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emergency personnel arrive.7 METHODOLOGY It was a descriptive cross-sectional study carried out between January to June 2015. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care trauma hospital from public and private hospitals. Checklist was made after an exhaustive review of literature which was then improvised. The checklist was discussed in focused group discussion held on 1 June 2015, and suggestions were incorporated. Validation of the checklist was also done by experts from various private and public hospitals. Subsequently, interaction was done with study population against the backdrop of the checklist and Code Blue policy was formulated. ANALYSIS AND RESULTS A total of 200 people which included doctors, nurses, paramedical staff, and quality managers of tertiary care public and private hospitals were approached for interaction against the backdrop of the checklist. Total response rate was 62%. Forty-one doctors responded out of 50 doctors approached, 34 nurses responded out of 50, 20 quality managers interacted out of 50 and 16 doctors, expertize in handling Code Blue responded out of 25 approached and 14 nurses, expertize in infection control practices out of 25 approached. Policy was framed after incorporating inputs from responses received against the backdrop of the checklist. CODE BLUE POLICY FOR A TERTIARY CARE TRAUMA HOSPITAL IN INDIA Aim of the Policy To make clear to all the staff about Code Blue and to inform and guidance regarding the same. This document summarizes the information to patients and the staff about Code Blue policy. It put in the picture how the institute will meet its training requisites to ensure that staffs receives adequate training in relation to Code Blue policy. Goals and Purpose The goals and purpose of this policy is to ensure that skilled medical team response for emergency resuscitation is provided. Scope Provide skilled medical team response for emergency resuscitation. Responsibility All employees of the hospital, Cardiac Arrest Review Committee for monitoring. What is Code Blue?1 Code Blue is one of the emergency procedure codes for cardiopulmonary arrests and life-threatening emergencies in areas of the hospital. A Code Blue is the term used to alert the Code Blue team (resuscitation team) to an area where a person has had a cardiac/respiratory arrest. Any attempt at resuscitation is better than no attempt. Purpose To provide immediate life saving measures in cases of life threatening emergencies. When to Activate Code Blue? A Code Blue will be initiated on all patients, visitors and staff suffering a cardiac/respiratory arrest showing following symptoms: • Not responsive • No breathing Sheetal Singh et al 118 Sheetal Singh et al • The individual assigned as recorder will document all treatments, medications, electrocardiogram data, etc. on the Code Blue record (Annexure 3). The Code Record remains in the patient’s medical record after designated individual show it to the team leader. • The Code Blue record (Annexure 2) is filled by the team leader at the end of the Code Blue and submit to Code Blue committee completes the monthly statistics for code committee. • Resuscitation equipment will be immediately available for all Code Blue calls. • Following a successful resuscitation of in-patient, and planned transfer to a critical care unit, a Code Blue team nurse will remain with the patient until the transfer occurs. • Following successful codes on other than registered in-patients (admitted patients) the patient should be transferred to ED for further assessment and treatment. Exceptions to the above may occur. Annexure 2: Code Blue report This form has to be filled by the team leader of the Code Blue team who is the in-charge of the patient after evaluating the event. This is to be submitted to the Code Blue review committee within 24 hours of occurrence of the event. This form is for quality assurance purpose. Date and time of Code Blue and sign of the doctor Date Affix patient label • No neck pulse (to be witnessed by healthcare provider). Who can Activate Code Blue? Any individual may call a Code Blue and certified staff will initiate basic life support (BLS) and automated external defibrillator(AED) if available, untilrelieved by the Code Blue team. How to Activate Code Blue?11 • The Code Blue team has to be notified by the control room (room designated to notify the message to the response team). • The individual calling the Code Blue must dial the designated number to call a Code Blue. • Identify yourself to the call center staff who responds to the call. • Give the exact location (i.e., unit, floor, wing, building) • Tell him/her that there is a adult/pediatric Code Blue • Code Blue team will be notified using public address system. What Happens when Code Blue is Announced? (Flow Chart 1)12 • When Code Blue is announced the message is sent to the Code Blue team (Annexure 1), who are expected to arrive at the scene as soon as they get the message  Physicians and policy-makers hope to improve patient care and reduce health care costs through the use of medical informatics. In the hospital setting, information systems assist with many aspects of care, ranging from diagnosis to record-keeping. This project deals with the documentation forms used to record patient care in real- 

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