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ملتقى الطوارئ والإسعافات يهتم في سبل المحافظة على الحياة والعنايه الحرجة

Code Blue

ملتقى الطوارئ والإسعافات
موضوع مغلق
  رقم المشاركة : [ 11 ]
قديم 09-24-2007, 12:20 AM
صحي نشط
 

sanddy will become famous soon enough
افتراضي

شكرا على الموضوع,
ودمتم
من مواضيع : sanddy
sanddy غير متواجد حالياً  
  رقم المشاركة : [ 12 ]
قديم 09-26-2007, 04:09 PM
صحي جديد
 

DRASHOUR will become famous soon enough
افتراضي هم فريقان

الفريق الاول هو فريق الاطباء الموجودين بالطوارئ وهم المسؤلون عن عما BLS حسب البرتوكول المعد لذلك والفريق الثانى هم الاطباء المتخصصون وهم مسؤولون عن ALS
من مواضيع : DRASHOUR
DRASHOUR غير متواجد حالياً  
  رقم المشاركة : [ 13 ]
قديم 10-12-2007, 04:22 AM
صحي جديد
 

Black Knight will become famous soon enough
افتراضي

as far as i know

يتم النداء ل CODE BLUE كالتالي

بالنسبه للاطفال

ATTENTION PLEASE : PAEDITARIC CODE BLUE

بالنسبه للبالغين

ATTENTION PLEASE: ADULT CODE BLUE

وشكرا لك د.عاشور


بالتوفيق
Black Knight غير متواجد حالياً  
  رقم المشاركة : [ 14 ]
قديم 10-25-2007, 10:51 PM
صحي جديد
 

DRASHOUR will become famous soon enough
افتراضي تصحيح

الاخ/ black kinght شكرالك على تصحيح هذة المعلومة وجزاك الله خيرا وسوف اقوم بنشر البرتوكول الكامل والمفصل بعد تطويرة وتحديثة فيما بعد ان شاء الله
من مواضيع : DRASHOUR
DRASHOUR غير متواجد حالياً  
  رقم المشاركة : [ 15 ]
قديم 10-29-2007, 09:58 PM
صحي جديد
 

DRASHOUR will become famous soon enough
افتراضي البرتوكول الكامل والمفصل

بطية البرتوكول الكامل والمفصل


[[color=00008B]B[align=center]][align=left]CODE BLUE PROTOCOL

Policy And Procedure

Definition :

**Code Blue : is the name given to an ***** call for immediate assistance in emergencies of a life threatening nature.

**Code Blue : this applies to adult patients anywhere in the hospital.

**Paediatric Code Blue : any paediatric emergency occurring anywhere in the hospital.

**Members : ( who should be called up and they should respond to code blue bleeper )
1. Anaesthetist on call.
2. Resident of concerned department.
3. Paediatrician on call.
4. Charge nurse of the unit.
5. Anaesthesia technician.
6. Nurse supervisor on duty.
Resident on duty should call second on call of his unit if needed.
**Policy :

Assigned duties shall be followed to ensure that the patient receives optimum emergency resuscitation and care in a “ Code Blue ” situation.
When a person is found to be in a state of cardiac or respiratory arrest, the discoverer shall initiate CPR and call for help.
The first person responding to the call shall initiate the page “ Code Blue “ for the adult patient or “Paediatric Code Blue “ for a child patient, bring the crash cart to the bedside and begin to assist with CPR.

**The director of “ Code Blue “ :

Charge nurse until first physician arrives.
First ACLS qualified physician to arrive at the scene.
Department resident if code blue ***** at anywhere except in emergency room.
Emergency room physician during and after normal working hours and weekends until internist or paediatrician on call arrives “ if the scene at emergency room “.
Paediatrician in paediatric CPR in PICU or NICU.

**Availability / communication :
This group will respond immediately to code blue.
Head nurse or nurse supervisor shall assign one nurse “ charge nurse “ to the code blue team for each shift. This shall be present within the hospital building at all times.
During outside breaks another nurse shall be assigned.
A physician member of “ code blue team “ who leaves the building shall report his location / phone number to the paging station.
When a code blue is reported to the communication centre, the following procedures will be initiated.
**Adult patient :
Communication centre shall indicates location.
Page, call concerned resident.
Page, call Anaesthesia resident.
**Child patient :
Communication centre shall indicate paediatric code blue.
Page, call paediatrician.
**As assistants arrives :
Patients airway shall be ensured & improved.
Patient shall have an I.V line inserted.
The patient heart rate and rhythm shall be electronically monitored / documented.
Drugs which may be used in resuscitating the patient shall be prepared for administration.

** Only a physician who is physically present may terminate resuscitative efforts.
This should be based on cardiac unresponsiveness to adequately performed ACLS measures.
** A resuscitation record sheet shall be provided for participation to complete following the resuscitation.
**Equipment :
Crash cart.
I.V pole stand.
Resuscitation records.
Procedure Rationale
*The staff member discovering All SRN’s and SEN’s will be trained
a person in a state of cardiac in CPR yearly, and will be able to
or respiratory arrest, calls assess need for and to institute
verbally for assistance and CPR
indicate CPR according to written
procedure.
*Page code blue and paediatric Any staff person may institute the
code blue code blue page upon request.
*Bring the crash cart to the bed- persons trained in ACLS will utilize
side . Place the backboard (Hard- the crash cart.
Board ) under patient’s torso begin
To assist with CPR.
*Clear all of the furniture and The area will soon become
screen nearby patients. crowded with equipment and
personal.

Ensure the patient’s airway by insertion of oral airways, suctioning
Use of ambu bag and oxygen administration.
*Prepare an E.T.T for insertion Only a physician or person
by lightly lubricating and testing trained by anaesthesia
cuff for filling department may intubate the Pt.
Institute I.V therapy using a large bore I.V catheter (16 – 18 G ) and 1000 C.C crystalloid.
Attach monitoring equipment to patient.
*Prepare ( and label if necessary ) the following drugs for administration:
Epinephrine for I.V push
Lidocaine for I.V push
Lidocaine for I.V drip
Atropine for I.V push
Sodium bicarbonate ( Used only if considered necessary )
Note time given
Prepare next
*Document resuscitation record An accurate record of the
Time of arrest resuscitation effort is important
Action taken for legal and quality assurance
Patient’s response purpose, as well as to provide
Medication and I.V data for patient care decisions
Patient’s vital signs following the resuscitation.
*Nurses not actively involved in the Other patients require care,
resuscitation will dismiss themselves family members require support.
*prepare to transfer patient to ICU All will need observation and
with physician’s orders after continuing medication in ICU
stabilization.
*All patient prior to transfer need ! !
Supplementary oxygen
I.V in place
To be monitored
To be attended by code blue team till in ICU.








HOW TO CALL THE" CODE BLUE"?

 The 1st person ( medical , paramedical staff) responding to the call shall initiate
'' code blue'' for adult patient
or'' pediatric code blue'' for a child .

 He/ She should announce ( yell ) the following over the hospital paging system :
experimental test ( drill):
)
* Attention please----- ( 2X).
* " CODE BLUE , --- ( ROOM LOCATION ) (3X).
" Use room location or other such term that specifically identifies allocation "..
What to Do ?
 The discoverer shall start BLS .(A,B,C,D). immediately and call the team
 Charge nurse shall bring crash cart to the bed side and begin to assist with CPR.
 Make sure patient is on a hard Surface
 Help arrives with the Code/CRASH Cart.
 Place on monitor.
 Quick look with paddles and identify rhythm / initiate DEFIB. protocol
 Code Team arrives.
 Follow ACLS protocols.
 Record events.

Adult Basic Life Support
(Circulation. 2005;112:IV-19 – IV-34.) © 2005 American Heart Association,
[/align] [/color][/align][/B]
من مواضيع : DRASHOUR
DRASHOUR غير متواجد حالياً  
  رقم المشاركة : [ 16 ]
قديم 11-01-2007, 01:07 PM
صحي جديد
 

شكبالة will become famous soon enough
افتراضي

صدقوا في اول شهر امتياز كنت في الجراحة وليلة كنت مناوب في حوالي الساعة وحده صباحا سمعنا النداء فامرني الطبيب المقيم بالذهاب لاننا كنا في الemergency OR المهم اخوكم مايدري عن السالفه رحت وياليتني ما رحت كان شكلي غبي لاني وصلت والمريض ميت تدروا ليش ؟ جيتهم بعد ساعه وتعال شوف الدش الي سمعته بس منها اول مااسمع النداء اروح جري تقول في حريق
شكبالة غير متواجد حالياً  
  رقم المشاركة : [ 17 ]
قديم 11-02-2007, 05:54 PM
صحي جديد
 

DRASHOUR will become famous soon enough
افتراضي

[QUOTE=DRASHOUR;64803]بطية البرتوكول الكامل والمفصل


[[[font=Arial Black][size=7]color=00008B]B[align=center]][align=left][align=center]CODE BLUE PROTOCOL[/align]

[size=4][align=center]Policy And Procedure

Definition :

**Code Blue : is the name given to an ***** call for immediate assistance in emergencies of a life threatening nature.

**Code Blue :
this applies to adult patients anywhere in the hospital.

**Paediatric Code Blue :
any paediatric emergency occurring anywhere in the hospital.

**Members :
( who should be called up and they should respond to code blue bleeper )
1. Anaesthetist on call.
2. Resident of concerned department.
3. Paediatrician on call.
4. Charge nurse of the unit.
5. Anaesthesia technician.
6. Nurse supervisor on duty.
Resident on duty should call second on call of his unit if needed.
**[align=center]Policy[/align] :

Assigned duties shall be followed to ensure that the patient receives optimum emergency resuscitation and care in a “ Code Blue ” situation.
When a person is found to be in a state of cardiac or respiratory arrest, the discoverer shall initiate CPR and call for help.
The first person responding to the call shall initiate the page “ Code Blue “ for the adult patient or
“Paediatric Code Blue “ for a child patient, bring the crash cart to the bedside and begin to assist with CPR.

[align=center] **The director of “ Code Blue “ :[/align]
Charge nurse until first physician arrives.
First ACLS qualified physician to arrive at the scene.
Department resident if code blue ***** at anywhere except in emergency room.
Emergency room physician during and after normal working hours and weekends until internist or paediatrician on call arrives “ if the scene at emergency room “.
Paediatrician in paediatric CPR in PICU or NICU.

**[align=center]Availability / communication[/align] :
This group will respond immediately to code blue.
Head nurse or nurse supervisor shall assign one nurse “ charge nurse “ to the code blue team for each shift. This shall be present within the hospital building at all times.
During outside breaks another nurse shall be assigned.
A physician member of “ code blue team “ who leaves the building shall report his location / phone number to the paging station.
When a code blue is reported to the communication centre, the following procedures will be initiated.
**Adult patient :
Communication centre shall indicates location.
Page, call concerned resident.
Page, call Anaesthesia resident.
**Child patient :
Communication centre shall indicate paediatric code blue.
Page, call paediatrician.
**As assistants arrives :
Patients airway shall be ensured & improved.
Patient shall have an I.V line inserted.
The patient heart rate and rhythm shall be electronically monitored / documented.
Drugs which may be used in resuscitating the patient shall be prepared for administration.

** Only a physician who is physically present may terminate resuscitative efforts.
This should be based on cardiac unresponsiveness to adequately performed ACLS measures.
** A resuscitation record sheet shall be provided for participation to complete following the resuscitation.
**[align=left]Equipment :
Crash cart.
I.V pole stand.
Resuscitation records[/align].
Procedure Rationale
*The staff member discovering All SRN’s and SEN’s will be trained
a person in a state of cardiac in CPR yearly, and will be able to
or respiratory arrest, calls assess need for and to institute
verbally for assistance and CPR
indicate CPR according to written
procedure.
*Page code blue and paediatric Any staff person may institute the
code blue code blue page upon request.
*Bring the crash cart to the bed- persons trained in ACLS will utilize
side . Place the backboard (Hard- the crash cart.
Board ) under patient’s torso begin
To assist with CPR.
*Clear all of the furniture and The area will soon become
screen nearby patients. crowded with equipment and
personal.

Ensure the patient’s airway by insertion of oral airways, suctioning
Use of ambu bag and oxygen administration.
*Prepare an E.T.T for insertion Only a physician or person
by lightly lubricating and testing trained by anaesthesia
cuff for filling department may intubate the Pt.
Institute I.V therapy using a large bore I.V catheter (16 – 18 G ) and 1000 C.C crystalloid.
Attach monitoring equipment to patient.
*Prepare ( and label if necessary ) the following drugs for administration:
Epinephrine for I.V push
Lidocaine for I.V push
Lidocaine for I.V drip
Atropine for I.V push
Sodium bicarbonate ( Used only if considered necessary )
Note time given
Prepare next
*Document resuscitation record An accurate record of the
Time of arrest resuscitation effort is important
Action taken for legal and quality assurance
Patient’s response purpose, as well as to provide
Medication and I.V data for patient care decisions
Patient’s vital signs following the resuscitation.
*Nurses not actively involved in the Other patients require care,
resuscitation will dismiss themselves family members require support.
*prepare to transfer patient to ICU All will need observation and
with physician’s orders after continuing medication in ICU
stabilization.
*All patient prior to transfer need ! !
Supplementary oxygen
I.V in place
To be monitored
To be attended by code blue team till in ICU.








HOW TO CALL THE" CODE BLUE"?

 The 1st person ( medical , paramedical staff) responding to the call shall initiate
'' code blue'' for adult patient
or'' pediatric code blue'' for a child .

 He/ She should announce ( yell ) the following over the hospital paging system :
experimental test ( drill):
)
* Attention please----- ( 2X).
* " CODE BLUE , --- ( ROOM LOCATION ) (3X).
" Use room location or other such term that specifically identifies allocation "..
What to Do ?
 The discoverer shall start BLS .(A,B,C,D). immediately and call the team
 Charge nurse shall bring crash cart to the bed side and begin to assist with CPR.
 Make sure patient is on a hard Surface
 Help arrives with the Code/CRASH Cart.
 Place on monitor.
 Quick look with paddles and identify rhythm / initiate DEFIB. protocol
 Code Team arrives.
 Follow ACLS protocols.
 Record events.

]
من مواضيع : DRASHOUR
DRASHOUR غير متواجد حالياً  
  رقم المشاركة : [ 18 ]
قديم 08-31-2015, 01:21 PM
صحي جديد
 

ashour will become famous soon enough
افتراضي رد: Code Blue

اقتباس
  المشاركة الأصلية كتبت بواسطة السلامة للجميع
د. عاشور ............ السلام عليكم ورحمة الله

أرجو توضيح أولوية النداء ...... وهل هم فريقين أم فريق واحد يتم استدعاءهم على مرحلتين؟؟

شكري الجزيل

ا
الفريق الاول هو فريق bls
الفريق الثانى هو acls
من مواضيع : ashour
ashour غير متواجد حالياً  
موضوع مغلق

مواقع النشر (المفضلة)

الكلمات الدليلية (Tags)
blue, code


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