Hospital emergency

Code Blue. Part II

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The code blue team has to be educated through the provision of the program that is presented to all nurses, doctors and the other auxiliary staff. The nursing staff should support mandatory code through training. Nurses have to believe that the necessary code does enhance both their ability and comforts of managing the situations of code blue and the patients’ outcomes. All the educational programs have to state that the blue codes will be employed only in cases of cardiac arrests. Taking care of the patient is paramount. Based on the case study, the nurse was supposed to have been around near the patient for her/him to take care of the patient. The case is traumatizing. It was expected that the nurse would be on the patient to inform the code team not to resuscitate the patient as stated. The code team assumed everything since the patient had no code. The nurse is the one to be blamed for the death of the patient. She never turned on the nozzle of the oxygen and was absent during the arrival of the code (Avis et al, 2016).


Hospitals must plan and provide emergency stabilization and screen for any disease or condition near the psychiatric units even when not located in the building within the main hospital. The hospital should include emergency rooms, delivery and labor departments, and the units of psychiatric. After the provision of the screening and emergency stabilization, the plan has to be tested, if more deaths are recorded. The deaths data should be collected and analyzed. Then the results are documented. The code teams have to be trained well enough, and functioning equipment should be possessed. In addition, protocols for life-threatening conditions should be activated. Moreover, the hospital should train all the workers and volunteers majorly on how to activate the response system for the emergency. The system for activation should be redundant and simple.

Data should be collected retrospectively from the forms recorded. Patient’s demographics data should be included in the data collection. The results of the completely documented forms were collected, while those with the code blue alarms were canceled are excluded. The data should be recorded in Microsoft Excel file, and then analyzed by using the SPSS. The chi-square test will then be employed for analyzing non-paramedic data.


A code conversation is a critical part of any aspect of hospitalization. If it is concluded well, it will make the stay of the patient in the hospital a much more fluid experience. If not, then the lack of communication leads to patient outcomes that were not desired and later distress to everybody, who got involved. Empowering all people with the basic knowledge of understanding the code status can assist in avoiding potential medical errors in the case of not anticipated hospitalizations.

Code Blue. Part I

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The hospital emergency codes have been employed globally for alerting the hospital staff concerning several emergency events. The codes used tend to relay critical information faster with a minimum lack of understanding to the hospital staff. Code blue does indicate a client or patient that needs resuscitation or quick medical attention. Cardiac arrest in most of the health care facilities is common. The hospitals do possess a team for rapid response or “code blue teams.” These teams are responsible for decreasing preventable in-hospital deaths. Most hospitals for example in Turkey provide education to the health care professionals about the rapid response team (Whitcomb, Hahn, Sumner, Shelley, & Hunnicutt, 2015).

Analysis of the Case

Based on the case, it was finally discovered that the patient was not supposed to be resuscitated. Most of the things went confusing in this case, involving a lot of delay in possible defibrillation. The period of defibrillation is a critical unit that is mostly linked with survival. Delaying the defibrillation process causes death. Many strides in enhancing the survival chain have been achieved in out of the hospital and in-hospital cardiac arrest from the initial access to the services that is the emergency to the early CPR defibrillation. Based on the case, there were many delays for the code team to locate the patient, lack of enough CPR training of psychiatric staff, and the issues with the equipment. Location of the arrest outside the main hospital probably led to the use of the technique that was poor, lack of enough trained personnel, and the equipment’s that was not working well. Once the code teams once get out of their common environment, they feel uncomfortable. The environment, in this case, is austere of medical as like that of ambulance experiences of paramedic when she resuscitates a patient approximately four miles away from the main hospital (Lindsey & Jenkins, 2013).

The process has been categorized to include calling for help from the Code team. The specific code to be called in case of emergency is always written on the door. The exact location of the client is given out including the bed number and the room. Secondly, the nurse has to begin the CPR, and then the AED should start. The nurse should also ensure the patient is the firm surface. Once the code team arrives, the code team does assume the leadership of the code. The nurse should stay with the patient and assist with the code within the range of scope of practice. Then after the code, the nurse should ensure there is accurate documentation and communicate with the family member. The pharmacy does the exchange of code cart at this point. The restocking of the code cart is the responsibility of the pharmacy and the central supply (Avis, Grant, Reilly, & Foy, 2016).