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Do you know
what to do?
CARDIAC/RESPIRATORY
ARREST
How To Call A Code Inside Stony Brook Hospital
Assist as needed
Removal
of other patients & family
members, crowd control, pt. transfer
Registered Nurse/Code Cart RN
Apply multifunction electrode pads
Prepare cart for use/opens cart
Puts intubation tray at patient’s
head
Prepare & dispense emergency
meds
Clearly announces name and
amount of meds handed off
Prime IV tubing & make IV labels
Code Cart Nurse continued
Charge defibrillator as per team leader
order
Distribute supplies as needed from code
cart (bld. specimen tubes, ABG kits, etc.)
At the end of the code, return all non-
disposable items (ie. O2 flow meter &
suction) back to the used cart & LOCK
Ensure cart exchanged/new & checked for
completeness. Sign check sheet
Nurse Recorder
ASSESS responsiveness
321
NOTE THE TIME!
Military Time Only
CHECK for Airway,
Breathing and Circulation
FOCUS: Basic CPR and
Defibrillation
A= airway: open the airway
( team leaders)
Anesthesiologist/
Resident
Respiratory Therapist
ACLS
A=Airway: place airway device as soon as
possible
B=Breathing: confirm proper placement by PE
B=Breathing: confirm proper placement by
2nd method
- End-tidal CO2
- Esophageal detector devices
Naloxone •Dextrose
DRAWER 2
ABG kits
NG tube (salem sump)
5 in 1 connector
Zoll pads
EKG paste/paper
Gauze/ tape
Pulse ox monitoring cables
DRAWER 3
Venipuncture Supplies
Phlebotomy Supplies
DRAWER 4
Emergency Cricothyrotomy Set
2 Trachs
CO2 Detector
IV tubings
Premixed Drips
Dopamine
Lidocaine
DRAWER 6
Laryngoscope Box
Intubation Box
Suction set up
O2 Set up
Central Lines
2 Triple Lumen Catheters
Bipolar Pacing Wire
ZOLL-Stat-Padz
NOTE: WHEN PLACING PATIENT ON THE
BACKBOARD PLACE stat-padz ON THE
PATIENT!
BEFORE
RETURNING IT
HOW DO WE FILL OUT
THE CODE BLUE SHEET?
CODE CART
Locked at all times
Check lock
Check Expiration Dates
Check Items on Cart
CPR board, IV pole, checklist & forms,
Portable oxygen, ZOLL, Pediatric Color
Medication Cards
Check once every 24 hours
Complete checklist
ZOLL
Clean Unit
Inspection
Supply availability
Power on sequence
Defibrillator
Pacemaker operation
Recorder function
Respiratory Arrest/ STAT Intubation
Preparation Recommendations