Before the Code Blue Team Arrives Powerpoint (Final)
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The document provides training objectives and guidelines for responding before the Code Blue team arrives. It outlines the roles and responsibilities of the first, second, third, and fourth responders. The first responder starts chest compressions and delegates roles. The second responder activates the code blue and sets up the crash cart. The third responder manages the airway with an Ambu bag. The fourth responder ensures all tasks are completed and acts as recorder if possible. The guidelines emphasize effective communication, crew resource management, and high-quality CPR.
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Role of Rapid Response Team in preventing deaths in hospitals by early detection & early intervention
Codeblue
This document outlines the procedures for responding to a code blue, or medical emergency, at a hospital. It describes the causes that would require a code blue response, such as a myocardial infarction, profound shock, or asystole. It lists the roles of the code blue team members that would respond, including doctors, nurses, and technicians. It provides details on the steps the responding team would take, such as initiating ACLS protocol, performing CPR, and using medications. The procedures around documentation of the code blue event and notification of family members are also described.
Thecrashcart
This document provides information about crash cart contents and procedures at CBAHI. It defines a crash cart as a means of storing and transporting emergency equipment and drugs. The first crash cart was created in 1962. Crash carts must be checked regularly by nurses and biomed to ensure proper function and expiration dates. Contents are arranged in a standardized way and include airway management, resuscitation medications, and equipment for defibrillation and monitoring. Nurses must check crash carts at the beginning of each shift to ensure readiness for emergencies.
The crash cart
The document defines and describes the crash cart, which contains emergency equipment and medications needed to treat cardiac emergencies. It outlines the crash cart's history, contents, and proper arrangement according to hospital policy. The crash cart must be checked regularly by nurses to ensure it is fully stocked and functional. It provides a mobile station containing defibrillators, airway equipment, intravenous drugs, and other supplies to quickly respond to life-threatening situations.
Evidence in Support of Mock Code Blue Programs
This document presents a literature review and proposed solution to implement mock code blue training programs at a rural hospital. The purpose is to determine if regular mock code training improves provider performance during actual code blue events, compared to no additional training between certification periods. The literature review found that simulation and mock code training generally increases participant skills, confidence, and team performance during codes. Several studies showed mock training led to better initial test scores and skill retention over 1 year, compared to traditional training alone. The proposed solution is to implement a structured mock code blue training program at the hospital to reinforce skills and maintain competency between certification periods. The program aims to improve patient outcomes and provider satisfaction.
"Rapid Response System"
evidence based information,studies review and impact on healthcare and patient safety measurement of rapid response system.
Resus Trolley Presentation
The document describes a project to redesign a resuscitation trolley. A team redesigned the trolley with standardized drawers and trays to allow for more efficient stock checks and restocking. Photographs of instruments and drugs were used on "place-mats" in each drawer to aid quick visual identification when restocking. Time trials found that nursing staff of all experience levels could find, check, and restock items faster with the new standardized trolley design.
No Hands Up Presentation
The document discusses strategies for using a "no hands up" policy in the classroom to encourage participation from all students. It describes potential issues that could arise, such as quiet students not being called on enough or disruptive students dominating discussions. It then provides examples of alternative questioning techniques, such as using mini whiteboards, phone a friend, or thumbs up/thumbs down responses, to help address these issues and promote inclusion when not using traditional hand raising.
Questioning
This document discusses the importance of questioning techniques in the classroom. It notes that questioning accounts for up to a third of teaching time and is key for assessing, challenging, and developing student understanding. The document then provides examples of effective questioning techniques teachers can use, such as directed questioning, encouraging student independence, and using questioning as a plenary activity. Teachers are tasked with applying one of these techniques to their own classroom.
Emtala
EMTALA establishes three primary requirements for hospitals with emergency departments: performing a medical screening examination for anyone requesting treatment, providing stabilizing treatment for emergency medical conditions and labor, and restricting transfers unless the patient's emergency condition is stabilized. It aims to prevent patient dumping by ensuring access to emergency medical care regardless of ability to pay. Hospitals and physicians can face civil monetary penalties and exclusion from Medicare/Medicaid for EMTALA violations.
16672475 23 Mock Codes 2
The document describes 9 mock code scenarios involving pediatric patients. The summaries are as follows:
1. A healthy infant is found apneic and pulseless in their crib. ABCs are optimized and resuscitation is attempted for 30 minutes before being called.
2. A toddler presents with stridor and respiratory arrest due to epiglottitis. Bag mask ventilation is optimized by positioning the patient in a tripod position to relieve airway obstruction.
3. A dialysis patient suffers pulseless ventricular tachycardia due to hyperkalemia. Calcium and other treatments are used to reverse the dysrhythmia.
4. An infant in the hospital suffers respiratory arrest due
EMTALA Training
EMTALA is a federal law that requires hospitals to provide medical screening examinations and stabilizing treatment to individuals who present with emergency medical conditions or active labor regardless of ability to pay. Key obligations under EMTALA include providing appropriate medical screening exams, stabilizing or appropriately transferring patients with emergency conditions, and maintaining certain medical records. Violations of EMTALA requirements can result in penalties such as fines, termination from Medicare, and malpractice liability.
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BASIC LIFE SUPPORT
CPR involves several steps to resuscitate cardiac arrest victims. It begins with checking responsiveness and calling for help. Thirty chest compressions are given at a rate of 100-120 per minute, with a depth of 5cm for adults and 4cm for children. Rescue breaths are also provided by opening the airway and watching the chest rise. An AED can be used to analyze the heart rhythm and deliver shocks if needed. High quality CPR consists of beginning compressions within 10 seconds, maintaining the proper rate and depth, allowing full chest recoil and providing effective breaths. The main components of CPR are chest compressions, airway management, and breathing.
BLS .pptx
The document provides information on performing basic life support (BLS). It defines BLS and describes the key steps and components, which include ensuring safety, checking for response, activating emergency services, performing chest compressions, opening the airway, and providing rescue breaths or defibrillation. The steps of BLS are outlined as ensuring safety, assessing response, activating EMS, performing chest compressions, opening the airway, and breathing or defibrillation. Modifications for performing BLS on infants and children are also summarized.
BASIC LIFE SUPPORT.pptx
The document provides guidance on performing cardiopulmonary resuscitation (CPR) and using an automated external defibrillator (AED) to treat cardiac arrest. It outlines the objectives of CPR training, the key components of CPR including chest compressions and breaths, and step-by-step instructions for performing CPR, providing ventilations with a bag-mask device, using an AED, and working as part of a resuscitation team.
Basic life support
The document provides information on basic life support (BLS) including definitions, the adult chain of survival, call or CPR first considerations, signs requiring CPR, approaching a victim, and high quality CPR techniques. It discusses refining the recognition of cardiac arrest and initiation of CPR or calling emergency services. Emphasis is placed on minimizing interruptions during chest compressions and avoiding excessive ventilation.
Rescue at heights westfields 2017
The document provides guidance on developing rescue procedures for working at heights. It outlines key considerations for an emergency response plan including training, creating a plan, and rescue procedures. The procedures describe different rescue methods from elevated platforms, ladders, the work area below, or using a basket if other options are not possible. Basket rescues require specific safety equipment and protocols. Post-rescue duties include accident investigation and modifying plans as needed. Rescue training is also important for tower crane operators due to the urgency of such rescues.
Code blue - Nurses Role.pptx
1. CPR is performed when a patient's heart stops beating to maintain blood flow until medical help arrives. It involves chest compressions and ventilations.
2. During a code blue, nurses play important roles such as performing chest compressions, operating emergency equipment, managing the airway, defibrillating, documenting, and leading the resuscitation efforts.
3. Effective CPR involves high-quality chest compressions, use of an AED/defibrillator, bag-mask ventilation, and coordination among the code blue team to maximize the patient's chances of survival.
BASIC LIFE SUPPORT (BLS)
A presentation used to train medical professionals to perform BLS in emergency condition. it will provide a better understanding about the steps of BLS and the order in which it should be perfomed.
basic life support.pptx
1) The document provides instructions on performing basic life support (BLS) including assessing the scene and victim's responsiveness, activating emergency services, performing chest compressions and rescue breathing, using an automated external defibrillator, and placing the victim in the recovery position.
2) Key steps of BLS are ensuring safety, checking for response, calling for help, opening the airway, checking breathing, activating emergency services, performing chest compressions and rescue breaths.
3) Chest compressions should be provided at a rate of 100-120 per minute to a depth of at least 2 inches, and compressions should be paired with rescue breaths at a 30:2 ratio.
dr shambhu adhikari md anesthesiology and critical care
1) Early recognition of cardiac arrest through checking for responsiveness, breathing, and pulse is key to survival.
2) The CPR sequence is now C-A-B - beginning with chest compressions at a rate of 100-120 per minute, at least 2 inches deep for adults and 1/3 the depth of the chest for children and infants.
3) The chain of survival includes early recognition, early CPR, early defibrillation if indicated, and early advanced medical care to treat the underlying cause of the arrest.
Hockey's Heart - Hockey cardiac arrest rescue program nov 16 2016
This document provides instructions for implementing a cardiac arrest rescue plan for adult hockey teams. It outlines 3 roles - a Program Champion, 5 Rescue Leads, and Rescue Assistants. The ultimate goal is to call paramedics, perform CPR, and apply a defibrillator within 3 minutes of collapse. The rescue kit contains a phone, scissors, towel, and the rink defibrillator. The Champion assigns Leads, who are trained to take charge during a rescue and direct Assistants to retrieve equipment and call for help. Step-by-step instructions detail the rescue process from checking responsiveness to applying the defibrillator pads.
BLS & ACLS.pptx
This document provides information on basic life support (BLS). It defines BLS as procedures to restore circulation and oxygenated blood flow after cardiac or respiratory arrest. BLS involves chest compressions, rescue breathing, and defibrillation if needed, and can be performed by anyone without equipment. The key steps of BLS are to check for responsiveness, call for help, check pulse, and if no pulse, begin chest compressions at a rate of at least 100 per minute and depths of at least 2 inches, alternating with rescue breaths. An automated external defibrillator (AED) should be used as soon as available to attempt defibrillation if indicated. BLS is similar for children but uses a compression to ventilation
BLS PPT.pptx
This document provides an outline and overview of BLS (cardiopulmonary resuscitation and automated external defibrillation) for adults. It discusses the general concept of BLS and the chain of survival, which includes prevention, early response, high-quality CPR, advanced care, post-cardiac care, and recovery. The document outlines the steps for adult BLS, including chest compressions, ventilation, use of an AED, and team dynamics. It also provides guidance on relieving choking in adults.
bls (1).pptx
This document provides instructions for assessing and treating a collapsed victim, performing CPR, and approaching a choking victim. It outlines the steps to check for responsiveness, call for help, check pulse and breathing, perform chest compressions and rescue breaths at a 30:2 ratio with full chest recoil and minimal interruptions. It also describes how to use an AED, including turning it on, attaching pads to the bare chest, analyzing rhythm without touching the victim, and following instructions after shock delivery. The final part covers recognizing signs of severe choking and using the Heimlich maneuver.
Dr.Masjedi CPR BLS AHA 2015
cardiovascular disease induced sudden death is the leading cause of death all over the world and basic life support is fundamental for all people
715mn1114 ppt on how to conduct rescue and recovery
The document provides guidelines for conducting mine rescue and recovery operations after an explosion. It discusses locating and rescuing survivors, as well as recovering bodies. Key steps include locating survivors through clues, opening barricades and chambers, treating injured survivors using triage, and safely evacuating them. For recovery, teams locate and map bodies, handle them carefully considering conditions, and wrap or bag them. The document also examines case studies of mine explosions and outlines rules for mine rescue from 1985, including establishing rescue stations and rooms and appointing trained personnel.
BLS_Final1.pptx
This document outlines the basic steps of life support (BLS) including:
1) Checking the response, breathing, and pulse of a collapsed victim and calling for emergency help
2) Performing chest compressions at a rate of 100 per minute and rescue breathing in a 30:2 ratio
3) Using an automated external defibrillator (AED) to analyze the heart rhythm and deliver shocks if needed, following its voice prompts until emergency help arrives or the victim starts breathing normally.
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1) The document provides guidance for controlling medical emergencies through the C.A.R.D.I.O. plan for incident controllers and the D.R.S.A.B.C.D. action plan for first aid responders.
2) C.A.R.D.I.O. is an acronym that outlines steps for controlling the scene, appointing responders, responding to the incident, delegating tasks, and offering post-incident support.
3) D.R.S.A.B.C.D. is an internationally recognized standard action plan for first aid responders to use cardiopulmonary resuscitation and an automated external
AED.pptx
An AED, or automated external defibrillator, is used to help those experiencing sudden cardiac arrest. It's a sophisticated, yet easy-to-use, medical device that can analyze the heart's rhythm and, if necessary, deliver an electrical shock, or defibrillation, to help the heart re-establish an effective rhythm.
CPR. to present 1
The document provides information on cardiopulmonary resuscitation (CPR), including its objectives, importance, and steps. It details the CPR sequence of chest compressions, airway, and breathing (CAB). Chest compressions involve placing hands on the chest to manually pump the heart. The airway step ensures the airway is open, while the breathing step provides rescue breaths. It outlines hand placement and compression rates for adults, children, and infants. The document also discusses using an automated external defibrillator and signs to terminate CPR.
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The document provides information on cardiopulmonary resuscitation (CPR), including its objectives, importance, and steps. It details the CPR sequence of chest compressions, airway, and breathing (CAB). Chest compressions are used to circulate blood to the brain and lungs. The document outlines CPR procedures for adults, children, and infants, including hand placement and rates of compressions and breaths. It also discusses using an automated external defibrillator and signs for terminating CPR. The goal of CPR is to pump the heart and provide oxygen until more advanced care can treat the underlying cause of cardiac arrest.
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dr shambhu adhikari md anesthesiology and critical care
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Before the Code Blue Team Arrives Powerpoint (Final)
- 1. Before the Code Blue Team Arrives Are you comfortable knowing what to do before the Code Blue team arrives? Fawn Olson RN, CCRN, MICU/CCU Nancy Yazici RN, CCRN-CMC, MICU/CCU Yvonne Lin-Chen, MN, RN, Nurse Educator/Sim Lab
- 2. Training Objectives • Participants will be familiar and able to demonstrate current AHA 2010 BLS Guidelines • Participants will understand the Crisis Resource Management (CRM) concept and be able to utilize CRM communication techniques in order to demonstrate teamwork BEFORE code blue team arrives. • Participants will understand the role of each responder (responder 1,2,3&4)
- 3. AHA 2010 BLS Guidelines C – Compressions Rate 30:2 • At least 2 inches deep • At least 100 per minute • Allow complete chest recoil A – Airway Head tilt-chin lift Suction available if needed B – Breathing Use Ambu bag, chest rise, O2 wide open (16L) D – Defibrillation AED mode, correct placement of pads, be ready to shock if advised
- 5. CRM continued… • Call for help early • Activate Code Blue team (internal 911) • Establish role clarity • Ensure responder roles (1,2,3 &4+) are filled. • Knowing environment • Move out extra furniture. Move bed away from wall • Communicate effectively • Don’t be afraid to speak up • Closed-loop communicate (read back/repeat back)
- 6. 1st Responder (AllBLScertifiedstaff) • Verify patient is pulseless • Activate internal 911 (code blue) • Start chest compressions • Delegate roles of subsequent responders entering room • Swap role with 3rd responder (airway) every 2 minutes
- 7. 2nd Responder • Follow through that the internal 911- Code Blue has been activated • Bring in crash cart (make sure to unplug the cord from the wall first) • Turn on AED/Defibrillator first, THEN, apply the pads. (this is so time is not wasted while the machine is warming up). • Insert back board to ensure high quality compressions are being provided as early as possible. • Deliver shock if advised by Zoll defibrillator.
- 8. 3rd Responder • Airway mangement: use the Ambu bag from the crash cart • Confirm Ambu bag is inflated • Turn up O2 all the way (wide open) • Pull bed out from away the wall (remain at head of bed) • Swap role with 1st responder (compressor) every 2 minutes
- 9. 4th Responder (if available) • Follow through to make sure everything is being done: • make sure internal 911- code blue is called • someone is doing compressions • there is a backboard underneath the patient (high quality compressions is very important) • AED is turned on, and PADS applied properly with right location • Someone is managing the airway, and the O2 is up • If above is all done, then 4th responder will be the RECORDER.