This document outlines the code blue policy and procedures at SVMCH&RC hospital in Pondicherry, India. It defines a code blue as an alert to summon the code blue team for a person experiencing cardiac or respiratory arrest. The purpose is to immediately provide basic and advanced life support according to the code blue committee's guidelines. It describes the code blue team members, their roles, and the procedures for activating and responding to a code blue.

1. CODE BLUE
POLICY AND
PROCEDURES
Dr B Satish Babu
Code Blue Co-ordinator
SVMCH&RC, Ariyur, Pondicherry

2. CODE BLUE
 Term used to alert Code Blue team
 Used to Summon CODE BLUE TEAM to an
area where a person has had a
cardiac/respiratory arrest

3. PURPOSE
 Ensure immediate provision of BLS and
ACLS/PALS
 As per recommended guidelines of Code
Blue Committee SVMCH&RC

4. CODE BLUE COMMITEE
 Code Blue Co-ordinator
 NABH Co-ordinator
 HOD Medicine
 HOD Pediatrics
 HOD Anaesthesiology
 DNS
 Logistics Co-ordinator

5. CODE BLUE ACTIVATION
 When to Activate
Cardiac arrest
Respiratory arrest
 For Whom to Activate
 Patient
 Staff
 Visitor

6. CODE BLUE ACTIVATION
 When not to Activate
 Unwitnessed arrest where clinically assessed to be
beyond period of no return
 Advance care directive of Do Not Resuscitate

7. CODE BLUE ACTIVATION
 Who can Activate Code Blue
All employees can and must activate Code
Blue
Visitors or others as directed by primary nurse
 How to Activate
 Calling Hospital Telephone Operator 111, 777
 Provide Information: Floor, location, Adult/Pediatric

8. CODE BLUE ACTIVATION
 Hospital Telephone Operator will activate
response when notified of Code Blue event
 Announce the location of the code event through
Hospital Public address system
 Mobile phone of Code Blue Team

9. CODE BLUE TEAM
 Trained patient care providers who perform
resuscitation on any person who sustains
 Cardiopulmonary arrest
 Respiratory arrest
 Members
 Doctor
 Nurse
 Support Personnel

10. ADULT CODE BLUE TEAM
 1 Internal Medicine Physician/Designate
 1 Anaesthetist/Designate
 2 Certified Staff Nurse

11. PEDIATRIC CODE BLUE TEAM
 1 Paeditrician/Designate
 1 Anaesthetist/Designate
 1 Certified PICU Nurse

12. ROLE OF THE TEAM MEMBERS
 Physician/Pediatrician
Team Leader: direct overall patient care
Manage the Code
 Medication
 Defibrillation
 Other procedures: Intubation, compressions

13. ROLE OF THE TEAM MEMBERS
 Physician/Pediatrician
Evaluate Code Blue procedures
 Effectiveness of Chest Compression
 Effectiveness of assisted respirations
 Rhythm/pulse check
Record events in post event form C
Document in Medical Record

14. ROLE OF THE TEAM MEMBERS
 Anaesthetist
Manage Airway
Secure Endotracheal Intubation
Manage Ventilation

15. ROLE OF THE TEAM MEMBERS
 Code Blue Nurse
Assist with intubation procedures
Applies monitor leads/defibrillator pads
Administers Electrical Shock (ACLS trained)
Starts Intravenous access
Administer medications

16. ROLE OF THE TEAM MEMBERS
 Primary Nurse
 Activate code blue team
 Place backboard under patient
 Initiate 2 man Cardio Pulmonary Resuscitation
 Administer ventilations with 100% O2 with Bag/valve/mask
 Attach Electro cardiogram leads
 Ensure patient Intra Venous access
 Prepare suction
 Obtain supplies from CPR Cart/Ward Stock
 Record events in post event form A & B
 Replenish supplies used from CPR Cart/Ward Stock
 Transport CPR Cart/Ward Stock back to unit incharge

17. CODE BLUE
 Nursing Skills
 Keep CALM
 Identify respiratory/cardiac arrest
 Activate Code Blue
 Oxygen administration: Nasal cannula, mask
 Bag-Valve-Mask resuscitation with 100% O2
 Cardiac Monitor/defibrillator pads Application
 Intra Venous access
 Medication Administration
 Defibrillation (ACLS trained)
 CPR documentation

18. ESTABLISH
UNRESPONSIVENESS
 Tap and Shout “are you all right”
 Check for absent/abnormal breathing
by scanning the chest for movement

19. ACTIVATE CODE BLUE
 Call for help or send someone for help
Yell for help
Code Blue protocol
 Get the emergency cart available in the
unit

20. THANK YOU
Well !! There Was No Code Blue During His Time