Code Blue Teams for Medical Office

[Sierramnq]

Hello, I work in a Medical office as a LVN in a small time. The office is family practice, peds, and OB GYN. When we have a code blue everybody goes to the code, so picture 10 MD, 4 LVNS, and 50 MAs responding to a code. CAn someone please tell me how I can implement a code team. There is no policy in place except for everyone to respond which is just RIDICUOLUS! I would like to know how other sites do their code teams. I need to know how many pople are assigned to a team.

[OCNRN63, RN]

I have to kind of worry about a clinic that has so many codes that the nurses "call the shots." Sure, in an ICU/ED you see this, but if the clinic nurses are that well versed in how to run a code, then that's a clinic with either a lot of bad luck or something else going on.

[netglow, ASN, RN]

I'd set up a meeting with the MD director over at the ER across the street. Figure out a plan, and what they might recommend you all do.

I don't think then that ACLS is appropriate. Just be sure everybody can BLS with ambu/02 and you've got a good AED that everybody is practiced on. Maybe change your code responders once monthly. Have them practice response right at the beginning of the month so there is no hesitation. If one of the group of say maybe 4 people needs to not be at work for some reason, they need to be sure they notify before calling in or leave or whatever that they are on the team, and someone must be put on the team in their stead.

[PatMac10,RN, RN]

Interesting info.

[mappers]

I'm outpatient oncology and we occasionally have emergency situations. We have an AED, O2, meds, etc. No one is ACLS. They will call an MD to the area and usually there are 4-5 nurses there. Someone calls 911. We've started compressions twice and bagged patients based on what the AED told us to do. Often it is the non-clinical nurses who respond (managers, etc) because floor nurses are just too busy. We aren't organized, but it works.