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*BELOW ARE SUGGESTED GUIDELINES FOR ROLE ACTIVITIES PER TEAM MEMBER. IT IS THE RESPONSIBILITY OF THE TEAM TO ENSURE THAT ALL INTERVENTIONS ARE IN PLACE AND THAT THE CODE RUNS SMOOTHLY.

|BASIC RESCUER 1 |BASIC RESCUER 2 – AIRWAY ASSISTANCE |

|Initial: |Initial: |

|Notes time. |Calls for code team if not already done. |

| | |

|Calls for help. |Places cardiac arrest board under patient. |

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|Begins one rescuer CPR correctly according to American Heart Association. |Checks for spontaneous return of pulse; effectiveness of compressions |

| | |

| |Inserts oropharyngeal or nasopharyngeal airway. |

|Intermediate: | |

| |Ventilates patient using Ambu bag. |

|Maintains compressions at correct rate when second rescuer arrives. | |

| |Begins two rescuer CPR giving ventilations correct rate. |

|Calls for switch from compression as needed during CPR protocol. | |

| |Switches to compressions as needed during CPR protocol. |

|When physician arrives, gives initial details of patient discovery, diagnosis, and | |

|history if known. |Intermediate: |

| | |

|Changes functions as required during code. |Assists with endotracheal intubation. |

| |Provides equipment at appropriate time (ET tube, Laryngoscope, 10 cc syringe, stethoscope, 1” tape). |

|HOUSE SUPERVISOR |Keeps airway clear by suctioning as required. |

| |Confirms placement of ET tube if required, by listening for breath sounds, checking for air sounds over |

| |epigastric area. |

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| |Remove oxygen source from patient. |

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| |Assists in inserting NG tube if required for stomach decompression. |

| | |

| |Changes functions as required during code. |

|Crowd control | |

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|Supervise team work. | |

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|Assist as needed. | |

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|Direct Code Practices. | |

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|Evaluate effectiveness of team members. | |

|EQUIPMENT NURSE: |MEDICATION NURSE: |

|Initial: |Initial: |

| Brings adjunctive emergency crash cart equipment such as |Sets up oxygen, suction, manual resuscitation bag with concentrator, oropharyngeal airway. |

|EKG or ventilator to bedside. | |

| |Establishes IV line with #18 IV angiocath and NS, or according to hospital protocol. |

|Attaches patient to cardiac monitor. | |

| |Administers drugs according to standing orders or physician’s orders. Recognizes normal dosages, |

|Sets up ET tube, Laryngoscope, 10 cc syringe, stethoscope, 1” tape. |knows methods of infusion. |

| | |

|Plugs in defibrillator and turns it on. |Establishes additional IV lines as necessary. |

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|Prepares drugs according to standing orders or physician’s |Changes functions as required during a code. |

|orders. Labels infusions that are prepared. Recognizes normal | |

|dosages and knows method of infusion. | |

| | |

|Prepares heparinized syringes of arterial blood gases | |

|7. Changes functions as required during code. |RECORDER/COORDINATOR |

| |Records all pertinent interventions during advanced cardiac Life support. |

|Intermediate: | |

| |Assists medication nurse as needed. |

|Assists with defibrillator through preparation of paddles | |

| |Moves visitors or other patients out of room when possible. |

|Changes functions as required during a code. | |

| |Establishes crowd control. |

|Takes vital signs. | |

| |Designates supply runner. |

| | |

| |Redirects nursing roles as required. |

| | |

| |7. Changes functions as required during code. |

| | |

n:\syllabus\sophfall\nursing roles in mock code Reviewed 06/10

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