NURSING ROLES IN MOCK CODE
NURSING 2535
*BELOW ARE SUGGESTED GUIDELINES FOR ROLE ACTIVITIES PER TEAM MEMBER. IT IS THE RESPONSIBILITY OF
THE TEAM TO ENSURE THAT ALL INTERVENTIONS ARE IN PLACE AND THAT THE CODE RUNS SMOOTHLY.
BASIC RESCUER 1
BASIC RESCUER 2 – AIRWAY ASSISTANCE
Initial:
Initial:
1.
Notes time.
1.
Calls for code team if not already done.
2.
Calls for help.
2.
Places cardiac arrest board under patient.
3.
Begins one rescuer CPR correctly according to American Heart
Association.
3.
Checks for spontaneous return of pulse; effectiveness of compressions
4.
Inserts oropharyngeal or nasopharyngeal airway.
5.
Ventilates patient using Ambu bag.
6.
Begins two rescuer CPR giving ventilations correct rate.
7.
Switches to compressions as needed during CPR protocol.
Intermediate:
4.
Maintains compressions at correct rate when second rescuer
arrives.
5.
Calls for switch from compression as needed during CPR
protocol.
6.
When physician arrives, gives initial details of patient discovery,
diagnosis, and history if known.
Intermediate:
7.
8.
Changes functions as required during code.
Assists with endotracheal intubation.
a. Provides equipment at appropriate time (ET tube, Laryngoscope, 10 cc
syringe, stethoscope, 1” tape).
b.
c.
HOUSE SUPERVISOR
Keeps airway clear by suctioning as required.
Confirms placement of ET tube if required, by listening for breath sounds,
checking for air sounds over epigastric area.
1.
Crowd control
2.
Supervise team work.
9.
3.
Assist as needed.
10. Assists in inserting NG tube if required for stomach decompression.
4.
Direct Code Practices.
11. Changes functions as required during code.
5.
Evaluate effectiveness of team members.
Remove oxygen source from patient.
NURSING ROLES IN MOCK CODE
NURSING 2535
EQUIPMENT NURSE:
MEDICATION NURSE:
Initial:
Initial:
1.
Brings adjunctive emergency crash cart equipment such as
EKG or ventilator to bedside.
1.
Sets up oxygen, suction, manual resuscitation bag with concentrator,
oropharyngeal airway.
2.
Attaches patient to cardiac monitor.
2.
Establishes IV line with #18 IV angiocath and NS, or according to hospital
protocol.
3.
Sets up ET tube, Laryngoscope, 10 cc syringe, stethoscope, 1”
tape.
3.
Administers drugs according to standing orders or physician’s orders.
Recognizes normal dosages, knows methods of infusion.
4.
Establishes additional IV lines as necessary.
5.
Changes functions as required during a code.
4.
Plugs in defibrillator and turns it on.
5.
Prepares drugs according to standing orders or physician’s
orders. Labels infusions that are prepared. Recognizes normal
dosages and knows method of infusion.
6.
Prepares heparinized syringes of arterial blood gases
7.
Changes functions as required during code.
RECORDER/COORDINATOR
1.
Records all pertinent interventions during advanced cardiac Life support.
2.
Assists medication nurse as needed.
3.
Moves visitors or other patients out of room when possible.
4.
Establishes crowd control.
5.
Designates supply runner.
6.
Redirects nursing roles as required.
7.
Changes functions as required during code.
Intermediate:
8.
Assists with defibrillator through preparation of paddles
9.
Changes functions as required during a code.
10. Takes vital signs.
n:\syllabus\sophfall\nursing roles in mock code
Reviewed 06/10