These pages are pre-requisites to taking the Competency Quiz

 

Emergency codes and expected staff response

(Note: all staff/ students are responsible for reviewing the Hospital Safety Policies (found in the desktop policy manuals)

Code
LIFE SUPPORT TEAM TO (AREA) RN/ LPN Tech/ extern Unit secretary Student
Indicates a patient is not breathing, has no pulse or is unresponsive.

Staff that usually respond to the life support code include: an ACLS qualified RN from ICU, an ACLS qualified RN from the ED, the ED physician, the CNL for the unit where the code is called, other nurses and techs from that unit, a lab tech, a radiology tech, a respiratory therapist, the pharmacist (during daytime hours), the ASC (house supervisor) during night and weekend hours, security, and any other physicians available in-house at that time.
 

If code is called on your unit, respond to the code. You may participate in the code, or you may be asked to monitor patients while other nurses are tied up in the emergency. If not on your unit, do not respond unless directed by your Charge Nurse If code is called on your patient: Be prepared to perform CPR, administer medications, record, monitor vital signs, etc. If code is called on patient not on your unit, you have no responsibility to respond. If code is called on your patient: Be prepared to perform CPR, move furniture, get the code cart or AED, escort the patient's family to a waiting area, help remove the roommate, and do any other task as directed by CNL or code team leader

If code is called on a patient not assigned to you: Be prepared to do any of the above tasks and to monitor/ care for other patients on the floor.


If code is called on patient not on your unit, you have no responsibility to respond.

If code is called on your unit: stay at the desk, and be prepared to make and transfer phone calls, have charts ready, contact other depts as directed, and perform other tasks as directed by CNL, physician, or code team leader.

If code is called on a patient assigned to you, you may stay in the room and observe the code proceedings. Be sure to identify yourself as a student observer

If code is called on patient not assigned to you or on another unit, with permission from your instructor, you may go observe the code proceedings. Be sure to identify yourself as a student observer
CODE RED
Indicates fire alarms have been triggered

Charge nurses (CNLs) will delegate individuals to respond to the fire with a fire extinguisher and fire blanket.



 
Account for all of your patients, visitors, and assigned staff members. Ensure there is no smoke or fire in your assigned areas. Report headcount to CNL. Be prepared to evacuate patients and visitors as directed. Follow directions of CNL Account for all of your patients, visitors. Ensure there is no smoke or fire in your assigned areas and shut all doors. Be sure hallways are clear of equipment. Report headcount to team leader. Follow directions of team leader and CNL Stay at desk to man the telephones and relay information/ directions to CNL. In the event of an evacuation, be prepared to evacuate medical records. Report to your instructor or the unit charge nurse. Follow directions of instructor/ charge nurse.
DR. STRONG TO (AREA)

Indicates a need for a show of force. This may be to help de-escalate a belligerent patient or visitor; may also be called when lifting assistance is needed



 
If code is called on your unit:

Respond to calls on your unit and provide assistance as appropriate or as directed by CNL / security team. If code is called on another unit: Respond if directed by CNL.
If code is called on your unit: Respond to calls on your unit and provide assistance as appropriate or as directed by CNL / security team. If code is called on another unit:

Respond if directed by CNL.
If code is called on your unit: Stay at desk to answer phones and direct security team as needed If code is called on another unit you have no responsibility to respond. If code is called on your unit: Follow the directions given by your instructor or the CNL
CODE D

Indicates a disaster is being called. Disasters can be internal (occurring within the hospital) or external (occurring within the community).

Follow the directions given by your CNL Follow the directions given by your CNL Follow the directions given by your CNL Follow the directions given by your instructor or the CNL
CODE BLANKET

Indicates an infant/ child is missing or unaccounted for.
Check all pediatric patients to be sure they are in their rooms and properly attended. Report findings to CNL Check all pediatric patients to be sure they are in their rooms and properly attended. Report findings to team leader. Be prepared to stay with unattended peds patients. Stay at desk to answer phones and direct security team as needed Follow the directions given by your instructor or the CNL
THROMBOLYTIC TEAM TO: (AREA)

Indicates a patient is infarcting and is in need of immediate thrombolytic therapy

Follow the directions given by your CNL You have no responsibility to respond to this code. For ER/ ICU staff: If code is called on your unit: Stay at the desk, and be prepared to make and transfer phone calls, have charts ready, contact other depts as directed, and perform other tasks as directed by CNL, physician, or code team leader. If code is called another unit, you have no responsibility to respond. With permission from your instructor, you may observe the code proceedings. Be sure to identify yourself as a student observer
TRAUMA TEAM TO ER

Indicates multiple trauma patients are arriving in the emergency room and more assistance is needed

Follow the directions given by your CNL Follow the directions given by your CNL Follow the directions given by your CNL With permission from your instructor, you may observe the code proceedings. Be sure to identify yourself as a student observer













 

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