Download to read offline
intro_CODE_BLUE_WORKSHOP.pptx and updates
- 1. CODE BLUE WORKSHOP: AWARENESSAND RELOOK 18/10/2024 Nareshiman Emergency Physician Hospital Shah Alam
- 2. WHO HAS ATTENDED TO TRUECODE BLUE ? Where? What happened ? Was it smooth ? Can be better ?
- 3.
- 5. INTRODUCTION ▶Emergency codes areused worldwide to alert staff and members of the public for various emergency situations in hospitals ▶Minimize misunderstanding to the health care personnel
- 6. ▶There may bevisitors, staff or patients that require immediate medical care in hospital, in cases such as cardiac arrest or seizure ▶Rapid response team will be deployed from the nearest clinical area then supported by an advance team if required
- 9. TWO- PRONGED APPROACH The response systemis in 2 phases: ▶Initial response is by personnel in vicinity of patient-BLS trained ▶Secondary response is by a well equipped and trained team appointed by the hospital to respond to the particular area
- 10. WHEN TO ACTIVATE CODE BLUE? ▶First person: public, not medically trained
- 11. WHEN TO ACTIVATE CODE BLUE? ▶First person: public, not medically trained ▶ Primary responder: Local BLS team
- 12. WHEN TO ACTIVATE CODE BLUE? ▶First person: public, not medically trained ▶ Primary responder: Local BLS team ▶ Secondary responder: Emergency dept ALS team
- 15. CODE BLUE EQUIPMENT *primary responder ▶Gloves ▶Guerdel/Oropharyngeal airway ▶Bagvalve mask ▶LMA ▶Stethoscope ▶Gouze, Gamgee ▶Crepe bandage + ▶AED
- 16. CODE BLUE EQUIPMENT *secondary responder ▶AED/Defibrillator ▶Oxygen tankand tubing ▶Bag mask valve/Pocket mask ▶Portable suction ▶Intubation equipment- laryngoscope/ETT ▶Intravenous drip setup- cannula, tubing, IV fluids ▶Syringes and needles ▶Resuscitation drugs ▶Stethoscope ▶Gloves
- 17. NO CODE BLUEBEG .. IS YOUR EMERGENCY TROLLEY WELL EQUIPPED ?
- 18.
- 19. No MAIN BUILDING Coverage Area PrimaryResponder team 1. VVIP Ward Level 13 2. Pediatric Ward Level 12 3. Orthopedic Ward/ Satellite Pharmacy Level 11 4. Medical Ward Level 10 5. Surgical Ward Level 9 6. Obstetrics & Gynaecology Ward Level 8 7. CSSD/RHU Level 7 8. Operation Theatre Level 6 9. Intensive Care Unit Level 5 10. Maternity OT Level 4 maternity waiting area 11. Neonatal Intensive Care Unit (NICU) Level 4 NICU waiting area 12. Emergency & Trauma Department Level 3, PAC and public car park in front of hospital, road leading to roundabout, Radiology department
- 20. 13. Hemodialysis UnitHaemodialisis unit waiting area and nearby corridor, Inpatient Pharmacy Department 14. Pathology Department Level 2 corridor nearby 15. Administrative Office Office area and Auditorium, Inpatient Pharmacy 17. Quality Unit *After hour office and weekend: Emergency Dept On call complex 18. Psychiatry Clinic *After hour office and weekend: Emergency Dept Cafeteria, Main Lobby, Revenue and Registration Counter, Mini Mart, Education Unit, Security Unit Public Health Unit Counselling Unit, Library, IT Unit, Specialist parking 20. Forensic Department Dietetics Unit, area at the back of Hospital, Ambang Wira office 23. Rehabilitation Unit *After hour office and weekend: Emergency Dept Level 1 nearby corridor, Logistic Pharmacy, Main Lobby, Specialist Clinic Registration Counter, Specialist Clinic Pharmacy, Staff parking Bil Specialist Clinic Building Coverage Area Primary Responder Team 1. Rehabilitation Unit Level 1 2. Opthalmology/Surgical Clinic Level 2 3. Orthopedic/Medical Clinic Level 3 4. Pediatric/Obstetrics & Gynaecology Clinic Level 4 5. Oral & Maxilofacial/Otorhinolaryngology Clinic Level 5 6. Complex of Specialist Offices Level 6
- 21. AUDIT FORM Only truemethod of tracking the volume and for future improvement Must be filled up for each Code Blue encounter
- 23. PLAN ▶Each department andunit must run their own stimulation and identify high risk situation, location, training for staff. ▶By running stimulation, you will automatically identify the equipment needed. ▶Code blue posters to be put up at high-risk areas. ▶BLS is absolutely necessary for all staff. (re-certification every 3 years)