ST.

ANN'S HOSPITAL, VIJAYAWADA

CODE BLUE POLICY
Clinical
UNIT Event Non-Clinical
S. Patient Procedures Problems Area of
Month Date & Time UHID No. WARD / Before Problems Out Come
No. Name during the code during Improvement
BED Arrest during code
code

Patient shifted
Oxygen given Instructed to
to cordiac
Gasping 15 lt/min with security stop
Casualty centre at 5:30
1 November 25-11-2021 at 4:30 pm SK. BAJI 0013290/2021 Respiration oxygen mask None None the relative out
Bed No-7 pm by
due to MI and intubated side of patient
Ventilated
the patient room
Ambulance
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

UNIT Event Non-Clinical Clinical

S. Date & Patient Name Area of
Month UHID No. WARD Before Procedures during the code Problems Problems Out Come
No Time age / sex Improvement
/ BED Arrest during code during code

Medical management
Inj.prostadine 3dose interval of
15 mts Inj.Oxytocin 20 units in
500ml RL Inj.Methergin 1A Instructed the
During
Inj.Haemacel - 2 units PRBC - Nursing staff check
B.Positive
3units. path response
packed RBC
Mrs. Divi Procedure:- Bimanual prior to code blue
Not
lakshmi Hema NVD compression candon ballon
1 September 15/09/2021 lalitha devi 13792/17 LR Atonic pressure. None available in
Instructed the
Patient shifted to
at 3.45pm blood bank intensive care unit
PPH Hypotention management blood bank
brought
27yrs Female Inj.Non Adrenaline 8 mg 10mg/ht. Incharge to keep
form
Airway Management:- ready blood bags
vijaysree
Intubation with 7.55 tube. extra PRBC
blood bank
Internal jugular replacement
shifted OT for
Surgical management:-
Hystrectomy done
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Patient UNIT Non-Clinical Clinical

S. Date & UHID Event Before Procedures Problems Area of
Month Name WARD / Problems during Out Come
No Time No. Arrest during the code during Improvement
age/ sex BED code
code

Malaria PF+ Instructed the

Dembla
HTN + OSA COPD telephone
Madhu SJW code blue
Hypothyrodism Oxygen given 10 operator Patient
1 October 25/10 at Devi 8552/21 Medical litres with hyflow announcement None switch on all the shifted
9.am Single is not audible to
Dyspnea Hypoxia mask speakers to ICU
65 yrs room ICU
spo2 - 90% before
Female
announcement
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT
Clinical
UNIT Non-Clinical Area of
S. Date & Patient UHID Procedures Problems
Month WARD / Event Before Arrest Problems Improvem Out Come
No Time Name No. during the code during
BED during code ent
code

Giri Raju Acute infective

Nanda patient
exacerbation O2 inhalation
16-11-2021 kurthi shifted to
1 November 9233/21 Caty of COPD anaemia with high None None
at 11.50am ICU for NIV
dyspnic Restlessness flow mask 15 lit
60yrs supporter
spo2 85%
Male

DM+ HTN+
Hari Raja Hypotention Oxygen 5 lit /mt
sepsis. Acute Renal
Rajeswari nebulizations patient
21/11/2021 Failure
2 November 9404/21 Caty None None shifted to
at 3pm Breathlessness
67 yrs samples sent for ICU
Tachycardia,
Female Tachypnea, ABG
Whezzing`+
 SAH / QTY / 2023 / F 2(A) / M 1
ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE - FORMAT FOR MOCK DRILL

Date:
Location:

Target Arrival Total

No Event Scoring
Time time Time

1 Mock drill start time

2 Patient spotted at

3 Code blue reported by first 3 Sec 1 2 3 4 5

responder at

4 code blue announced by public 3 Sec 1 2 3 4 5

addressing system

5 CPR initiated at 4 Sec 1 2 3 4 5

6 Time of arrival of 2nd responder / 1 min 1 2 3 4 5

code blue team

7 Time of arrival of crash 3 min 1 2 3 4 5

cart / jump -kit

8 Time of arrival of 3rd responder 3 min 1 2 3 4 5

9 Control of relatives by securities 5 min 1 2 3 4 5

10 Ward boy stops the lift on the 5 min 1 2 3 4 5

floor of event

11 Patient transferred at 6 min 1 2 3 4 5

12 Transport by lift / vehicle 6 min

13 Code blue called off at 10 min 1 2 3 4 5

Variations %

Compliance % :-
SIGNATURE OF THE OBSERVER SIGNATURE OF THE QUALITY MANAGER

Date:
Time:
Location:
Code blue initiated at:
Code blue team arrived at :
Time Taken:
Effective of BLS:
Description:
Trolley reached within:
Short falls:
Corrective action:

SIGNATURE OF THE CODE BLUE TEAM MEMBERS:

 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Non-Clinical Clinical
No Month Date & Time Patient Name UHID No. UNIT WARD Event Before Arrest Procedures during the code Problems Problems
Area of Out Come
age/ sex / BED Improvement
during code during code
1 May 10-05-2023 Shaik 2685/23 Casualty Known case of DM, CAD, Kept 10 liters with highflow None None None Shifted the
at 11.30pm Azeeznunnisa Hypertension & LVF EF - 32 mask, SPO2 with 92% with 10 patient to ICU
W/o. Sk.Abdul IP NO: 4044 %, SOB, sudden on set of liters oxygen for ventilation
Rasheed breathlessness, desaturation support
SPO2 - 88% with 8 liters, Endotracheal intubation done
72 yrs Female Tachycardia, tachypnoea with 7.5mm size - tube
connected to mechanical
ventilation.

Ambu ventilation done during

transfer

2 May 12/05/2023 K.Venkata 13221/16 Casualty DM, UTI, Hypotension, Kept 8 liters with high flow None None None Shifted the
at 9.00am Nageswar rao Dispnea, Fever, mask, respiratory rate, 48/ patient to ICU
S/O Karumuri Tachypnoea, Tachycardia min for ventilation
subramanyam Ip No: 4083 SPO2 - 88% with litre O2 Heart rate 140/min support

82 yrs Male Connected to mechanical

ventilation on NIV mode
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Patient UNIT Event Non clinical Clinical

S. Procedures during Non-Clinical Problems Area of
Month Date & Time Name /Age / UHID No. WARD / Before problems during Problems Out Come
No the code during code Improvement
Sex BED Arrest code during code

Malaria PF+ Instructed the

HTN + OSA COPD telephone
Dembla SJW code blue
25/10/2021 Hypothyrodism operator Patient
Madhu Devi Medical Oxygen given 10 litres announcement
1 October at 8552/21 SJW None switch on all shifted
65 yrs Single with hyflow mask is not audible to
9.am Dyspnea Hypoxia the speakers to ICU
Female room ICU
spo2 - 90% before
announcement
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Patient UNIT Event Procedures Non clinical Clinical

S. Non-Clinical Problems Area of
Month Date & Time Name /Age / UHID No. WARD / Before during problems Problems Out Come
No during code Improvement
Sex BED Arrest the code during code during code
 Medical management
Inj.prostadine 3dose
interval of 15 mts
Inj.Oxytocin 20 units in
500ml RL Inj.Methergin
Instructed the
1A Inj.Haemacel - 2
Nursing staff
units PRBC - 3units.
check path
Procedure:- Bimanual During
response prior
Mrs. Divi compression candon B.Positive
to code blue
lakshmi ballon pressure. packed RBC Patient
15/09/2021 Hema lalitha Hypotention Not available shifted to
1 Septemb 13792/17 LR LR NVD Atonic PPH None Instructed the
at 3.45pm devi management Inj.Non in blood bank intensive
er blood bank
277 Adrenaline 8 mg brought form care unit
Incharge to
Female 10mg/ht. vijaysree
keep ready
Airway Management:- blood bank
blood bags
Intubation with 7.55
extra PRBC
tube.
Internal jugular
replacement shifted OT
for
Surgical management:-
Hystrectomy done
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Non-
Clinical
S. Date & Patient UNIT Event Before Procedures during Clinical Problems Area of
No Month Time Name UHID No. WARD / Arrest the code Problems during Improvement Out Come
/Age / Sex BED during
code
code

O2 Administration 15
lit of high flow mask.
Instructed the
HTN Breathlessness 1. Branchodilators
Prathuru desaturating SPO2 - Nebulizations bude cart relatives Shifted to
they should
28/03/2022 Suguna 78% inroom air duolin, 1/2 hrs. ICU for
1 March 8737/95 Casuality None None available when
@6.30pm 76 yrs 5Lit - 96% Diuretics inj.lasix NIV
needed to
female restlessness Steroids: support
explain
wheeze+ inj.Hydrocortisone the conditions
200mg stat
Deriphylline stat
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Non- Clinical
S. Date & Patient UNIT Event Before Procedures during Clinical Problems Area of
No Month Time Name UHID No. WARD / Arrest the code Problems during Improvement Out Come
/Age / Sex BED during
code
code

1. Inj. Lasix 40mg IV

2. Nebulization with
duolin.
3. Head and elevation
4. Oxygen support with
Dysnea cough fever face mask 8 liters
Instructed the Shifted
DM, HTN 5. Inj.Neomol 1Gm IV
Samuel DBW Hypothyroid sepsis, 6. Syp.Corex.D 5ml 'O' security stop the
02-02-2022
1 February @ 6.30pm 8444/15 Room None None the relative out patient to
severe LVF 7. Tab.Tolvaptin 15Mg
75yrs Male No376 side of the ICU
decreased Na+ 'O'
patient room @7.30pm
levels 8. Inj.Meropenum 1Gm
IV
9. Tab.Thyronorm
25mg 'o'
10. Inj.Deriphyllin 1A IV
given
 ST.ANN'S HOSPITAL, VIJAYAWADA -520 002
CODE BLUE EVENT

Non- Clinical
Patient UNIT Clinical
S. Date & Event Before Procedures during Problems Area of
Month Name UHID No. WARD / Problems Out Come
No Time Arrest the code during Improvement
/Age / Sex BED during
code
code
 Medical Management:
1. Inj.Hemacel - 2units
IV
2. Inj. Synto 20v in During Instructed the
500ml RL procedure nursing staff to
A+ve blood
3. PRBC transfusion - 5 check patient
and FFP
units response prior
single
4. FFP Transfusion - 4 to code blue.
7679/16 APH with abruptio doner is
1 March 09-03-2022 Sk.Salma Ipno: LR /16 placenta in shock, units None not
@ 10.30am female 5. Single doner - 1 unit Instructed the
1916 27 wks IUD available in
6. Whole blood blood bank
transfusion - 2 units blood back incharge to
Airway management: brought keep ready
from
Intubation with 7.5 blood bags
vijayasree
tube central line extra PRBC.
blood bank
[femoral site right side]
Surgical Management:
Hystrectomy done.

ST.ANN'S HOSPITAL, VIJAYAWADA -520 002

CODE BLUE EVENT
 Non-
Clinical
Patient UNIT Clinical
S. Date & Event Before Procedures during Problems Area of
Month Name UHID No. WARD / Problems Out Come
No Time Arrest the code during Improvement
/Age / Sex BED during
code
code

Medical Management:
1. Hemacel - 2 units IV
PRBC transfusion - 2 RL
(IVF) - 2
whole blood
transfusion - 1
Sudha post AVH bleeding Airway management: Instructed the Shifted
pulikonda pervaging cold, security to stop the
1 March 14402/14 LR clamy peripheries Intubation with 7.0 size None None the relatives patient to
tube connected to
46yrs ++ pulse low outside of the ICU at
ventilator
female volume patient room. 1pm.
central line (IIV)
Internal regular vein
placement right size.
Surgical Management:
Laparotomy vault
exploration done.