Code Team Members Roles and Responsibilities

Code Team Members Roles and Responsibilities Jamileh Mokhtari nori, MSN, PhD candidate Nursing Faculty , Nursing Management Dept., Baqiyatallah Medical Sciences University.

DEFINITION Code Team is multidisciplinary team that responds to code calls.

Purposes of Code Team • Notification and availability of Members • Avoid confusions and panic • Optimal care in minimal time limits

Code Team Requirements • Basic Cardiac Life Support (BCLS) • Advance Cardiac Life Support (ACLS) . • Pediatric Advance Life Support (PALS) . • All Code team members and emergency nurses must be familiar with the code cart contents .

Code Team MembersRoles and Responsibilities 1. Director of the Code 2. Primary nurse 3. Nurse 4. Nursing supervisor 5. Nurse or assistant 6. Anesthesiologist/ nurse anesthetist/emergency physician 7. Respiratory therapist 8. Code management pharmacist/technician 9. ECG technician 10. Chaplain

* Director of the Code (usually a physician) Make diagnoses and treatment decisions

* Primary nurse • Provide information to code director • Contact attending physician • Assist medications and procedures

* Nurse • Coordinate use of the crash cart • Prepare medications • Assemble equipment (intubation, suction) • Defibrillate

* Nursing supervisor • Control the crowd • Assist medications and procedures • Ensure bed in Critical C.U. • Assist transfer

* Nurse or assistant Record events

* Anesthesiologist/ nurse anesthetist/emergency physician • Intubate patient • Manage airway and oxygenation

* Respiratory therapist • Set up respiratory equipment & Assist ventilation • Draw ABGs

* Code management pharmacist/technician • Assist medication administration • Prepare IV infusions

* ECG technician Obtain 12-Lead ECG

* Chaplain Support family

Priorities during a code 1. Recognition of arrest 2. Arrival of resuscitation team, emergency cart, monitor-defibrillator, automatic external defibrillator 3. Rhythm diagnosis 4. Prompt defibrillation 5. Intubation 6. Venous Access 7. Drug administration 8. Assessment response to therapy 9. Drawing arterial and venous blood specimens 10. Documentation 11. Controlling or limiting crowd 12. Family notification 13. Transfer Critical C.U. 14. Critique

Crash Cart

Contents of a crash cart

خستهنباشيد

Code Team Members Roles and Responsibilities