Code Red/Code Blue/Code whatever....what do you have/what are they for?

Nurses General Nursing

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Seeing the thread about Code Pink's for rude docs, and others mentioning Code Pink meaning peds cardiac arrest, made me think about the diff Codes we have.

Different Codes:

Code Blue-adult cardiac or resp arrest

Code Kinder -peds cardiac/resp arrest

Code Secure -violent/aggressive pt/family-need security asap

Code Red -fire

Code Lindbergh -abducted infant/child

Types of "alerts":

trauma alert -a trauma coming in (we are a level 1 trauma center)

gold alert -multi system unstable trauma

heart alert -someone comes in who may need the cath lab asap

There are others for bomb threat, natural disaster, etc. Those are the ones we actually hear occasionally.

I worked at a hospital that had a code gold for security (of course we had no security guards). Have you ever tried to say code gold when you are hyped up? I told the operator if she ever got a call saying cold gode that it was actually a code gold...man that was difficult to even write!

Where I work now a code blue is code 70 and a code pink (abduction) is code stork followed by a # for the age of the child.

I work in a Level I Trauma Center/ER. Code Blue and Code Yellow refer specifically to trauma. It confuses some people, esp. new grads, when a CPR in progress or a patient codes in a room, they will call it a Code Blue...we just call it "pt. coding" or "cpr" in room X. The rest of the hospital, it's an MSET.

Here's ours:

MSET - Cardiac Arrest (not sure exactly what is stands for...)

Rapid Response - Not an MSET but unstable pt. who needs add'l attention emergently.

Anesthesia STAT (usually when someone has difficult airway and cannot be intubated)

Code Blue - Unstable Trauma/Severe MOI coming in

Code Yellow - Stable trauma coming in

Code White - Trauma w/ CPR in progress (not overheaded b/c they gen. do not make it.)

Code Vascular - Dissecting AAA coming in

Code Purple - Unit on lockdown (no visitors allowed, gen. r/t gang related trauma)

Dr. Red - Fire (when it's over, "Dr. Red return to your office." Pt.'s have figured it out).

Code Walker - Pt. eloped. Followed by description of pt.

Code Pink - Infant abduction

There's a couple more like Orange, Black, Brown, Green, all referring to some sort of disaster, bomb, decon, etc. but I can't remember them and thankfully have yet to hear those ones called.

Also, I wish we could call a code when our ER was filed to capacity. It would probably be a daily occurrance. We sometimes are able to go on Re-Route (if allowed by pt. condition, ambulances are directed toward neighboring ERs.) However, usually when we go on re-route, the other ERs will go on it soon afterwards and when everyone is on re-route, it all kind of becomes null...they gotta go somewhere!

they abuse code pinks at our hospital. all the damn time, "code pink" is called over the PA. code pink, code pink, code pink. And then 2 minutes later... "cancel code pink".

no one cares that they're even called anymore, and they're ignored. one day a baby is actually going to be kidnapped and no one will take the appropriate initial action because we're so immuned to these codes.

I've had clinicals at a few places now, let's see what I can remember...

Fire is Code Red one place, Plan F another place

Code 7 means unstable individual, Code 7W is code 7 with a weapon or hostage

Cardiac arrest is Code 333 one place, another has rapid response team on pagers so it's not overhead

Plan ABC is a child abduction

Plan BEAR is a bomb threat

Code Black is a tornado warning

I need to review my safety info again; most of the ones I remember are not for the facility I'm in now! Whoops!

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