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MOCK CODES

MOCK CODES. Carmen T Garcia, MD Pediatric Emergency Department. Long term survival of arrest depends on:. Response Time Quality of Resuscitation. Response Time. Physical arrival of personnel Ability of responders to organize. Quality of Resuscitation. Recognition of pathology

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MOCK CODES

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  1. MOCK CODES Carmen T Garcia, MD Pediatric Emergency Department

  2. Long term survival of arrest depends on: Response Time Quality of Resuscitation

  3. Response Time Physical arrival of personnel Ability of responders to organize

  4. Quality of Resuscitation Recognition of pathology Technical skills of responders

  5. Mock Codes • Reinforce Roles • Practice principles of BLS, PALS • Practice technical skills • Work through diagnostic problem • Pinpoint problems • Provide immediate feedback

  6. Roles Doctors: 1-Team Leader 2-Airway 3-Bedside 4-Float

  7. Team Leader • Assign roles • Run code, only one to give orders • Request consults • Crowd/Noise control

  8. Airway • Airway: O2, Suction, Intubation • CNS: Pupils • Cervical spine control • Assist with other items once airway controlled • Travel

  9. Bedside • Survey • Compressions • Procedures: IO placement, Blood gases, defibrillation

  10. Float • History • Liaison • Relief

  11. Roles Nurses: 1-Bedside Nurse (Primary) 2-Medication/Documentation 3-Charge 4-SERT 5-HUS

  12. Bedside (Primary) • Nursing assessment • Assist with procedures: NG/Foley, IV/IO, draw labs • Administer meds, hang fluids • Airway tray • Prepare for transport, travel

  13. Medication/Documentation • Document • Draw meds, mix drips • Communicate with Team Leader

  14. Charge Nurse • Obtains meds outside resus room • Circulating nurse • Assist with miscellaneous items • Crowd/Noise control

  15. SERT • CR monitor/Pulse Ox • IV/Labs • Weight • Vital signs • Assist with airway/compressions

  16. HUS • Call appropriate consults • Call for services (X-rays, EKG, etc) • Notify Pastoral Care, Security, Social Services • Send labs

  17. Key Points Airway/Breathing: 1-Suction 2-Oxygen, Non-rebreather 3-Bag/Mask 4-Intubation equipment/meds

  18. Key Points Circulation: 1-Peripheral IV or IO (eg. Asystole) 2-IO after 90 seconds 3-Labs/Bedside glucose 4-Fluids 5-Meds/Drips

  19. The Mock Code • This is no dummy • Treat as a patient • Ask for details of VS, exam, labs

  20. The Mock Code • All well-run codes are stressful, even Mock scenarios • A learning forum, not a judgment opportunity • Hands-on participation is essential

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