Management of Cardiac/Respiratory Arrest

The individual who detects a life-threatening emergency in a 
patient, visitor, or other will remain with the patient and 
assess the need for and institute cardiopulmonary 
resuscitation (CPR) intervention immediately.  The most up to 
date protocol for cardiac resuscitation is to be followed.
1.  The individual first on the scene will summon nearby 
    help without leaving the patient or interrupting life-
    saving techniques.  The emergency call system will be
2.  The second person at the scene will immediately summon
    any  clinical personnel.
3.  The most senior clinical person responding to the 
    emergency will assume duty of team leader. He/she will
    designate personnel to act as scribe/recorder, to bring 
    needed equipment and  supplies to scene of emergency,  
    and place phone calls pursuant to existing policy.
4.  While life-saving treatment is being administered, the 
    receptionist or other designee will summon emergency
    help by dialing 911.  
    The area surrounding the patient will be cleared of 
    obstacles for easy EMS access.  One person will await 
    the arrival of EMS personnel at the front of the building
    and provide direct access to the emergency entrance.

5.  The first priority is to maintain effective CPR.
6.  Once begun, CPR will not be discontinued until
    A.  effective spontaneous circulation and ventilation 
        have been restored 
    B.  the patient is transferred appropriately
    C.  the patient is pronounced dead 
7.  All actions, medications, treatments, vital signs, etc 
    will be documented on the Code Tracking form by the
    person acting as scribe:
8.  If  EKG strips were run or they are to be labeled as to 
    time run and attached to the Code Tracking form.
9.  All persons participating in the code will be recorded 
    on the Code Tracking form.
10. The most senior clinical person shall accompany patient 
    to the hospital.  Hospital Transfer record and a copy of 
    the Code Tracking form should accompany patient at time 
    of transfer.  
11. An incident report will be completed by the most senior
    clinical person on the scene.  This report along with a 
    copy of the patients chart, Code Record and   
    progress notes will be reviewed by the Medical Director.
12. An in-depth or root cause analysis will be conducted. 
Approved By Governing Board    
Control #77.1