What are five changes in assessments that meet criteria for calling RRT? - -Change in HR (<45 or
>125)
-Change in sBP (<90)
-Change in RR (<10 or >30) or threatened airway
-Change in SaO2 (<92)
-Change in mental status
What are five things to include during documentation of a Code? - -Patient assessment
-ECG rhythm (strip)
-Notification of MD, orders received
-Treatments initiated & patient response, post treatment rhythm (strip)
-Transfer documentation
What are four other criteria for calling RRT? - -Significant bleed
-New, repeated, or prolonged seizures
-Failure to respond to treatment to an acute problem/symptom
-Staff member concerned or worried about patient
What are seven post-code responsibilities? - -Patient's nurse gives report to receiving nurse
-Family care
-EKG strips charted
-Completed Code Sheet signed by physician in charge of the code
-Code evaluation completed and sent to Risk Management
-Cart exchange
-Documentation
, Before a Code is called, what signs should you look for when assessing a patient? - -Restlessness
-Dizziness
-New pain in any location
-Changes in LOC
-Changes in vital signs
-Changes in labs, CBC, or electrolytes
Describe the procedure of "Calling the Code" - -Pick up the phone, dial (77)
-Operator will answer
-Identify emergency - Code Blue
-Identify location (6East) and room Number (Room 677)
-Note the time using the clock in patient's room
Once the code team arrives, what should you not do? - -Do NOT stop CPR
-Continue until someone is ready to take over
Prior to the Code Team Arriving, what should you do? - -Start CPR (CABD)
-Obtain Crash Cart/AED
-Remove extra furniture in room
Statistically how many hours prior to an arrest will a patient exhibit warning signs? - almost 1/2
of all patients who code exhibit warning signs up to 6 hours prior to their arrest