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  • 1.  Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-22-2024 16:54

    Hello,

    I'm a new clinical nurse educator and looking for tips/guidance on developing a mock code blue/emergency response drill for the ambulatory clinics.  We have several satellite clinics that pose a challenge for me to attend (over 90) so it was suggested that I develop a course that can be held every quarter and a super user would need to attend and then take this information back to their clinics.  It would be the responsibility of the clinic manager/supervisor to hold the mock code blue and I plan to have a refresher training in my annual skills day.

    Curious if any of you would be willing to share what you do for your clinics?  I have an idea, but having a hard time starting this project out.  All ideas and feedback are appreciated!

    Thank you,



    ------------------------------
    Cindy Phan, MSN, RN
    Clinical Nurse Educator- Ambulatory
    UCI Health
    Orange, CA
    714-456-7131
    ------------------------------


  • 2.  RE: Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-23-2024 11:51

    We work with our enterprise resuscitation team and go out to the clinics every other month to do a mock code. We don't announce that we are coming. Obviously only going every other month we don't get around to all the clinics but is a start. 



    ------------------------------
    Patricia Hughes DNP RN NE-BC
    Chief Nursing Officer, Ambulatory
    UK HealthCare
    Lexington KY
    (859)323-4413
    ------------------------------

    Original Message


  • 3.  RE: Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-24-2024 00:03

    Hi Phan,

    We organize yearly EMR mock drills for all of our ambulatory medical office buildings and share widely with our clinics the policies/procedures associated with EMR.

    First, we meet with our departments to review their EMR response workflows. We discuss participation for simulated drills and pick specific dates to do our mocks. We develop EMR case scenarios for adult and pediatric patients to run on our scheduled dates then debrief with the responding team. Each department gets a scorecard after the drills as feedback for process improvement and/or to identify gaps in care. 

    Maureen Pryor, MSN, RN

    Director of Ambulatory Clinical Practice

    Kaiser Permanente South Bay



    ------------------------------
    Maureen Pryor
    Kaiser Permanente
    Torrance CA
    ------------------------------

    Original Message


  • 4.  RE: Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-24-2024 10:54

    Hello Nurse Cindy Phan ... my new AAACN friend!!

     

    We have a multitude of things that has happened and will happen at Texas Children's Ambulatory clinics. There have been surprise "mock codes" where we had a Rapid Response calling us to a clinic area with a "person" lying on the floor and were directed to treat it just like the real thing. There was a full crew of doctors, nurses, MAs, RT, pharmacy, etc. There were several supervisors and several educators there to observe and lead us through it w/tips, etc.

     

    We have code cart check-offs at least annually as a competency and we go to the simulation center for practice (in groups) where scenarios are given and we just go for it and get real-time feedback. We do fun things like Word Search or Word Scramble for the code cart and small prizes are given. We also have something called RQI where we do our CPR check off every quarter.

     

    I hope this helps!! Best of Luck!!

     

    Nurse Rhonda

     

     

    Rhonda Edwards, BSN, RN, AMB-BC, CPN

    Texas Children's Hospital                                          

    Spina Bifida Nurse - Clinical Care Center 

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    Original Message


  • 5.  RE: Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-25-2024 11:17

    We are a smaller organization but our process is: 

    1. January is all RN's, MA's Lab tech's etc. get trained on code blue/emergency response at their all staff meeting  (we only have BLS carts not ACLS)
    2. Each team is then required to do 2 mock drills during the year. The nurse is in charge of running these  Some teams do them unannounced some do not.  I provide the evaluation sheet and the scenarios.  The scenarios must be relevant to the population, e.g., Women's health clinic must do one precipitous birth drill.  
    3. Since nurses are not  in our clinics at all times I also ask the MA's to go through the emergency cart annually to be a least a little familiar with it.  They submit their check off to their supervisor.  
    4. This year I happen to have a per diem RN that went to all our sites and ran a drill with them.  



    ------------------------------
    Rebekah Sherman
    Director of Nursing
    La Clinica de Valle
    Medford OR
    (541)221-3040
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    Original Message


  • 6.  RE: Emergency response/ mock codes- BLS outpatient clinics

    Posted 04-25-2024 13:19

    Cindy

    We do surprise simulated codes in our ambulatory clinics on a yearly basis which is led by our ambulatory educators. We have 26 locations, we do not do them in every department in the massive clinics, which does impact the number of times we can do this work. When we have an actual event, we do a debrief with the team led by the managers and a quality review. 

     



    ------------------------------
    Dawn Vonderheide DNP RN AMB-BC NE-BC
    Dir-Ambulatory Clinical Practice
    Kaiser Permanente
    Pasadena CA
    (714)309-2171
    ------------------------------

    Original Message


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