Code Blue Response in Room Eight

Introduction

• Nurse Tammy discovers Mr. Smith unresponsive in room eight.
• Mr. Smith is a full code; a code blue is called.
• Medical team responds quickly and begins resuscitation efforts.

Initial Assessment and Actions

• Mr. Smith is not breathing and has no pulse.
• Efforts to stabilize include stopping antibiotics and infusing normal saline.
• Mechanical support and ventilation are initiated (bagger used, board placed under the patient).

Resuscitation Process

• Dr. Sellinger introduced as the code captain.
• Defibrillation at 150 joules is performed.
• Epinephrine 1 mg IV push administered.
• Patient history indicated: 37-year-old, pancreatitis, diabetic with high sugar, febrile, low blood pressure (94/48), antibiotics administered.

Ongoing Medical Support

• 500 mls of normal saline administered rapidly.
• Preparation and administration of 300 mg of amiodarone IV push.
• Social work and medical staff contact family and attending physician.

Monitoring and Adjustments

• Defibrillation repeated at 150 joules.
• Continued monitoring of pulse, IV access, and blood pressure.
• Amiodarone 300 mg IV push administered.
• Patient glucose noted at 3.1; D50 IV push given.

Intubation and Airway Management

• Difficulty in bagging leads to decision to intubate.
• Supplies needed for intubation gathered (laryngoscope, endotracheal tube, etc.).
• Oxygen saturation checked; sats at 99%.

Conclusion of Code Blue

• Sinus rhythm achieved, pulse restored.
• Blood pressure recorded at 88/40.
• Continuous saline infusion at a reduced rate of 250 mls per hour.
• Arrangements for ICU transfer and further diagnostics (chest X-ray, ECG).

Post-Event Actions

• Documentation and verification of the code recorded.
• Time discrepancies noted and adjusted.
• Patient prepared for ICU transport, final checks on intubation and equipment.

Key Takeaways

• Importance of rapid response and teamwork in emergency situations.
• Step-by-step protocol adherence critical to patient stabilization.
• Comprehensive documentation and communication among medical staff and family.