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CODE BLUE POLICY

VIEWS: 38 PAGES: 4

									                                 Quality Operating         Document No :
                                     Process               RML/CBP/01
Dr. Ram Manohar Lohia Combined   Manual of Operations      Date of Issue :
Hospital , Lucknow                Code Blue Policy         15/1/2008




     Service Name :                        Code Blue
                                      Operational Policy
     Date Created :                 15-01-2008

                                    Chief Medical Superintendent

     Approved By :                  Name       :

                                    Signature :

                                    Medical Superintendent

     Reviewed By :                  Name :

                                    Signature :

                                    Director

     Issued By :                    Name :

                                    Signature :

                                    Medical Superintendent

     Responsibility of Updating :   Name :

                                    Signature :




                                       1                      Manual of Operation
                                       Quality Operating      Document No :
                                           Process            RML/CBP/01
    Dr. Ram Manohar Lohia Combined     Manual of Operations   Date of Issue :
    Hospital , Lucknow                  Code Blue Policy      15/1/2008

Page of Contents
Sl.Order Particulars


              Purpose
A


              Scope
B


              Abbreviations and Definitions
C



D             Procedure

                 1. CPR

                 2. Diagnostic Facilities and Equipment

                 3. Responsibilities




                                              2                  Manual of Operation
                                             Quality Operating              Document No :
                                                 Process                    RML/CBP/01
Dr. Ram Manohar Lohia Combined               Manual of Operations           Date of Issue :
Hospital , Lucknow                            Code Blue Policy              15/1/2008



    A. Purpose :- To provide Immediate Life Saving Measures in Cases of Life threatening Emergencies
    B. Scope :-
               Covers the following cases
                a) Accidents, burns blasts
                b) Medical emergencies Eg : Cardiac arrest, respiratory arrest, poisoning etc.
                c) Surgical Emergencies, Eg : shock, peritonitis


    C. Abbreviations and Definitions
        1. CPR: Cardio Pulmonary Resuscitation
        Code blue: It is an event of utmost emergency, a mode of alerting all medical, nursing, paramedical and
        allied health care services and other personnel (house keeping, bio-medical, transport, maintenance,
        and security etc).

        2. Diagnostic Facilities and Equipment:
            a) Cardiac monitor
            b) Pulse oximeter
            c) Cardiac defibrillator
            d) AMBU bag
            e) Airway equipments
       3. Responsibilities:
        a. Emergency Room


b) Emergency physician: is responsible for quick evaluation of the patient in need of emergency aid.

c) The emergency room physician coordinates with the consultant and duty anesthesiologist for intubations,
   resuscitation and defibrillation. He arranges for the announcement of code blue through the intercom to the
   concerned hospital staff. The Emergency physician and CMS is informed in case any help is required.

d) Chief Medical Superintendent (CMS) : coordinates if any help is required

e) Wards: The nearest doctor is responsible for quick assessment and the announcement.

        a. The emergency physician / anesthetist aids in resuscitation.




                                                    3                            Manual of Operation
                                                  Quality Operating                Document No :
                                                      Process                      RML/CBP/01
    Dr. Ram Manohar Lohia Combined                Manual of Operations             Date of Issue :
    Hospital , Lucknow                             Code Blue Policy                15/1/2008

D. Procedure

       The staff nurse on duty or the resident doctor or any other staff member may find a patient in any part of the
        hospital, becoming critically ill or in cardiopulmonary arrest. Primary basic life support is provided to the
        patient on the spot.

       The concerned nurse / physician shall inform the emergency department to announce code blue to the
        concerned code blue team members clearly mentioning the location where the team needs to reach. The
        announcement will be made immediately with reasonable clarity and precision to enable all concerned
        personnel to respond as quickly as possible and reach the place of incident in the shortest possible time.

       Soon after the announcement is head all the concerned persons from different departments shall reach to the
        place of incident. The anaesthetist on duty and the nurses / doctors from the nearest nursing station, to start
        basic life support measures with in 60 seconds. The doctors on duty, the nursing supervisor, transport boy
        with a stretcher and EGG technician shall reach the place of incident as soon as possible or not later than two
        minutes.

       The crash cart with all emergency care equipment and drugs located in the floor shall be moved
        instantaneously to the concerned floor.After the use of the crash cart the concerned staff nurse / nursing
        supervisor shall replenish all the drugs and equipment and keep the crash cart ready.

       The lift boy shall keep lift ready to receive the patient on the concerned floor. At this juncture no other person
        shall use the lift.

       The emergency physician / anesthetist shall work as the team leader to coordinate the CPR. Overcrowding
        and confusion created by too many physicians giving conflicting orders to the nursing personnel shall be
        discouraged.

       Other doctors and nurses after reaching the unit / ward can leave for their respective department once they are
        sure that there is adequate number of concerned personnel to take care of the patient.

       Nursing supervisor shall supervise the nursing care and ensure that any emergency investigations are ordered
        are done on a priority basis.

       Once the patient is resuscitated and stabilized in the ward or labour room, he / she shall be immediately
        shifted to the concerned inpatient care area. The medical officer on duty and staff nurse shall accompany the
        patient and hand him / her over to the concerned inpatient care area staff nurse.

       The concerned consultant shall be informed immediately.



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                                                         4                              Manual of Operation

								
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