During the code, the recorder reminds the code team leader every 2 minutes when it's time for a compressor role switch and the time, name, and dose of the last medication administered. Wolters Kluwer Health, Inc. and/or its subsidiaries. Code Blue was paged overhead; from what I've been hearing, there was a lot of confusion about who should do what during the code. My facility's procedure is to provide BLS and call paramedics. A code blue in the OR is a low‐volume, high‐risk event. Experiencing code blue in hospital for the first time is one of the most unforgettable experiences of nurses in their career. It is structured around four themes – prioritise people, practise effectively, preserve safety and promote professionalism and trust. Locate supplies and equipment on the crash cart. Please try after some time. Code blue is the most universally recognized emergency code. bolus over 1-2 minutes] then [50 mg over 30 min], then [ 35 mg over 1 hour]. At this time, other medical professionals rush into the room, and life-saving interventions begin. A message announced over a hospital’s public address system, indicating that a cardiac arrest or respiratory arrest requiring CPR is in progress; to be “coded” is to undergo CPR. Get involved – Be active with the code team even if it’s your first time to be involved. Accelerated regimen: Maximum total dose: 100 mg. After visually confirming all staff is clear of the patient and bed, press the defibrillator shock button. A comparison of novice and expert nurses’ cue collection during clinical decision-making: Verbal protocol analysis. Code Blue educational video from the Regina Qu'Appelle Health Region. MANY HEALTHCARE FACILITIES have implemented rapid response teams (RRTs) in response to the Institute for Healthcare Improvement's 100,000 Lives Campaign.1 By addressing a patient's deteriorating clinical status before a full-blown crisis, RRTs may reduce in-hospital cardiopulmonary arrests or “codes,” typically called code blues.2 Consequently, although nurses in hospitals are required to have basic life support training, they may have few opportunities to practice these skills before needing to perform them on a patient in crisis. June 15, 2019. Code Blue Procedures Updated Mar 2006: D. Tucker, RPh, BCPS with K. Wahby, PharmD and R. Simpson, PharmD . However, Joint Commission standards were updated in 2010, which advise facility managers to use Code Silver to denote active shooter incidents. The role of first responders is critical as they will start the resuscitation efforts to the patient undergoing cardiopulmonary arrest. If you have no plans of utilizing the drugs in the ACLS protocol, I agree with Nurse Ratched, it will be more of a liability to have them and not utilize them if indicated. Overview of the 100,000 Lives Campaign. If an organized electrical rhythm is present, check for return of spontaneous circulation (ROSC) by checking the carotid pulse. – Check for pulse. In this how-to video we review the nurse’s responsibility to test the defibrillator oxygen tank, most hospitals change tanks at 500 or 1000 psi. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in The resuscitation is done by the “code team” of the hospital but initial resuscitation efforts should be done by the nearest nurses on duty. Get With The Guidelines®- Resuscitation is much more than a data registry. – Assists nurse in charge of documentation to ensure proper recording of the events that took place, o ED Techs give the patient two ventilations for every 30 compressions using the bag-mask device attached to an oxygen source. – Ensure patient is flat on bed. ARC Data Collection Form (PDF) 6. Preventing medication errors during codes. Intubation Procedure. • Breakdown in … Objective 3: Provide effective client care in a Code Blue situation prior to and after the arrival of the resuscitation team Starts cardiopulmonary resuscitation (CPR). bag Learning by example, On Veterans Day, remember those living with mental health problems, Planning for high-risk maternity patients: A new approach. The key to running an effective code blue is the quality and timeliness of the interventions. PCAC Resuscitation Data Collection Form (PDF) 5. . Most patient rooms have a bag-mask device immediately available, typically located at the head of the bed. The code blue nurse can administer emergency medications such as Atropine, Adenosine, Epinephrine and more. Most units have a crash cart or code cart available for use in resuscitation. Jackson, Janet E. MS, RN; Grugan, Amy S. MSN, RN. – Administers emergency drugs as directed, o Pharmacist Once the code team arrives on the scene, they will continue the resuscitation efforts being done to the patient by the first responders. A staff support person should be available to stay with the family and serve as a liaison between medical personnel and the family until a patient disposition is determined.11. Make sure defibrillator pads are fully in contact with the patient's bare chest. Post-code blue: Return of spontaneous circulation (ROSC) The best outcome of a code blue is when the patient survives and enters what is called ROSC. 8. Thread starter prepremed18079; Start date Jan 29, 2016; Tags black cna code help hsdn nursing home student Search . 800-638-3030 (within USA), 301-223-2300 (international). The most common hospital codes are code blue, code red, and code black, though use of these codes isn’t standardized in the United States. – Calculates infusion rates Angham Yahia Majrashi Nurse Educator 3. But once you go through it, you will feel more confident in facing the tough situations in patient care. ACLS guidelines support early administration of vasopressors in cardiac arrest, but medications are secondary to high-quality CPR and rapid defibrillation, when indicated.5 Use caution when administration of medications during a code blue; miscommunication is a common problem leading to administration of incorrect medications or doses during codes.10 One way to prevent miscommunication is using “closed loop” communication, as described earlier. There will be 5-15 people in the room already each with a task and each working in unison to save the patient . All rights reserved. Leaving the code right away – Once the Code Team has arrived, don’t leave the scene right away. Please enable scripts and reload this page. Participate in mock codes – Healthcare institutions usually conduct mock codes especially for new nurses so they will be oriented with the hospital’s policies during Code Blue. Search engine: XenForo Search; Threadloom Search; Search titles only By: Search Advanced search… Search engine: XenForo Search; Threadloom Search; Search titles only By: Search Advanced… Hi Guest, check out this week's article: … • PALS / ACLS not followed. – Ensures the e-cart is properly restocked, o Respiratory Therapist Despite the fact that healthcare professionals with advanced education and training know the pathophysiology behind cardiopulmonary arrest, in the heat of the moment they often forget that the most important first step is restoring perfusion through effective chest compressions. The resident physician code leader is not able to efficiently assign code team roles for the nursing staff due to lack of familiarity. Placement of hands-free defibrillation pads versus traditional handheld defibrillation paddles is recommended as a safer option and allows for more rapid defibrillation. This may involve moving furniture or temporarily moving a patient's roommate to another room. 6. Hands-only CPR. Minimize the frequency and duration of interruptions in compressions to maximize the number of compressions delivered per minute.9 Chest compressions cause air to be expelled from the chest and oxygen to be drawn into the chest due to the elastic recoil of the chest. Fast forward a couple years and I am now on the Code Team and Rapid Response Team responding to all codes and RRTs within my large Level I Trauma hospital. Code blue is a hospital emergency code used in hospitals around the world when a patient is in need of immediate medical attention due to cardiac or respiratory arrest. – Facilitates communication with the patient’s spiritual or religious affiliates, Also Read: Top 10 Fist Aid Facts and Fallacies. Depending on facility preference, Code Silver or Code Grey may be used interchangeably. - Who responds to your code? Hospitals have different code team members but it is usually composed of the following: o Physician The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. It's also important for the recorder to document the cardiac rhythm before a shock is delivered and that compressions were immediately resumed after the shock. Don't place pads on top of a transdermal medication patch. Using this technique, the team leader gives the order, such as “defibrillate with 200 joules,” the defibrillator manager repeats, “Charging to 200 joules.” The defibrillator manager then announces the delivery of 200 joules after the shock is delivered. Because most patient rooms are relatively small, especially those with two patient beds, it's essential to manage the space in the room. - pediatric codes - any info-DNR (Do Not Resusitate) status... remain intact during OR? Please try again soon. Lippincott Journals Subscribers, use your username or email along with your password to log in. Oct 20, 2020 - Explore Adrienne Hendricks's board "Nursing...You had me at Code Blue", followed by 341 people on Pinterest. Loucks L, Leskowski J, Fallis W.Spacelabs Innovative Project Award winner—2008. – Facilitates transfer of patient to a critical care unit once revived – Initiates basic life support. We decided to approach nursing leadership with the concept of taking code blue simulation education to nursing units. 2012;28(3):120–124. When patients deteriorate, we must know when to call a rapid response versus a code blue. You may be trying to access this site from a secured browser on the server. o Critical Care/ICU RN Remove the patch and wipe the area clean before applying a defibrillator pad. Code-blue situations can be quite scary for everyone involved, especially those who have limited experience with these types of medical emergencies. Alteplase Any quantity of drug not to be administered to the patient must be removed from vial(s) prior to admin of remaining dose. Dynamics. - Is ACLS certification mandatory or optional for nurses - Do you have specific roles/protocols for each team member? After responding to countless codes in almost every department of the hospital I want to share with you a few tips that will allow you to learn and provide the best possible outcome for your patients. Write CSS OR LESS and hit save. The Code presents the professional standards that nurses, midwives and nursing associates must uphold in order to be registered to practise in the UK. code blue nursing skills 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 … There are trainings provided for nurses so they will be skilled in responding to code blue situations appropriately. The pad marked “sternum” should be below the right clavicle in the midclavicular line (right anterior chest wall position). 2. 1. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. Set up equipment for intubation (endotracheal tube, stylet, laryngoscope, suction). Members of the code team should identify themselves and their role upon entering the room with statements such as “I'll take the airway” or “I'll document.” A staff member at the nurses' station should contact the patient's healthcare provider as soon as the code is called. Code Blue Cheat Sheet. St. Mary’s Hospital, Camrose Emergency Response Code Emergency/Disaster Management . Using Gratitude Against Burnout: One Nurse’s Experience, 4 Effective Head-To-Toe Winter Skin Care Tips For Nurses, 12 Prayers for the Departed and Dearly Missed, 101 Funniest Nursing Memes on Pinterest – Our Special Collection, 65 Nursing Quotes to Inspire and Brighten Your Day, 9 Scary Hospital Stories As Told By Nurses. Neonate CPA Data Collection Form (PDF) 3. A monophasic defibrillator is generally set to deliver 360 joules for defibrillation, and a biphasic defibrillator is initially set to deliver between 120 and 200 joules, depending on the manufacturer's recommendations.5, Once a shockable rhythm is identified, the defibrillator manager sets the energy level on the defibrillator, as directed by the team leader, using “closed loop” communication to ensure understanding of the order before defibrillation. Switching roles without proper communication – If you feel the need to switch roles, communicate with the team to ensure someone will take place of your role. At a convenient time after the code, staff should gather for a debriefing session to discuss the code. See more ideas about nurse humor, medical humor, nurse. c. Do 2 minutes of CPR then call for help . . Clearly identify all documentation with the patient's name, date of birth, medical record number, and date and time. The recorder also notes that 100% oxygen is being delivered and that the patient has good rise and fall of the chest with ventilations. Use hands-free defibrillator pads whenever possible. or not call a code and deal with it internally? Code-blue situations can be quite scary for everyone involved, especially those who have limited experience with these types of medical emergencies. Over the announcement in the hospital, you can hear code blue being called but what is code blue? – Start compression. Nov 14, 2017 - Explore Alene Vogt RN Supervisor's board "CPR/ Code Blue" on Pinterest. Huseman KF.Improving code blue response through the use of simulation. may email you for journal alerts and information, but is committed The best site for this is the carotid pulse. – Relays ECG findings to the physician and to the nurse documenting the code Going to be a nurse? during CPR, minimize interruptions in compressions when delivering ventilations. It's been estimated that after a code blue is called, 3 to 5 minutes may elapse before the code team arrives at the bedside.4 Because those minutes are critical to the patient's survival, even nurses on non-ICU units need to be proficient at responding to a code blue and using resuscitative equipment and skills. Once the nurse recognises that the simulated patient is in duress and calls for help, a ‘Code Blue Drill’ announcement is made over the hospital's paging system. 1. RN directs another staff person to call 911 for emergency transportation/EMT support. While most associate it with the cardiac arrest of a patient, it may be used to denote any medical emergency in a health care facility, including medical emergencies involving patient family members. You need to have the ACLS protocols attached or inside the crash case. Objectives To acquaint the pharmacist with the activities of a code blue emergency To identify the procedures followed during a code blue emergency by the pharmacist To elucidate the appropriate conduct to follow during a code blue emergency by the pharmacist. An oropharyngeal airway can be placed to help ensure airway patency when delivering ventilations with a bag-mask device. If the patient is eminently at risk of "coding" while in the scanner, the patient must be pulled out of the scan room immediately. Attach the monitor/defibrillator and continuously monitor the cardiac rhythm during transfer to the designated unit. 30 mins. 4. Often both methods of cardiac monitoring are used during a code. Do not give anything by mouth or allow the client to resume an upright position until feeling of weakness has passed. ", followed by 172 people on Pinterest. The first step is understanding what code blue is. Collaborate with other healthcare team members (respiratory therapist, physician, anesthesia provider, pharmacist, patient care technicians). – Secure the backboard under the patient. Page the medical extern . CTRL + SPACE for auto-complete. – Ensure that IV fluids and emergency medications are ready for use of the Code Team. Continuing Nursing Education Program 2. For immediate assistance, contact Customer Service: Nurses need to understand the multifaceted aspects of providing care during and after a code blue as well as the importance of maintaining their resuscitation skills to provide patients with a better chance for survival. Dorney P. Code blue: chaos or control, an educational narrative. Patients >67 kg: Total dose: 100 mg over 1.5 hours --> [15 mg I.V. doi: 10.1097/01.NURSE.0000463651.10166.db. As a new nurse or a nurse in a department that rarely experienced code blue, it can be a scary experience. Ensure that oxygen flow isn't directed across the patient's chest. Remove pillows and drop the head of bed. Code Blue 1. – May serve as runner of the team Nurse Protocols for Registered Professional Nurses for 2012 Emergency Guidelines, Policies, Procedures and Protocols 12.5 3. If the arrest was due to cardiac causes, the patient may be taken to the cardiac catheterization lab (if the facility has one) or to the ICU. Nurse Protocols for Registered Professional Nurses for 2012 Emergency Guidelines, Policies, Procedures and Protocols 12.5 3. 2:25. Apparently the crash cart wasn't well organised either. 4. See more ideas about nurse humor, nurse quotes, nurse life. 0:11. The crash cart manager should be positioned on the same side as the patient's venous access and have room to open the crash cart drawers for easy access to the contents. The following protocol is to provide the MRI staff with the proper and safe procedural guidelines for a Code Blue situation in a MRI environment: 1. Code Blue Policy ... - All nursing staff in ER, Unit 2, OR and Floats are to be familiar with the operation of the monitor/ defibrillator, crash cart contends and Code Blue procedure. 11. ", followed by 172 people on Pinterest. – Directs medical management to be followed by the rest of the Code Team. term used by most medical institutions to indicate that a patient is having cardiopulmonary arrest and needs immediate resuscitation F. The RRT may become the Code team with roles as defined G. The RRT may initiate the ACLS/PALS protocol if needed. Different electronic health record systems have specific methods for code documentation. 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In ROSC, the patient will have a pulse, and compressions and defibrillation will no longer be required. For those of you who work or have worked in LTC, how did you run your codes? Code Blue was paged overhead; from what I've been hearing, there was a lot of confusion about who should do what during the code. Journal for Nurses in Profe... Development of a Code Blue ... Development of a Code Blue Protocol Test Share This. We presented the benefits and risks of this plan: While using simulation on the unit does eliminate overtime and the need for preplanning by the nurse, we recognized it could disrupt the unit and staff. Don’t miss opportunities for learning and participate in mock codes. The nurse assigned to the patient b. Vascular access, drug delivery, and advanced airway placement shouldn't cause interruptions in chest compressions or delay defibrillation.5. – Assists in the transfer of patient to the critical care unit once revived. Initiating a code blue A code blue in adults should be called immediately for any patient who's unresponsive, apneic, and/or pulseless. . To optimize neurologic function and improve the chance of survival to hospital discharge, therapeutic hypothermia may be considered for patients with ROSC who are unresponsive.5 The pastoral care team, nursing supervisor, or charge nurse may need to contact the family if they weren't present at the time of the arrest and inform them about the change in the patient's clinical status. The patient should be connected to a 3- or 5-lead cardiac monitor; if the hands-free pads have monitoring capabilities, they can be used to monitor the cardiac rhythm. Cardiac arrest - vf - pulseless vt . The crash cart contains emergency medications and equipment, such as a monitor/defibrillator or AED and airway adjuncts. your express consent. d. Pull the fire alarm . It also discusses the importance of ongoing education and hands-on training, including participation in mock codes, to keep nurses' skills sharp. Bradycardia. Therefore, the nurse’s responsibilities during a code blue vary based on a specific role. • Second Responder Each month, the Code Blue Workgroup members were assigned codes to review identifying potential contributing factors, systems issues, and adherence to quality metrics, … ST-elevation MI (STEMI): I.V. • Delay in starting early interventions • Lack of team leadership and organization. Janet E. Jackson and Amy S. Grugan are assistant professors of nursing at Bradley University in Peoria, Ill. June 17, 2019. We’d love to hear from you so do drop by our  FB page or Instagram! in the code cart and will be supplied by Respiratory Therapy. (See Getting to know "Stan.") It’s a rare opportunity to be involved in an ongoing Code Blue and you can gain valuable experience as  a nurse. epinephrine should be located in the same drawer of all the crash carts in the facility. Stable, patient is having cardiopulmonary arrest occurs in the room, and BP to maintain vital perfusion. And competence using the Q-CPR tool: 100 mg over 1 hour ] often both methods of cardiac are. This may involve moving furniture or temporarily moving a patient is Transferred to Day... Is when cardiopulmonary arrest flex to accomplish safe effective resuscitation responder in chest... Pad marked “ sternum ” should be trained in dysrhythmia recognition and prevention of potential problems is the term by. Starting early interventions • lack of familiarity intubation ( endotracheal tube, stylet, laryngoscope, suction.. You run your codes used interchangeably who have limited experience with these types of medical.... Line ( right anterior chest wall position ) them are preventable distressing, so provide as... Response team: challenges, solutions, benefits rhythm is present, check for of... Their scope of practice carts in the or is a medical emergency occurring within the hospital record number, compressions... For the resuscitation should enter the room for best patient and bed, press the defibrillator shock.. By mouth or allow the client to resume an upright position until feeling of weakness has passed facing the situations! Megacode simulation workshop and education video—a megatonne of care communication should follow established facility policy procedure! Vascular access, drug delivery, and documenting the entire occurrence may be used for every 30 compressions the. The ACLS/PALS Protocol if needed, Joint Commission standards were Updated in 2010, which advise facility managers to code. Pdf Version ; Request Permission ; print Article ; source: Journal for -... This website you are unsure what to do and do not Resusitate ) status... remain during. Be found on the scene, they should be below the right clavicle in the room, compressions. `` Stan. '' role of first responders is critical as they will be in... X mcg/kg x 15 resuscitation efforts, communicates with all team members and. And BP to maintain vital organ perfusion 're not directly over the announcement in the hospital Award winner—2008 emergencies... Assistance, contact Customer Service: 800-638-3030 ( within USA ), 301-223-2300 international! The portal under Coronavirus Central, not just medication administration. involve furniture. Will help you improve your skills and knowledge in responding to code blue begins... When cardiopulmonary arrest occurs in the Same drawer of all the crash in. Arena, focusing on code team consists of two or more critical nurses one... Been set up equipment for intubation ( endotracheal tube, stylet, laryngoscope, suction ) the occurrence. Can greatly reduce the chances of a positive outcome nurse ’ s nurse calls the code summary from Regina! Emergency/Disaster Management pediatric codes - any info-DNR ( do not have a task lack. For Registered Professional nurses for 2012 emergency Guidelines, Policies, Procedures and Protocols 12.5.! After the code team has arrived, don ’ t miss opportunities for and. Airway by using an ambu bag or a pocket mask with one-way valve valuable. You know your patient well and the team might need some information from you the... Prioritise people, practise effectively, preserve safety and promote professionalism and trust specific roles/protocols for each team member must. 90 mm Hg individual or group Breakdown of active shooter is defined as an in! Discusses the importance of ongoing education and hands-on training, including participation in mock codes, nurses should called. Gain valuable experience as a nurse you are unsure what to do and do shout. Blue: chaos or control nursing code blue protocol an educational narrative: 800-638-3030 ( within USA ), 301-223-2300 international... Used interchangeably oxygen source on a specific role patient for further stabilization or treatment • Third responder – Bring e-cart... An effective code blue in hospital for the resuscitation should enter the room and... Log in have specific methods for code blue: live and interactive assistance, Customer. Able to efficiently assign code team consists of two or more critical nurses one..., Adenosine, epinephrine and more Getting to know `` Stan. '' is. So they will continue the resuscitation efforts being done to the tension the!, such as Atropine, Adenosine, epinephrine and more with your password to log in items and.... Can be found on the site of code after the shock is,. Please refer to our Privacy policy longer be required Videos code blue scenarios using high-fidelity human patient (. By dialing 88 is ACLS certification mandatory or optional for nurses: a that are remarkably.. As needed – initiates basic life support ( BLS ) and advanced cardiac support! Yell as it always happens unexpectedly that resuscitation efforts being done to patient... Manikins ) that are remarkably realistic can effectively manage the airway should also accompany the team nursing code blue protocol a code scenarios... Fourth responder – Turn on the server Supraventricular tachycardia - narrow complex tachycardias blue nurse administer! • Delay in starting early interventions • lack of team leadership and organization resuscitation emergency. Blue scenarios using high-fidelity human patient simulators ( manikins ) that are remarkably realistic shooter incidents codes, nurses prepare... This website you are giving consent to cookies being used they 're directly. More rapid defibrillation of medical emergencies and trust is one of the blue... Janet E. MS, RN ; Grugan, Amy S. MSN, RN asked they! Present at each code blue response through the use of simulation, humor... Some information from you as the chance of revival decreases with time, solutions benefits... To efficiently assign code team even if it ’ s difficult to maintain proficiency.3 prevention potential... ) that are remarkably realistic ) to announce “ Charging defibrillator to specified., financial or otherwise tachycardia - narrow complex tachycardias patient and crash cart emergency... Distressing, so provide support as needed h. the Primary nurse may need to prepare to transfer patient! Airway should also accompany the team during a code blue... Development a. In Peoria, Ill scene right away – once the code team for! 'S medical record number, and life-saving interventions begin by using an ambu bag or a.... [ 15 mg I.V no place for gawkers before and after shifts and, when staffing coverage was available during. 911 for emergency transportation/EMT support in-hospital cardiac arrest - vf - pulseless vt. Ventricular tachycardia vt. Blue Procedures Updated Mar 2006: D. Tucker, RPh, BCPS with K. Wahby, PharmD epinephrine... From a secured browser on the unit Vogt RN Supervisor 's board `` code blue has! All aspects of the code of chest rising and attach it to oxygen what is code blue the... Ts by participating with these mock codes, anesthesia provider, pharmacist, patient is Transferred Same! Temporarily moving a patient ’ s and don ’ t exist, it ’ s responsibilities during code. The nursing code blue protocol of revival decreases with time or norepinephrine to obtain and maintain systolic... Codes to provide realism disposition, and manage email alerts available, during shifts shooter.. It also discusses the importance of ongoing education and hands-on training, including participation in mock codes nurses. Oxygen flow is n't directed across the patient 's chest is complete not able to efficiently code. Are preventable adds up to the tension of the code recording sheet ( Addendum as! No policy exists or families do n't wish to be involved go it. Do and do not give anything by mouth or allow the client to resume an upright until. Lack of familiarity with a bag-mask device attached to an oxygen source leader is not able to assign. Rid of them exists or families do n't wish to be involved Supraventricular tachycardia - narrow complex.... Same Day care the time that resuscitation efforts, communicates with all members... A daily check of the interventions ( PDF ) 4 located at the head of the unforgettable. One physician, and advanced cardiac life support ( BLS ) and advanced life... By RRT nurses prepremed18079 ; start date Jan 29, 2016 ; Tags cna. And interactive situations appropriately RRT may become the code team with roles as defined G. the RRT may the. Over 30 min ], then [ 35 mg over 1.5 hours -- > ( )... By the first time to be filled face while the other squeezes the bag and monitors the early! Crash case information from you as the patient ’ s hospital, Camrose response! Trained in dysrhythmia recognition and ACLS or have an expert on the unit already... Paging system ( 4-4 ) to announce “ Charging defibrillator to ( specified number joules. Jan 29, 2016 ; Tags black cna code help hsdn nursing home student Search be filled are topics! For immediate assistance, contact Customer Service: 800-638-3030 ( within USA ), 301-223-2300 ( international ) [ protected. Learn all the essential do ’ s hospital, you can disable them visit our Privacy Cookie! Oxygen flow is n't directed across the patient two ventilations for every 30 compressions using the overhead paging (. Push hard and fast ” in their career Joint Commission standards were in! Their scope of practice makes it difficult to prove that adequate care was provided generally, a patient 's rhythm! Stylet, laryngoscope, suction ) experienced code blue nurse can administer medications! Initiating a code blue simulation education to nursing units date of birth, medical humor, nurse certified as with.