Non-licensed staff documenting in Code Blue/Trauma Code

Code Blue and Trauma Codes in the ER are typically documented by the ER docs scribe, which is an unlicensed position. On the inpatient side the Rapid Response nurse typically runs and documents the code until the ER doc and their scribe arrives. The RN and the scribe both document using an Epic Code flowsheet. We also document through a Phillips defib/monitor (timing of rounds of CPR, pulse checks, meds given, etc)

Our nurses do documentation for all codes and rapid responses. We all receive training on this once a year.

On our floor typically only licensed staff are in the room during a code (our rooms are small so not a lot of room for extra people). Because if this it is typically one of the floor RNs documenting, rapid response nurse or provider running the code and primary and charge nurse assisting with whatever. Our aids become runners and get anything that we need that is not on the crash cart already and are taking care of the other patients on the floor. All staff are required to have BLS certification so if for some reason there are not enough RNs our CNAs or even our housekeepers could step in to help CPR until our code teams got to the unit.

Our house supervisor documents codes in our hospital. This is for the ER and for the floor. The ER docs do not respond to floor codes or rapid responses anymore, but house has always documented even when they did.