Isabela United Doctors Medical Center

CODE BLUE TRAINING

AND WORKSHOP

ADULT CPR KEY CONCEPTS

Push

hard ( 2 inches [5cm]) and fast

(100/min)

Minimize

interruptions in
compressions

Avoid

excessive ventilation

Rotate
If

compressor every 2 minutes

no advance airway, 30:2

compression ventilation ratio

IMPORTANT PRINCIPLES
Attach

monitor (if available)

Ensure

quality CPR

Code

Blue Specialist nurse will facilitate

CPR until arrival of Team Leader (ROD)

The

Recorder also acts as time keeper:

reminds the team every 2 minutes cycle
and every 3-5 minutes interval of
medication administration

IMPORTANT PRINCIPLES
ON

SPECIAL AREAS: the first person who

identifies a cardiac arrest must immediately
start CPR until Code Blue Rescuers arrive.

CODE

BLUE Message must be clear and

concise. Code Blue at Room___ 2-3x

Avoid

overcrowding

All

nursing staff must have at least BLS

Training

All

Team Leaders must have ACLS training

ELEMENTS OF EFFECTIVE TEAM DYNAMICS

1.

Closed-loop communication

2.

Clear messages

3.

Clear roles and responsibilities

4.

Know ones limitation

5.

Knowledge sharing

6.

Constructive intervention

7.

Re-evaluation and summarizing

8.

Mutual respect

CODE BLUE TEAM

TEAM

LEADER

CHEST

COMPRESSOR

AIRWAY MANAGER
MEDICATION

NURSE

DIFIBRILLATOR
CODE

/ ELECTRICAL THERAPIST

BLUE RECORDER

CODE BLUE LAYOUT

RECORDER
SWITCH
EVERY 2
MINUTES

AIRWAY

TEAM
LEADER

MEDICATION

TEAM LEADER
Resident
Overall

on Duty

in-charge

CHEST COMPRESSOR
First

person on the scene (1-2 persons)

Delivery

of effective CPR (Chest

Compressions)

Switches

position with airway manager

(if there is 1:1 compressor airway ratio)

AIRWAY MANAGER
Second

bedside or code rescuer (1-2

persons)

Delivery

of effective CPR (Ventilation/BVM)

Switches

position with compressor (if there

is 1:1 compressor airway ratio)

Maintains

patent airway (suction prn) and

administers oxygen as needed

Assist

the ROD during intubation

MEDICATION NURSE
Medication

nurse / IV therapist

Establishes/maintains
Administers

IV access

emergency drugs

DEFIBRILLATOR / ELECTRICAL THERAPIST

Must

be an ACLS trained nurse

Administers
Monitors

shock/defibrillation as ordered

ECG Rhythm

CODE RECORDER
Charge

Nurse

Documentation
Reviews
Time

and recording

case with the Team Leader

Management reminds the Code Blue

Team of every 2 minutes Cycle on CPR and
every 3-5 minutes interval for
medications.

PHARMACOLOGY
Vent. Fib./Tach.
Epinephrine
Vasopressin (will be removed in
2015 guidelines)
Amiodarone
Lidocaine
Magnesium

Asystole/PEA
Epinephrine
Vasopressin
Atropine(removed from algorithm
per 2010 ACLS Guidelines)

Bradycardia
Atropine
Epinephrine
Dopamine

Tachycardia
adenosine
Diltiazem
Beta-blockers
Amiodarone
Digoxin
Verapamil
Magnesium

CODE BLUE FLOW CHART

REFER

TO FIGURE 1.O