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
[Link]'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
[Link] 3dose interval of
15 mts [Link] 20 units in
500ml RL [Link] 1A Instructed the
During
[Link] - 2 units PRBC - Nursing staff check
[Link]
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 [Link] 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
[Link]'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
[Link] Single is not audible to
Dyspnea Hypoxia mask speakers to ICU
65 yrs room ICU
spo2 - 90% before
Female
announcement
[Link]'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
[Link]'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:
[Link]'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. [Link] 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 [Link] 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
[Link]'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
[Link] Dyspnea Hypoxia the speakers to ICU
Female room ICU
spo2 - 90% before
announcement
[Link]'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
[Link] 3dose
interval of 15 mts
[Link] 20 units in
500ml RL [Link]
Instructed the
1A [Link] - 2
Nursing staff
units PRBC - 3units.
check path
Procedure:- Bimanual During
response prior
Mrs. Divi compression candon [Link]
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 [Link] 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
[Link]'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 [Link] NIV
needed to
female restlessness Steroids: support
explain
wheeze+ [Link] the conditions
200mg stat
Deriphylline stat
[Link]'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. [Link] 1Gm IV
Samuel DBW Hypothyroid sepsis, 6. [Link].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. [Link] 15Mg
75yrs Male No376 side of the ICU
decreased Na+ 'O'
patient room @7.30pm
levels 8. [Link] 1Gm
IV
9. [Link]
25mg 'o'
10. [Link] 1A IV
given
[Link]'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. [Link] - 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 [Link] 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.
[Link]'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.
