1 / 19

Enhancing Hospital Code Response: The Impact of Mock Code Programs

Bridgid G. Joseph, BSN, MSN, CCNS, presents a detailed analysis of a new mock code program implemented in our hospital, designed to improve staff response during critical situations. This program features monthly unannounced mock codes across all units, providing valuable training in CPR, defibrillation, and emergency medication administration. Significant outcomes include improved staff confidence, teamwork, and a reduction in actual Code Blue events. The focus on education during debriefing allows for ongoing assessment and adjustments to hospital-wide initiatives.

elisha
Télécharger la présentation

Enhancing Hospital Code Response: The Impact of Mock Code Programs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Paris Hotel and Casino  Las Vegas, Nevada Mock Codes Lead to real Results Presented by: Bridgid G. Joseph BSN, MSN, CCNS

  2. Presenter Disclosure Information Bridgid G. Joseph Mock Codes Lead to Real Results FINANCIAL DISCLOSURE: • No relevant financial relationship (s) exist

  3. If you don’t use it, you lose it

  4. Previous mock codes on units lasted over an hour • Simulation Center: 3 hour mock code team training monthly • Fewer actual Code Blue events within our hospital Background

  5. Created a New Formalized Mock Code Program: • 1 mock code on each unit monthly • All unannounced to floor staff • Covered all shifts • Mock codes consist of a training and debrief • Last a total of 10 minutes • Focused educational exercise Intervention

  6. Start with an unresponsive patient • Training Code cart available at site • Fully stocked mimicking our code carts • Training medications/bristojets used. • Patients in a shockable rhythm • VFib, pulseless VTach Mock Code Details

  7. Recognition of Arrest • Position of bed and patient • CPR • AED • Code Cart • Emergency Medications • Debrief Mock Code Details

  8. Able to assess other hospital-wide initiatives during the response to these exercises: • Alarm Fatigue: Staff response to low level telemetry alarms (leads off alarms) • Hand hygiene: ensure all secondary responders used calSTAT, gloves, appropriate PPE • Teach code cart/code team policy changes during debrief • Team training: working together and communicating Expansion of Focus

  9. Results 2011

  10. Adjusted for time to first responder

  11. Adjusted for time to first responder

  12. Time • Staff buy-in • Increased Census • Alarm Fatigue • Staff recognition • Off Shifts Pitfalls

  13. Overall a successful program: • Improvements: • Significant improvement in overall code cart knowledge, use of AEDs, and medication location and use. • Staff starting CPR immediately, able to defibrillate quickly, and have epinephrine ready and administered quickly. • Anecdotally: • Staff report feeling more confident • Working better as teams • Asking for mock codes • Sneers have turned to cheers!! Conclusion

More Related