169 - Breaking the Code: The Key to Code Blue Simulations in the OR
Description: Caregivers have been unable to identify signs and symptoms of the declining patient within the OR setting. When a code blue is initiated, caregivers do not know their defined roles and closed-loop communication does not occur between members of the interdisciplinary team. An interdisciplinary team was established and includes perioperative educators, practice council members, anesthesia staff, and facilitators from the simulation team. The practice council identified the caregiver’s interest in improving responses during a code blue. The council gathered information from each service line to determine specific educational needs. Monthly interdisciplinary meetings took place to design patient scenarios and service specific educational materials. The team determined five caregivers was the optimal amount to participate in each code simulation. Working in conjunction with simulation team, materials and equipment were identified and gathered for the simulation. Practice council members distributed a survey to all caregivers to ascertain specific educational needs surrounding emergent situations in the OR setting. The survey was used to design educational materials and patient scenarios which promote an increase in caregiver knowledge and patient safety. Mock code simulations were scheduled and performed over the course of several months. The experience was setup in stations which included education, a pre-brief, code simulation, and debrief. The simulations were performed in two operating rooms simultaneously allowing for a maximum of 20 caregivers to participate each day. Caregivers filled out an evaluation after the simulation experience. Caregivers were able to identify patient decline in the surgical setting and increase confidence during code blue situations. Caregivers are able to recognize specific roles and responsibilities during a code blue. Closed-loop communication was improved between all members of the interdisciplinary team. Feedback from caregivers is continually used to improve the code simulation experience. Long-term goals include tailoring the code experience for each service line providing service specific patient scenarios. Additional emergency simulations will be offered including positional challenges, aborted counts, and malignant hyperthermia.
Co-Authors: Michael Shimmel, Charika Burns, Donald Hopkins, Kaitlyn White