CODE
MANAGEMENT
PRESENTED BY AMBER SANA
OBJECTIVES:-
• What is code management.
• Discuss types of code management.
• Describe code management process.
• Discuss goals of code management.
• Enlist roles and responsibilities of code management team members.
CODE MANAGEMENT
Code management ,in a healthcare context, refers to the coordinated
response to medical emergencies, typically involving a team of
healthcare professionals. The term “code” is often used to signal a
specific emergency situation
Effective code management requires a well-coordinated team effort,
clear communication, and regular training to ensure optimal patient
outcomes in emergency situations.
TYPES OF CODE MANAGEMENT
*Types of Codes:*
1. Code Blue: Cardiac arrest or respiratory failure
2. Code Red: Fire or potential fire hazard
3. Code Pink: Pediatric emergency or obstetric emergency
4. Code White: Violence or aggressive behavior
5. Code Black: Bomb threat or security threat
6. Code Brown: Chemical spill or hazardous material exposure
7. Code Green: All clear, emergency resolved
PROCESS OF CODE MANAGEMENT
*Code Management Process:*
1. Activation: Alerting the code team via phone, pager, or public address system
2. Response: Code team members assemble at the designated location
3. Assessment: Quick evaluation of the situation and patient condition
4. Intervention: Implementation of emergency protocols (e.g., CPR, defibrillation)
5. Communication: Clear communication among team members and with other hospital staff
6. Documentation: Recording events, interventions, and outcomes
GOALS
*Goals:*
1. Rapid response to emergencies
2. Effective teamwork and communication
3. Optimal patient outcomes
4. Minimization of harm to patients, staff, and visitors
5. Continuous quality improvement
ROLES AND RESPONSIBILITIES OF CODE MANAGEMENT TEAM
A Code Management Team typically consists of various healthcare professionals who work together to respond to medical
emergencies.
*Code Team Roles and Responsibilities:*
1. Team Leader: Coordinates response, makes decisions, and communicates with team.
2. Physician: Provides medical direction, diagnoses, and treats.
3. RN: Assesses patient, administers medications, and documents.
4. RT: Manages airway, ventilation, and oxygen therapy.
5. CPR Specialist: Performs CPR and operates defibrillator.
6. Supporting team members: Provide specialized support and expertise.
• Effective code management requires clear communication, defined roles, and regular training for all team members
INDICATIONS OF CODE MANAGEMENT
Code management is typically activated in response to life-threatening medical emergencies. Here are some common
indications:
*Cardiac-Related Emergencies:*
1. Cardiac arrest
2. Ventricular fibrillation (Vfib)
3. Ventricular tachycardia (Vtach)
4. Pulseless electrical activity (PEA)
5. Asystole
6. Myocardial infarction (MI)
7. Acute coronary syndrome (ACS)
•
CRITERIA FOR CODE BLUE MANAGEMENT
*Pre-Activation Checklist:*
1. Patient exhibits signs of distress (e.g., chest pain, shortness of breath)
2. Vital signs:
- Heart rate < 40 bpm or > 140 bpm
- Blood pressure < 90/60 mmHg or > 180/120 mmHg
- Respiratory rate < 8 or > 30 breaths/min
- Oxygen saturation < 90%
3. Electrocardiogram (ECG) changes:
- ST-segment elevation or depression
- Q-waves or new bundle branch block
CODE BLUE MANAGEMENT PROTOCOL
*Code Blue Management Protocol:*
1. CPR (30:2 ratio, 100-120 compressions/min)
2. Defibrillation (as indicated)
3. Airway management (intubation, bag-valve-mask ventilation)
4. Oxygen therapy (100% FiO2)
5. Medications:
- Epinephrine (1 mg IV/IO every 3-5 min)
- Vasopressin (40 U IV/IO)
- Amiodarone (300 mg IV/IO)
6. Continuous monitoring (ECG, blood pressure, oxygen saturation)
