Question

Title State what the training or in-service of employee motivation is about.

Objectives State what you expect the employees to learn from this training or in-service.

should be in bullet format.

Body includes information that you will present to employees to obtain the desired objectives and will include at least two visual aids.

Conclusion summarizes the most important points made in the training.

Participant Post Test This post-test is a means for the participants to demonstrate what they have learned by participating in the in-service. Ranges of 5-10 multiple-choice questions are required.

References

Answer 1

#. Title of training program - How to implement Code - Blue in emergency condition .

#. Objectives :-

- By the end of the training program the staffs would be able to understand what are the emergency condition when code blue has to implemented .

- By the end of the program , the staffs would be able to do CPR confidently

- By the end of the program ,they would be able to be prepared for and emergency situation with their CPR kit

#. Body :-

It's an emergency code for patients found in respiratory and/or cardiac arrest.

It's for patients in Immediately life-threatening conditions.

It is NOT for patients with DNR (Do Not Resuscitate) orders.

If you begin CPR on a DNR patient, you must continue.

2015 guidelines: a code can be stopped after 20 minutes of resuscitative measures and no return of spontaneous circulation (ROSC).

Responsibility in a code :-

Check for responsiveness.

If the patient is unresponsive, call for help.

Call out: "Code Blue in Room #___!"

In patient room push the code button.

Check the time.

if pt. is in bed

remove pillows from under head and lower the head of the bed. (use the quick release on the bed).

pull bed away from wall and begin chest compressions

While someone takes the crash cart to the bedside, Dial 77 / 333 / etc. (dependent on facility) and state: "Code Blue, floor, room number."

take crash cart to bedside

Always un-plug cart before moving.

Once in the room, plug it in.

Turn power on to monitor

Open the bottom drawer first and take out suction and airway equipment.

Connect the suction to the wall outlet and resuscitation bag to oxygen. Turn O2 all the way up

After beginning compression's and breaths

Connect the patient to the cardiac monitor with leads and electrodes.

Help place the backboard under the patient.

Team members include :-

Primary Nurse

Compressor

Airway

Defibrillation

Medications

Recorder/Scribe

Lead

Primary is the patient's nurse, may start compressions but should be relieved as soon as another responder arrives because the primary needs to give report to the code team.

If you are authorized to defibrillate patients, check the patient's ECG rhythm and follow ACLS guidelines.

Make sure ALL personnel are completely clear before delivering defibrillations.

Additional code blue activities :-

Document treatments and patient responses on the (scribe)

cardio-pulmonary arrest record

Make sure someone stays with any family members present.

Clear the room of excess furniture

Locate the patient's chart, have medical history available to the code team.

Two visual aids - vedio of code blue and CPR and practical class on how to do CPR

#. Conclusion :-

- check foe emergency situation

- be alert

- start compression as soon as it is determined that the patient is having arrest

- check the carotid pulse for not more than 10secs

- push hard and fast

- check the scene for safety

- call out for help

- allow the chest to recoil

- compression at the rate of 100-120bpm

- use of two rescurer method ( majority of time )

#. Post test questions :-

1. What are the emergency condition in which code blue is announced ?

2. How do we determine the patient is having arrest ?

3. What is the depth of compression ?

4. Which pulse is used in adults to check for pulse ?

5. What is the compression rate ?