Code Blue and Its Functioning After Basic Life Support Training in A Teaching Hospital

Abstract

Introduction

All medical, nursing, and ancillary professionals need specific knowledge and skills for responding effectively to any of the patients emergencies. The term Code blue is generally used to indicate any patient requiring resuscitation or in need of immediate medical attention most often as a result of cardiac or respiratory arrest or a cardiorespiratory arrest. The resuscitation team may appear as a conventional heart failure team, which is called just when heart failure is perceived. The objective of the study was to To identify the patient outcomes on activation of Code Blue before Basic Life Support training. To compare the functioning of Code Blue in the teaching hospital retrospectively and prospectively. To assess the awareness of Code Blue and its functioning practices among Nurses after Basic Life Support training. Method The research approach adopted for this study was quantitative approach with descriptive design. The approach aimed at exploring the awareness of code blue and its functioning among nurses after basic life support training. 50 Retrospective and 50 Prospective dat of patients undergoing code blue call was collected via a code blue checklist, reliability of the same was checked by intra- rater reliability and data of 60 nurses was collected via a structured questionnaire on knowledge and awareness of code blue functioning, its reliability was checked by using inter- rater reliability and both the tools were reliable. Results Retrospectively for 53.3% patients return of spontaneous circulation was achieved among which for 3.3% patients return of spontaneous circulation was achieved within 20 minutes of activating a code blue call, while prospectively for 76.7% patients return of spontaneous circulation was achieved among which for 16.7% patients return of spontaneous circulation was achieved within 20 minutes of a code blue call. Among 60 nurses 50%  nurses were completely aware, 33% were moderately aware and 17% were less aware about the functioning of code blue. Among 60 nurses 42% nurses have good knowledge 37% have average knowledge while 21% have poor knowledge about the functioning of code blue. Discussion  Patients outcomes after the simulated code blue call is the best way of evaluation of nursing practice the aim of the study was to understand the patient outcomes after a simulated code blue call and also to understand the knowledge and awareness of nurses about functioning of code blue. This study will help the nurses in their clinical experience by providing important insight and practice that may improve patient care in future. This study also provides nurses a self assessment and is able to make them realize their area of improvement.