Mariella A. While, RN, BSN, Med Mary Kay Loyd , RN

1. Mariella A. While, RN, BSN, Med Mary Kay Loyd, RN

2. Bio for Mariella While • Mariella is a Senior Educator who manages the AHA courses for the SiTEL Clinical Simulation Centers of MedStar Health. She has 15 years experience as a critical care nurse and 8 years experience as an AHA instructor. • Mariella is responsible for overseeing the quality of AHA courses and Instructors offered at a 9 hospital regional healthcare system. 

3. Bio for Mary Kay Loyd • Mary Kay is an educator for SiTEL Clinical Simualtion Center and has developed a code blue readiness program within the hospital. Mary is expanding this successful program to other MedStar Hospitals. • Mary Kay is a BLS and ACLS instructor and spearhead for the Code Blue In situ program with the Training Center Medical Director/ Code Blue Committee Chair.

4. Sample training

5. Situation • Increasing requests for practice and training in activating and responding to a code blue with a real life response. • Rapid Response decreased codes • New BLS /ACLS guidelines • Need to close the gap of discovery to defibrillation-address many factors

6. Programs • Code Blue In Situ • Mini Code Blue In Situ • Resident Code Blue Refresher • Code Blue Readiness

8. Code Blue Timeline

9. Where do we need to focus? • Communication • New BLS /ACLS guidelines • Following the algorithm • Role clarity & switches • Familiarize staff with equipment • CPR technique • Use of BVM • Drug administration

10. Collecting the data • Data sheet for Code Blue Committee chair • Data sheet for 2 simulation staff • Sign in • Data entry • Bed control issues

11. It works! CCC,CAB,123 Check Call Care Circulation Airway Breathing 1-Turn defibrillator on 2-Analyze 3-Shock if advised

12. How do we do it? • Code Blue In Situ

13. How do we do it? • Mini Code Blue In Situ

14. How do we do it? • Resident Code Blue Refresher

15. How do we do it? • Code Blue Readiness

16. Debrief • Medical Director • Clinical Specialist • Simulation Educator

17. We are closing the gap!

18. Debate • What did the In Situ reveal? • Do you want to be transparent? • How are organizational politics addressed?

19. Lessons Learned • Frequency of In Situ • Feel of the session • Breaking the Silos • Just in time training • After In Situ training

20. Team Training

21. What does the team training promote How to be an effective team leader! What does this mean? COMMUNICATION ID Is the CCC,CAB,123 in place? Effective CPR-how long? Pads on chest, connected, and rhythm analyzed without interruption. What mode are you in on the defibrillator? Roll into algorithm.

22. Changes Made • Approach to code blue training • Learn, Practice, Perform • Team Training

23. Where we are today • New training program • Reduced anxiety • Confidence in skills

24. Translation to practice • Anecdotal stories • Code on floor same room where we did a mock code • Time to defib form code blue data • Emails from staff

25. Quotes • "You were all great!!!  The staff would like to "request" the same team for their next round :)” • “I have to tell you what happened.    Yesterday there was a code blue in the OR and one of the girls that was in our mock code was on that case.  She said she was sooo glad that she just had the mock code a couple of days before.  She felt more comfortable about what she was to do. Kudos to you.  Nice job.. :) “

26. Future plans • In the works • Roll out of MedStar wide poster • Meetings in progress with the Code Blue Committee Director