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Providing bedside spirometry testing. 6. Providing care and management for patients with tracheostomies and nasopharyngeal tubes. 7. Providing ventilation assessment and management, including intubation/manual ventilation and non-invasive ventilation. 8. Transport of patients with unstable airways/critically ill patients within the hospital. 9. Providing clinical assessment and administration of inhaled therapeutic gases and medications. 10. Providing resuscitation and provision of life support measures. 11. Inserting arterial lines, if required. 12. Completing written documentation of all therapies and interventions and patient response. Rapid Response Team Activation Date Effective October 1, 2014 Policy No. II-7 Page 10 of 10 13. Communicating patient status as required to other team members, providing expertise and assistance to unit specific staff for the provision of safe and appropriate care for the patient. 14. Ensure that all respiratory supplies from the Rapid Response Cart have been replaced. 15. Complete weekly Rapid Response Cart checks to ensure that; respiratory medications are not expired, battery on portable suction is charged, all supplies are stocked and checked according to supply list. 16. Ensuring that the patient is included in Respiratory Therapy change of shift report. Code blue is a part of Intensive care unit services in most of the hospitals and the involvement of competent respiratory therapists in the team can improve the skills of the team and also the patient outcome.Implementing the ABCD’s During a Code Blue Response in an Adult Patient Self - Instructional Module Objectives 1. List the components of SBAR 2. Recognize the process for initiating a Rapid Response 3. Describe the process for initiating a Code Blue Response 4. Define the responders responsibilities during a code blue 5. Identify ACLS medications that may be utilized during a code blue 6. Indicate the equipment that may be utilized during a code blue 7. Explain documentation guidelines during and after a code blue8. Describe end of code blue care 9. Discuss post resuscitation care 10. Participate in crash cart review session 11. Interpret 6 basic EKG rhythms Purpose This self learning module is designed for the purpose of increasing nurses understanding of Code Blue Response by outlining accountabilities and practices related to staff, equipment, and processes pertaining to Code Blue issues. Scope Registered Nurses and Licensed Practical Nurses. Activity This educational activity has multiple components: Self Instructional module with written exam Crash Cart and monitor/defibrillator review session offered on each unit and validated by the unit educator. Completion of this component includes: Participation in crash cart review Demonstrate use of Likepak monitor/defibrillator Demonstration of telemetry application EKG rhythm identification written exam and evaluation SBAR SBAR is a situational briefing tool that logically organizes information so it can be transferred to others in an accurate and efficient manner. SBAR fosters critical thinking and eliminates information from getting lost in translation. S – Situation (why are you calling) B – Background (why is the patient in the hospital) A – Assessment (your impression of the situation) R – Recommendation (suggestions you may have) Initiating a Rapid Response Rapid Response is a dedicated group of individuals that responds to emergency situations within the hospital in order to try to decrease mortality and morbidity on our patients. The Rapid Responders: Intervene in a potential code/emergency situation Rely on bedside nurses who are highly sensitive to signs that a patient’s condition is deteriorating, and empowered to call others to action. Notification Criteria Respiratory Rate >10 or <24 Wet lungs Shortness of breath Respiratory distress Heart rate persistently > 120 Heart rate <40 Arrhythmia – Priority 1 & 2 alarms (described in Housewide Telemetry protocol) Systolic Blood Pressure <90 mmHg Mean Arterial Pressure (MAP) < 60 mmHg Chest Pain Mental Status Change Anxiety/Agitation Seizures Urine Output <30ml/hr X 2 hours Activation of Rapid Response Staff indicates criteria to activate Rapid Response Staff calls “3333” (operator) and states, “Rapid Response needed in room number ___” Operator activates code pagers with message “1111 – Patient’s room number”