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Home nursing care management HOW TO MANAGE A CODE BLUE AS A NURSE?
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Managing a code blue as a nurse includes activating the code, sharing clinical information with the team, performing chest compressions, monitoring, and evaluating the code blue process. A code blue is activated whenever a patient or someone is found unconscious, not breathing or without a pulse. Nurses are responsible for identifying sudden changes in the patient’s status. Thus, the code blue team often depends on the nurse’s critical thinking to support the patient and to implement the treatment plan. 
It is an emergency event that requires immediate cardiopulmonary resuscitation. 
Any healthcare staff who receives training about signs and symptoms of clinical emergencies can activate the code blue.
Yes! code blue is very serious because it is a life-threatening medical condition that requires rapid interventions. If help does not arrive on time, the person can die. Choking, heart attack, acute trauma are all conditions that often require immediate treatment. 
You should call a code blue whenever there is an obvious life-threatening situation. You must call a code blue if someone stops breathing, actively choking, profusely bleeding, having a seizure, etc. 
The healthcare organizations establish policies and standards per the American Heart Association – AHA guidelines. The instructions from the code blue policy should include the following:
The nurses play multiple roles during a code blue because they often spend more time with the patients. Thus, they play the role of staff nurse, charge nurse, nurse coordinator or nurse supervisor. The nurses also assist with the management of the code and facilitate bed placement during a code blue.
The charge nurse: That nurse is responsible for managing the unit during the code blue and for supporting the rest of the nursing staff. Besides, the charge nurse coordinates bed placement to a higher level of care during a code blue. Lastly, the charge nurse often delegates a nursing staff to be a runner during the code blue.
The nurse coordinator or the nurse supervisor: In most facilities, that nurse is responsible for documenting the time of the event, the conditions that led to the event, the medical interventions and the patient outcomes following the code. The nurse supervisor also manages emergency requests and patient transfers. Thus, the nurse completes multiple tasks during a code blue.
The code blue nurse: This is a nurse with advanced clinical skills who responds to the code blue immediately. The code blue nurse can administer emergency medications such as Atropine, Adenosine, Epinephrine and more. Therefore, the nurse’s responsibilities during a code blue vary based on a specific role.
The staff nurse is the nurse that provides direct care to the patient, and he or she knows the patient history. That nurse will guide the team with information during the code. It is important for that nurse to remain in the room or on-site during the code blue. Thus, the staff nurse is a key team member during a code blue.
The staff nurse can also access the patient’s medical records during the code blue. Furthermore, the nurse should inform the team about the most recent treatments. In addition, it is important to disclose the current medication list and the last medication that the patient received. Furthermore, the nurse should report the most recent vital signs and other symptoms to the code blue team.
The team leader might also like to know the last time the patient ate for intubation and imaging purposes. The direct care nurse should be able to share critical clinical information about the patient. For example, the nurse can share laboratory values and other test results with the team. The staff nurse can also delegate certain tasks to the runner during the code blue.
The patient’s nurse is also responsible for monitoring the code blue process and for documenting the timeline of events and interventions after the code blue. In some instances, the patient’s nurse provides chest compressions until relief arrives. It is crucial to designate a specific staff member to perform chest compressions during a code blue to prevent staff fatigue.
Following a code blue, the nurse should ensure the completion of the code blue event log. The log is an event timeline with the exact time and descriptions of every intervention during the code blue. Thus, the nurse’s responsibilities during a code blue are to make sure that the team complies with the guidelines. Per the AHA recommendations, the team leader must evaluate the patients for the H & Ts every two minutes.
The code blue log should capture the start of the code until the end of the event. Thus, the nurses or a designee should record every treatment, medication, and intervention on the code blue log. In most healthcare facilities, the log goes in the patient’s chart at the end of the code. If a patient is on isolation, the nurses must follow their organizations’ infection control instructions. Lastly, the purpose of the log is for the organization’s quality improvement team to review.
The Quality team will review the log for compliance with the process and will identify gaps in the system. The team will also identify the root causes of process failure or deviation and will make appropriate recommendations for improvement. A good healthcare institution will promote compliance with the code blue process.
The Nurse should follow his or her facility’s guidelines regarding appropriate precautions when a patient is at risk for contaminating staff and other patients. Please follow standard/universal precautions for all patients. Thus, the nurse should perform hand hygiene before and after patient care and should wear gloves when necessary.
In addition to standard protocol, the nurse will wear disposable masks and gowns for all patients on droplet isolation. Thus, the patient with an active upper respiratory infection like the flu will necessitate droplet precaution. for all patients with contact isolation- transmission only via contact with the patient, the nurse will wear disposable gowns and gloves during the code blue.
The nurse’s responsibilities during a code are to maintain appropriate precautions. Besides, the nurse will wear a special mask (N-95) for all patients with active Tuberculosis, Shingles and other airborne contagious diseases. Lastly, the nurse should follow the Infection Control department’s guidelines for the management of patients with infectious diseases during a code blue.
During a code blue event, the nurses play multiple roles and able to assist the team with different tasks. The nurses assume the responsibilities of charge nurse, code blue nurse, nurse coordinator or supervisor, and staff nurse. Each position is different and enables the nurse to perform at his or her highest potential. The staff nurse will communicate with the receiving nurse during the patient’s transfer.
During a code blue, the nurse also shares clinical information with the team and monitors the patient’s safety to promote the best result. Besides, the nurse coordinates the patient care management during the code blue and facilitates bed placement. Lastly, the team leader relies on the nurse to share clinical information with team members during the event. There is no reason to panic during a code because the team will support the nurses on duty. Please visit nursesophieconsulting to explore nursing services and other related articles.
Nurse Sophie has been a registered nurse for over a decade. I have a Master's degree in nursing, and my clinical experiences include staff nurse, clinical nurse supervisor, nurse manager, and most recently, nurse consultant in Patient Safety and legal nursing. I was always passionate about system operations and practice standards.


I have completed over 2000 hours of medical chart reviews. I am an expert in clinical investigations, and I also develop event timelines. I can assist the legal team with the Discovery process: Deposition, Interrogatories questionnaire, event timelines, locate expert witnesses, and more. I provide and formulate clinical opinions based on the investigative summary.

I also provide nurse coaching services to nurses who experience burnout and looking for a career transition. I have been there! Done that! I was overwhelmed when I as a bedside nurse and wanted to quit nursing until I changed my mindset and faced my fear of the unknown. After multiple failures, I successfully transitioned out of the direct care settings.

It was the best decision that I have ever made. Please send me a request to receive 1:1 career coaching from Nurse Sophie.



Nurse Sophie, MSN, RN, LNC
Legal Nurse Consultant
Patient Safety Specialist


website: https://www.nursesophieconsulting.com
Email: nursesophieconsulting@gmail.com
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Выбрать язык русский азербайджанский аймара албанский амхарский арабский армянский ассамский африкаанс бамбара баскский белорусский бенгальский бирманский болгарский боснийский бходжпури валлийский венгерский вьетнамский гавайский галисийский греческий грузинский гуарани гуджарати датский догри зулу иврит игбо идиш илоканский индонезийский ирландский исландский испанский итальянский йоруба казахский каннада каталанский кечуа киргизский китайский (традиционный) китайский (упрощенный) конкани корейский корсиканский коса креольский (гаити) крио курдский (курманджи) курдский (сорани) кхмерский лаосский латинский латышский лингала литовский луганда люксембургский майтхили македонский малагасийский малайский малаялам мальдивский мальтийский маори маратхи мейтейлон (манипури) мизо монгольский немецкий непальский нидерландский норвежский ория оромо панджаби персидский польский португальский пушту руанда румынский самоанский санскрит себуанский сепеди сербский сесото сингальский синдхи словацкий словенский сомалийский суахили сунданский таджикский тайский тамильский татарский телугу тигринья тсонга турецкий туркменский узбекский уйгурский украинский урду филиппинский финский французский фризский хауса хинди хмонг хорватский чви чева чешский шведский шона шотландский (гэльский) эве эсперанто эстонский яванский японский
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Nursing coach and mentorship are some of the services that Nurse Sophie offers. Thus, my service is available to nursing students who need professional guidance from a successful nurse who understands the challenges associated with the nursing school curriculum.
Nurse Sophie understands the challenge of completing a nursing program and will provide academic assistance to aspired nurses upon request. Furthermore, Nurse Sophie will assist students with class assignments, learning objectives, test-taking strategies, and a capstone project .
Please submit a form request with contact information and details about the nursing coach and mentorship service. Besides, Nurse Sophie’s team will get in touch with you within seventy-two hours. The Academic results will vary by individual. Therefore, Nurse Sophie is not responsible for the individual’s outcomes.
The nursing coach program is a popular service that most experienced nurses offer to their clients. Thus, all nurse coaches are registered nurses with clinical knowledge and understanding of complex disease processes. We offer nursing coach and mentorship services to support the individual who needs assistance with meeting their health and career goals.
Each nursing coach session will focus on a holistic approach that incorporates the mind, body, and spirit to promote health and wellness. Thus, Nurse Sophie will use her advanced nursing skills to assist each individual who signs up for the nursing coach program. The objectives of the session will vary per the individual’s needs.
The nurse coaching program is a virtual activity where each individual will feel comfortable discussing personal health and professional issues and short and long-term goals. Besides, Nurse Sophie receives HIPAA training and will comply with the healthcare privacy act accordingly. Thus, the team will keep each individual’s information private during and after all nursing coach and mentorship sessions.
Our company provides career advice to professional nurses who need guidance with decisions making and career transition and development. Besides, Nurse Sophie will utilize her nursing management and transformational leadership skills to assist nurses who seek career advice from our team. Moreover, you should read this blog post about How To Choose The Best Nursing Jobs?
We are aware of what it takes to move up the nursing career ladder. Besides, I encourage you to review this blog post about How To Move Up The Clinical Nursing Ladder? We will guide you through a career path that nursesophieconsulting to request a professional consultation and nurse mentorship service.

Home nursing care management The Role of Nurses In Fall Prevention Programs
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The importance of nurses’ role in fall prevention is undeniable. Nurses receive training to implement safety measures during patient care. Fall prevention remains a challenge across the United States. The Joint Commission identifies a fall prevention program as one of the National Patient Safety Goals – NPSG . Fall is a patient safety concern across the United States.
There are many underlying health conditions associated with Falls. Those conditions often contribute to patient safety events in and outside healthcare settings. The average hospital falls rates among adults patients per 1000 bed days are 2.55.
Most people will conclude that this is a small percentage. However, falls should be a never event because it is not an expected outcome. In addition, injuries related to falls cost an average of $14, 00.00 per patient for a prolonged stay. ( The Joint Commission )
There are evidence-based measures that will reduce the risk of falls when implemented correctly. According to John Hopkins – a leader in fall prevention, a fall is an unintentional descent to the floor. The fall can be assisted and unassisted. For example, if the patient does not reach the floor, it is not a fall. Thus, when a staff member assists a patient in a chair or bed to prevent a fall is not a fall.
Patients may also lower themselves to a chair or bed to avoid a fall. According to the definition, behavioral and developmental falls are not considered actual falls. For example, a patient decides to get on the floor to seek attention. Moreover, it is often anticipated that infants and toddlers might fall during physical activities. 
History of falls: Some patients had a fall or more in the past.
Physical limitation: Patients with physical limitations often exhibit difficulty ambulating which increases their fall risk.
Cognitive impairment and advanced age: Some patients demonstrate some memory deficiency which impacts their ability to think well. Thus, patients are unable to make appropriate safety decisions.
Chronic illnesses: Some chronic illnesses i.e diabetes, renal failure, pulmonary diseases, heart failure, and others affect patient activity tolerance. Thus, patients might experience difficulty walking a long distance without supervision.
Polypharmacy: This is the collection of multiple drug prescriptions from different doctors or additional over the counter medicines from the same classification. The behavior can have a negative impact on patients’ physical ability. For instance, multiple laxatives can cause excessive loose stools which can lead to electrolyte imbalance and muscle weakness.
Most nurses have difficulty identifying falls with harm versus no harm. According to the Institute for Healthcare Improvement – IHI , there is patient harm if the outcome prevents patients from functioning as they used to. For instance, a patient falls and sustains an acute fracture is consi
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