Code Nurse
Code Nurse
Code Nurse
DEFINITION:
A registered nurse who is responsible, alert in rendering nursing care patients undergoing
cardiac arrest. Participates in the general activities involved in the care of the patients especially
diagnostic, therapeutic and palliative measures.
NURSING RESPONSIBILITIES:
A. Prepares all equipment needed for emergency resuscitation, assist the physician in
intubation of patients.
• Inserts mouth guard or oral airway into the patient’s mouth to open and start ventilating
patient, ambubag should be connected to an oxygen set up and regulate oxygen flow to 6-
8 liters per minute. Check for the presence of suction apparatus. If none, have staff nurse
secure one ASAP. Delegates one staff to ventilate patient while preparing other things
needed for the code.
• Prepares at once the functioning laryngoscope, endotracheal tube, wire guide, KY jelly
and mouth guard. Check ET balloon by inflating it with an empty disposable syringe
before handling it out to the physician.
• Attaches 3 electrodes to patients chest: one-below right clavicle hollow area: two-below
left clavicle hollow area, three-below last rib left midclavicular area/line. Connect these
electrodes to the monitoring defibrillator. Defibrillator jelly must be in view for use with
defibrillator.
• Makes inventory of equipment and supplies every shift preferably at the start of the shift.
• Checks equipment if functioning (ambubag, laryngoscope. cardiac monitors).
Communicate with the supervisor/head nurse for ay problems
• Responsible for the cleanliness and orderliness of equipment, supplies in the emergency
carts.
• Checks expiration date of medicines, supplies in the E-carts.
• Submits monthly inventory of medicines, equipments and supplies.
• Cleans and washes used ambubags and dries all parts,
E. Other Responsibilities:
• Performs ECG to patients when the Cardiopulmonary section technician is off.
• Assist in the other nursing units especially those with critical patients, if the above
mentioned areas are not busy.
• Makes rounds on critical patients to anticipate their needs.
F. Recording
• Writes down all endorsements on the record book of the following:
• Condition of all patients resuscitated, critical patients within the shift and endorse for
follow-up.
• Patients whose ECG’s were taken during 9pm-7am.
• Location of ambubag placed at patient’s bedside.
Submits a written report of all CODE 99, CODE 88 AND Silent Code every end of the
month to the MEDICAL RECORDS.