NEW and Expanded Code Green
description
Transcript of NEW and Expanded Code Green
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NEW and Expanded NEW and Expanded Code GreenCode Green
This is confidential and protected quality improvement information per RCW 4.24.250 and 70.41.200.
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Objectives
• Describe New Code Green
• Identify where Code Green is available
• Describe how to activate Code Green
• Describe what to expect from Code Green
This is confidential and protected quality improvement information per RCW 4.24.250 and 70.41.200.
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Why NEW Code Green?
• Many critical care areas (ED, Cath Lab, OR) have most, but not all, providers for a “coding” patient. They do not need a full code blue response.
• Need immediate additional resources• Ad-hoc paging can result in delays
• House-wide awareness• Ad-hoc paging can miss critical personnel
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Why NEW Code Green?
• Full Code Blue team response can physically overwhelm these critical care areas
• Full Code Blue team response pulls many providers, unnecessarily, from their ongoing patient care
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What is Code Green?
• A modified Code Blue response• Includes a subset of the Code Blue Team
• Provides additional personnel to existing critical care teams• Activating team should include a physician team
leader capable of running a code team
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Where Code Green will be available
Expanding beyond the OR!!• Available in:
• OR• ED• PACU• Cardiac Catheterization Lab
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Which patients qualify for Code Green?
A patient in impending or current cardiopulmonary failure or arrest
• Acutely Unstable Airway• Respiratory Failure• Circulatory Failure• Acutely Altered Mental Status
• At risk for failure of A,B,or C• For high acuity medical emergencies outside of
scope
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Code Green: Activation
• Team leader or nurse (if team leader unavailable) decides if Code green needs to be activated
• 7-9999- tell to activate Code Green and give specific location
• Page will be announced overhead • Page for “Code Green” will be sent to subset
of Code Blue Team
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Activation of Code green
****Know what level of response occurs from activating buttons in rooms (not standard in all parts of hospital)
Blue button- activates code blue by signaling telecommunications
Red button- in the OR this is for anesthesia assistance (internal call)
Green button- staff assistance; NOT an emergency
CODE GREEN IS ACTIVATED BY CALLING 7-9999 and giving location
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Code Green: Who Comes
• PICU Fellow• PICU Charge RN• NICU Charge RN• Anesthesia resident• RT• Shift Administrator• PICU Attending
• Paged, not always
in house
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Code Green: Response
• All Team Members respond STAT
• Initial Critical Care Team responsibilities• Identify selves to Code Green team• Review patient course• Identify how Code Green Team can assist
• Code Green Team responsibilities• Dress in surgical jumpsuit if called to OR• Identify self on arrival and discuss role• Help assess, assist current team• Suggest additional considerations • Jointly discuss patient disposition• PICU RN will ask if eligible for eCPR
I’m Dr. Roberts, PICU attending. How can I help?
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Code Green documentation
• Documented on Code blue sheet• Form is copied and QI form is completed and
copied- given to CNS or manager on unit
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Code Roles for the OR
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Code Roles for the PACU
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Code Roles for Cardiac Catheterization lab
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Code Roles for the Emergency Department
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Code Green PDCA
• Activations will be reviewed in Code Blue Committee
• In the future, simulations will be planned to work on Code Green teamwork between Code Green team members and initiating unit
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Code Green Summary
• Available in ED, OR, PACU, Cath Lab• Critical care team (including physician team
leader) already in place, need additional help• Patient in impending/active cardiopulmonary
failure• Call 7-9999 with location• STAT response of:
• PICU fellow, PICU charge RN, NICU charge RN, Anesthesia, RT, Shift Administrator and PICU attending (if in house)
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Go-live August 2, 2010
Questions
This is confidential and protected quality improvement information per RCW 4.24.250 and 70.41.200.