Simulated Code Interdisciplinary Team Training
Effective crisis resource management (CRM) and adherence to current ACLS algorithms within the interdisciplinary Code Blue response team is integral to OHSU’s ongoing commitment to quality patient care.
The purpose of Simulated Code Interdisciplinary Team Training (SCITT) is to train high performing teams to respond quickly and safely in cardio-respiratory arrest situations. The goal of the SCITT program is to improve safety, reliability and patient care by improving communication and avoiding errors. The Code team at OHSU is an interprofessional team that includes a Critical Care Fellow, Anesthesiologist, Respiratory Therapist, Pharmacist and three ICU RNs.
The SCITT Session
The SCITT session is an interprofessional mock code followed by a facilitated debriefing session.
- Duration: 1 hour session that include mock code, debrief, and evaluation
- Frequency: 2-3 times per month
- Locations: In-situ; locations vary
- Mock Sessions: Code Blue, involving scenarios with simulated cardiac arrest victims
- Emphasis of the program: is on crisis resource management (CRM) principles and advanced cardiac life support (ACLS) protocols.
- Who is involved: Everyone that carries a Code Blue pager
CRND (Code Responder Nurse Development)
The Code Responder Nurse Development (CRND) committee was developed to identify and address nursing issues related to code response and to provide annual team training for code responder nurses. Membership includes representatives from the Rapid Response Team, the Medical ICU, the emergency development and acute care. CRND meets monthly and is actively involved in efforts to improve code response. Past initiatives include implementation RN to RN follow ups after code blue events and development of First Responder Nurse Development training for acute care and clinics.
FRND (First Responder Nurse Development)
First Responder Nurse Development (FRND) is a program developed by the Code Responder Nurse Development (CRND) committee to provide hands on code training for acute care and clinic nurses. FRND sends two code responder nurses to areas that request training. We provide training specifically designed for the location and patient population of the area requesting the training. During FRND training we review when to call a code versus the rapid Response team. We review how to call a code in any given area and what to do until the code team arrives. Emphasis is placed on performance of high quality CPR and early defibrillation of a shockable rhythm. Most FRND training include a low fidelity simulation with manikin, a fully functional code cart and either an AED or defibrillator.