For Immediate Release
Code Sample Procedures/Drills
Reference Guidelines:
Regular and unannounced code drills are useful practices in maintaining a high level of emergency readiness throughout a long-term care facility. Drills should be planned to test different department and shifts response. Drills ought to be executed at different times of the day and week. All drills need to be documented by an observer to record results. After the drill, the response and procedures should be reviewed and analyzed to determine effectiveness and modified if necessary.
Code and emergency response actions should be included in all new staff orientation and ongoing in-service trainings. Records of participation should be maintained in each personnel file (or based on routine tracking process of the facility)
Code (Code Blue) Mock Drill
This is a tool to assist the center in identifying actions required during a code blue situation. (If your facility has a different code name, ie DR STAT, replace code blue in document with your current procedure)
Objective: The objective of the Mock Code Blue drill is to evaluate staff competency in the management of cardiac/respiratory arrest or medical emergency in which additional staff assistance is required.
Required Drill Frequency: Determine a time frame requirement for drills ie quarterly, monthly, bi monthly etc. Ensure that drills are conducted in different departments of facility and on different shifts and different days of the week. Complete on weekends- especially if you have weekend only staff.
Preparation for Drill:
• Identify the time and place in which the mock code blue will occur
• Create a “dummy” chart that will be used as the code record. If you have electronic health records that are used to identify code status, determine if a “dummy” record can be established.
• The “dummy” record will need to include at a minimum the residents name, room number, code status identifier, physician order, physician name and responsible parties.
• Utilize a manikin and identify with sign “I am coding” if available, or simply make a sign that states code blue so staff know to initiate a drill. You can also utilize an employee as a resident found not breathing.
Process for Drill:
• Call for help and state “Code Blue” and location (or whatever the facility has designated for this circumstance”
• Describe scenario which is occurring (develop a script for situation (ie This is Mr. Jones, he is 93 years old, found him lying outside of the bathroom door and he has no pulse and no respirations)
• Identify a team leader for event (licensed nurse)
• Incorporate any facility specific policies and processes in this step not identified
Team Leader assigns specific duties to staff:
• Verify residents code status (ensure during new staff orientation and ongoing this facility specific process is reviewed)
• Bring emergency/code cart to scene (ensure during orientation that all staff are shown where the emergency/code cart is stored)
• Initiate CPR/medical care/treatment
• Call 911 and give information
• Call physician and family
• Initiate emergency transfer forms
• Document the event and timeline
• Direct emergency services to location of event
Mock Code Blue Checklist Observation
|This observation is intended to guide clinical staff through specific tasks and not intended to be all inclusive. As always clinical |
|judgement should prevail. This material contains general information only and is not intended to be a substitute for advice from a safety |
|expert, regulatory or legal counsel. This resource does not guarantee compliance. |
|Questions/Observations |Yes |No |Comments |
|Was a team leader identified? | | | |
|Did team leader designate specific duties to staff? | | | |
|Was code status identified for resident? | | | |
|Was 911 called? | | | |
|Was emergency/code cart brought to room without incident? | | | |
|Did code cart have all needed equipment and all equipment | | | |
|current with no expired products? | | | |
|Was AED present, charged and all equipment available? If | | | |
|applicable | | | |
|Did someone initiate gathering transfer paperwork? | | | |
|Was physician notified? | | | |
|Was family notified? | | | |
|Was a staff member prepared to guide EMS to the location of | | | |
|the event? | | | |
|Did all nurses involved have current CPR status? | | | |
|Was CPR performed correctly? | | | |
|Ask staff following questions: | | | |
| | | | |
|If resident is a code and CPR initiated when do you stop? | | | |
|Answers: | | | |
|When you are alone and physically exhausted and cannot | | | |
|continue | | | |
| | | | |
|When EMS is on the scene and takes over | | | |
| | | | |
|When the resident recovers-heart beating and breathing on | | | |
|their own | | | |
Code Documentation Form Sample
|Event Date: |Event Time: |
|Location of Event: (ie room 212, east hall dining room) |
|Time 911 called: |
|Time EMS arrived at facility: |
|CPR initiated at what time: |
|CPR initiated by whom: |
|List all that provided CPR, if more than person listed above: |
| |
|Documentation of vitals and time taken: BP, Respirations, Pulse, O2 saturation, O2 administered (route and how many liters): |
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| |
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|Time Resuscitation event concluded: |
|Reason resuscitation ended: (check one) |
|Return of circulation |
|Efforts terminated per EMS |
|Transferred to hospital |
|Describe Events, if needed: (ie peripheral IV placed, response to interventions, any documentation not listed above) |
| |
|Resident Name |
|Physician |
|Medical Record Number |
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