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Code blue

 
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salihabduallah
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Joined: 04 Sep 2007
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PostPosted: Thu May 22, 2008 6:32 pm    Post subject: Code blue Reply with quote

Please, Nick, Raj ; can you explain to me what is meant by the following words :

" Code blue "

" Debriefing "

" breach of code of conduct " ?


Thank you.
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cpeedahsa
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Joined: 21 Apr 2007
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PostPosted: Thu May 22, 2008 8:21 pm    Post subject: Reply with quote

Code Blue is an emergency code
Generally used to indicate a patient requiring immediate resuscitation(eg-cardiac arrest)

In OBGyn --obstetrics hemorrhage may be the commonest indication.
It is recommended that we quote code blue in such emergencies-- when calling for help -eg-- personnel, lab requests, labelling samples(especially blood for cross amtch etc)
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cpeedahsa
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PostPosted: Thu May 22, 2008 8:26 pm    Post subject: Re: Code blue Reply with quote

salihabduallah wrote:
Please, can you explain to me what is meant by the following words :
" Debriefing "
Thank you.

A debriefing is a one-time, semi-structured conversation with an individual who has just experienced a stressful or traumatic event. In most cases, the purpose of debriefing is to reduce any possibility of psychological harm by informing people about their experience or allowing them to talk about it.

Say for example- you do a crash Csection for cord prolapse--then you debrief the mother( and family) about the event--expalin to them the circumstances , the course of events etc

As such any stressful event-- such as traumatic delivery, obstetric hemorrage, cesarean hysterectomy, maternal / fetal morbidity/ mortality... etc
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cpeedahsa
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PostPosted: Thu May 22, 2008 8:32 pm    Post subject: Re: Code blue Reply with quote

salihabduallah wrote:
Please, Nick, Raj ; can you explain to me what is meant by the following words :

" breach of code of conduct " ?

Thank you.


Every individual institution for eg a particular hospital -- or in general for eg NHS has a Code of Conduct. This is intended to provide employees, physicians, volunteers, researchers etc with guidelines for conducting business in a manner which fulfills the motto of that particular institution.

This Code of Conduct is meant not as an inflexible rulebook, but as a guide to assist in making decisions and choosing actions

Any violation of this code is breach of code of conduct and is handled in accordance with a Disciplinary Policy, as outlined in Personnel Policies or other applicable policies
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salihabduallah
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PostPosted: Fri May 23, 2008 5:18 am    Post subject: Reply with quote

Thank you cpeedahsa.

so to summarize : " code of conduct " means a local unit protocol or guideline .

can I ask about debriefing again pls , is it part of patient counselling ? or part of risk management ?


Also pls : is the code blue : an allarming system ? electric one ?

Thanks again.
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Nick Raine-Fenning
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Joined: 27 May 2006
Posts: 1854
Location: Nottingham

PostPosted: Fri May 23, 2008 7:34 am    Post subject: Reply with quote

Great work Asha

salihabduallah wrote:
so to summarize : " code of conduct " means a local unit protocol or guideline .


No - it refers to the way we conduct ourselves in general. It relates more to Good Clinical Practice and Governance (a form of self audit) to ensure you are working within recommended practice. It's like a modern version of the Hippocratic Oath! Smile


salihabduallah wrote:
can I ask about debriefing again pls , is it part of patient counselling ? or part of risk management ?


It refers more to Health Care Practionners (doctors, nurses, midwives, paramedics etc) and the process of discussing events that usually relate to a clinical scenario such as an emergency, an operation, a complication etc but can follow good practice to emphasise this as well. It comes from the military and maybe industry I think and is a way of allowing us to learn from what we have done.

Why do you wnat to know these things anyway? I cannot imagine you will be asked about any of this apart from maybe one question worth 1/2 mark in the OSCE.
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salihabduallah
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PostPosted: Fri May 23, 2008 11:13 am    Post subject: Reply with quote

Thanks Nick,
i was asking because these terms was vague for me
Thanks again.
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rpwalavalkar
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Joined: 20 Jul 2006
Posts: 966

PostPosted: Fri May 23, 2008 4:27 pm    Post subject: Reply with quote

hi,

just an addendum to the ' code blue ' comments ---

the hospital emergency color code system is operational in america, canada and australia, -- e.g. blue for clinical emergencies, white for peads, red for fire --- so on and so forth.

in the UK we do not use color codes but have a standard emergency number to call 2222. you dial this get thru to the operator and tell them the emergency. they will put out crash calls as required.

for example ---

matty crisis -- usually calls labour wd reg and sho, maternity bleep holder midwife, obst anaesthetist, ODA, porters, second on call reg and sho, and medical registrar.

flat baby call -- neonatal reg , sho and senior nicu nurse, matty bleep holder, and in cases of tertiary care nicu setups also at times the retrival team, but u need to ask for this in addition.

etc.

in an UK exam i will say that i will crash bleep via the 2222 crash call and not use any colour codes. ( and God forbid you get the code wrong in the exam when you are stressed )

the NHS NPSA has a patient safety alert document from feb 2004, you may want to check it out. see here --- www.npsa.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=5295

hope this helps.

r
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region
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rpwalavalkar
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Joined: 20 Jul 2006
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PostPosted: Fri May 23, 2008 4:31 pm    Post subject: Reply with quote

an addendum to my addendum Very Happy

the crash on call bleeps that are a part of the crash call responders, will have their bleeps test bleeped twice / week to daily depending on the hospital protocol.
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Dr Miss. Raj Walavalkar MBBS MRCOG
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Nick Raine-Fenning
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Joined: 27 May 2006
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Location: Nottingham

PostPosted: Sat May 24, 2008 12:24 pm    Post subject: Reply with quote

Raj - this is very important - thanks for making this more clear. I had not thought about the american side to the question but did know I had not heard the phrase 'code blue'.

N
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