 2each

    Drawer No: 4
    Airway (SIZE 0,1,2,3) 1each
    Disposable Razor 2
    Face Mask 5
    Hand Care 5
    Nasopharyngeal Tube (6,6.5,7,7.5) 1each
    Torch with Battery 1

    Wearon 2
    Drawer No:5
    Blood Transfusion Set 2
    IV set 3

    P.M line M-F (200 cm) 2

    Drawer No:6
    Drug Adhesive Label 5
    ECG leads 10
    Face Shield/goggles 1
    Code Blue Record Sheet 5
    SIGNATURE with ID

    6.6. Approach: Team approach to be applied.


    Doctors : Team leader to give instruction and to be ready for airway
    Nurses : CPR Providers 2
    Defibrillator handler
    Drug administrator
    Timer & Recorder
    MOD : Arrange bed, SMS to senior personnel.
    Security: Holding the lift and crowd control.
    Transport : To be in time
    7 . RECORDS & FORMATS
    7.1. CODE BLUE AUDIT FORM
    7.2. POST ARREST CQI REVIEW
    7.3. CARDIAC ARREST EVALUATION RECORD

    8. CODE BLUE Forms to be filled and handed over to MICU within 1 HR.

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