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Emergency Situation Code Roles

This document outlines the roles and responsibilities of team members during a Code Blue emergency situation at Lucile Packard Children's Hospital. It lists the expected roles of the first responder, bedside RN, event manager, team leader, recorder, runner, respiratory, vascular access, code cart RN/MD, nursing supervisor, security, and USA. Each role is described in 1-2 sentences explaining their responsibilities during the code response.

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Gabriel José
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101 views1 page

Emergency Situation Code Roles

This document outlines the roles and responsibilities of team members during a Code Blue emergency situation at Lucile Packard Children's Hospital. It lists the expected roles of the first responder, bedside RN, event manager, team leader, recorder, runner, respiratory, vascular access, code cart RN/MD, nursing supervisor, security, and USA. Each role is described in 1-2 sentences explaining their responsibilities during the code response.

Uploaded by

Gabriel José
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMERGENCY SITUATION

Code Roles
This list pertains to any Code Blue at LPCH
Expectation: Every member of the team will introduce themselves and their role
Code blue management:
Documentation: Resuscitation Record
Code Record
Quantros Report
First Responder
Call for help 211
Start ABCs until help arrives
Bedside RN
Provide history using SBAR communication (Situation, Background,
Assessment, Recommendation)
Stay at bedside
Event Manager
Ensure providers assume pre-assigned roles and that the team knows who
(Charge Nurse)
is responsible for what role
Once roles are established, ensure management of the rest of the unit
Team Leader
Clearly identify self as the code leader
Communicate with the event manager and recorder
Ensure assignment of specific tasks to code team members (assigns tasks
to code team members)
Direct overall resuscitative effort
Ensure optimal airway management *(if the team leader is the most
experienced, he/she will take over the airway and assign a new team
leader)
Issues all medical and resuscitative orders (including resuscitation meds)
Recorder
Communicate with the Team Leader throughout code which interventions
have been done (must be experienced RN who can anticipate code needs)
Maintain an accurate written record of the timing of all interventions
Working knowledge of standard PALS algorithms
Hand code sheet to the Pharmacist
Runner
Ensure availability of work space for pharmacist
Receive instruction from ICU RN or MD
Clearly states I am getting (closed loop communication)
Respiratory
Manage the airway as directed by the Code Team Leader
(Airway)
Perform bag mask ventilation
Prepare and assists with intubation
Confirm ETT placement
Secure ETT
Vascular Access
Bring IStat
or Compressor
Assist with airway and intubation
(ICU RN/MD)
Insert NG/OG tube
Obtain labs
Communicate patient data and completed interventions to Recorder
Code Cart RN/MD
Distribute code cart supplies
Operate monitor/defibrillator
Nursing
Manage crowd control with security
Supervisor
Communicate with family
Notify Social Worker, Chaplain, Interpreter
Coordinate patient transfer with patient placement and team leader
Security
Direct code team members to code location
Assist with crowd control
Obtain AED and Code Cart during lobby codes
USA
Be attentive to the situation and make calls and pages as directed
Take direction from the Event Manager
Emergency Situation Code Roles
Lucile Packard Childrens Hospital
Heart Center/CVICU
Lori Bizzel, RN Author
Alice Rich, RN ([email protected]) Recommender and Maintainer
3/09 last update

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