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Revised Code Blue Record and Get With the Guidelines-Resuscitation

Revised Code Blue Record and Get With the Guidelines-Resuscitation. Justin Hamilton, BSN, RN Aultman Hospital Critical Care Coordinator.

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Revised Code Blue Record and Get With the Guidelines-Resuscitation

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  1. Revised Code Blue Record and Get With the Guidelines-Resuscitation Justin Hamilton, BSN, RN Aultman Hospital Critical Care Coordinator

  2. Completion of this Learning Module is mandatory for RN’sand LPN’s within Aultman Hospital who currently utilize the Code Blue Record to document a Code Blue event. • Read the information contained in this learning module. • Read and sign the Accountability Form entitled: Revised Code Blue Record and Get With the Guidelines-Resuscitation • Completion Deadline: June 15, 2012 Information and Instructions

  3. Objectives: At the end of this learning module, the nurse should be able to: • Identify the documentation revisions made to the Code Blue Record. • Discuss the intent American Heart Association (AHA) Get With the Guidelines-Resuscitation (GWTG-R) Program. Objectives

  4. Code Blue Record Revision

  5. Four Additions Under “Onset Information:” • Code Status Prior • Blank to be filled in by Recorder • Hospital-wide resuscitation response active • Yes if code was paged overhead • No if code was not paged overhead (ICU situations where physician is present and able to intubate patient or physician present and patient previously intubated) • Height • Blank to be filled in by Recorder • Monitoring at onset: • ECG (Telemetry monitor or ICU monitor), Pulse oximeter, or Apnea, these boxes should be checked if patient was ordered to have these monitors in use What was changed on the Code Blue Record?

  6. Indicate Code Status Prior to the Code Event. Was code paged overhead? Fill in the patient’s height. Indicate any monitoring that was ordered prior to the initiation of the code. Changes at a glance…

  7. Form 399A will be an addendum sheet that will be formatted identical to the bottom box on the present Code Blue Record. • This page will be utilized to document once the initial spaces are filled in. • The Recorder then must fill in the “Page_of_” section at the bottom of all forms. Code Blue Record Addendum

  8. AULTMAN CODE BLUE RECORD VITAL SIGNS PATIENT LABEL VITAL SIGNS*KEY: Pulse: C = Compressions Resps: B +Bagged Form 399A: Code Blue Record /Vital Signs PROGESS NOTES PROGRESS NOTES

  9. The Code Blue Record was changed in preparation for the participation of Aultman Hospital in the American Heart Association (AHA) Get With the Guidelines-Resuscitation (GWTG-R) Program. • The additional sections will allow for more efficient data entry into the GWTG-R database by Intensivist team nurses. Why was the Code Blue Record Changed?

  10. GWTG-R is a program that allows hospitals to enter and review arrest events. • The participating hospitals can then make changes to ensure that they are providing the best possible outcomes for their patient populations. • Individual hospital data can be compared to other similar facilities participating in the GWTG-R program. • Participating hospitals will be eligible to receive Bronze, Silver, and Gold Awards based on the achievement of set outcomes. What is GWTG-R?

  11. Following the Code Blue event, the white copy of the Code Blue Record should be placed on the patient’s medical record. • The yellow carbon copy of the Code Blue Record should be detached, placed in an envelop and sent to Medical Intensive Care or Justin Hamilton, Critical Care Coordinator through Interoffice Mail. (CCU nurses: please note we have these envelopes on our code carts!!) What is GWTG-R? CONTINUED

  12. Hospitals must achieve 85% compliance in the following four outcomes to be recognized by the AHA for GWTG-R awards: • Time to first chest compressions <= 1 minute in adult and pediatric patients. • Time to first shock <= 2 minutes for VF (Ventricular Fibrillation)/pulseless VT (Ventricular Tachycardia) first documented rhythm. • Pulseless cardiac events monitored or witnessed at the time of arrest. • Device confirmation of correct endotracheal tube placement (End Tital CO2 Cap or Capnometry device supplied with all endotracheal intubation trays presently on Code Carts). GWTG-R Outcomes

  13. All information pertaining to GWTG-R obtained from The American Heart Association web site: http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelines-Resuscitation/Get-With-The-Guidelines-Resuscitation_UCM_314496_SubHomePage.jsp References

  14. For any questions please contact: Justin Hamilton, BSN, RN Office Phone: (330) 363-4284 Email: jhamilton@aultman.com Questions / Contact Information

  15. After you have completely read and understand this material, please enter the Quiz section of Quia and complete the Accountability Form for Revised Code Blue Record and Get With the Guidelines-Resuscitation. Accountability Form

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