Jump to content

COVID Code Blue

Disasters   (193 Views | 3 Replies)

Tait has 13 years experience as a MSN, RN and specializes in Acute Care Cardiac, Education, Prof Practice.

1 Follower; 6 Articles; 28,871 Profile Views; 2,127 Posts

Forgive me if this has been discussed. I did a quick forum search and didn't see anything. 

I am curious how your facilities are handling COVID-19 codes. We are following the AHA guidelines from April ( https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047463 ) but we have had situations where a patient isn't COVID + , has coded, and then be found positive. This was all despite previous negative testing. 

Due to situations like this we have moved to managing ALL codes as COVID+ to prevent exposures. We are also draping our patients, which is causing the system to look at oxygen pooling fire hazard risk.

I am curious to hear how other facilities are managing codes in general.

Thank you 🙂

Share this post


Link to post
Share on other sites

Rose_Queen has 15 years experience as a BSN, MSN, RN and specializes in OR, education.

12 Followers; 4 Articles; 9,461 Posts; 110,033 Profile Views

We are also treating all codes as COVID/PUI. 

Share this post


Link to post
Share on other sites

adventure_rn is a BSN and specializes in NICU, PICU.

3 Followers; 1 Article; 1,405 Posts; 19,664 Profile Views

I have nothing helpful to add besides the fact that it sounds like a total cluster. Pretty much every code that I've had in iso (often for relatively benign stuff like MRSA/rhino) has resulted in a ton of people flooding the room without adequate PPE. It seems like the whole production of donning/doffing full-blown COVID PPE (and the associated bottleneck at the door) would cause a huge delay in care.

Don't get me wrong, it absolutely makes sense to treat all codes as PUIs for the protection of staff. It just sounds like an unfortunate mess.

9 hours ago, Tait said:

We are also draping our patients, which is causing the system to look at oxygen pooling fire hazard risk.

Seems lie exactly what we need at a time like this...risk for fires and gas explosions..... 🙃

Godspeed.

Share this post


Link to post
Share on other sites

Tait has 13 years experience as a MSN, RN and specializes in Acute Care Cardiac, Education, Prof Practice.

1 Follower; 6 Articles; 2,127 Posts; 28,871 Profile Views

25 minutes ago, adventure_rn said:

I have nothing helpful to add besides the fact that it sounds like a total cluster. Pretty much every code that I've had in iso (often for relatively benign stuff like MRSA/rhino) has resulted in a ton of people flooding the room without adequate PPE. It seems like the whole production of donning/doffing full-blown COVID PPE (and the associated bottleneck at the door) would cause a huge delay in care.

Don't get me wrong, it absolutely makes sense to treat all codes as PUIs for the protection of staff. It just sounds like an unfortunate mess.

Seems lie exactly what we need at a time like this...risk for fires and gas explosions..... 🙃

Godspeed.

Today I was able to attend the code and it definitely was a cluster at the door, but honestly it looked better than our regular codes. We average 10-15 people in the room I swear. The last code put 13+ people at exposed. For this one I don't think we went over 8 in the room, which was 3 above our current protocol. Thankfully we don't have a lot of codes over all, but we are going to look at this one for learning. Ethics is also involved in how the system manages codes because truly we aren't doing everything as fast as we could with this process. As I told the nurse outside the door "Welcome to the spot between the rock and the hard place."

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.