Section 5: Code Blue/Code Green (Emergency Medical Response)

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The objective of the emergency medical response (EMR) system at the SCCA Outpatient Clinic is to provide clinical support to persons (patients, visitors and staff) who need assistance (i.e. falls, fainting) and/or are experiencing medically emergent events.

For the purposes of the Outpatient Clinic, the Code Blue team functions as a Rapid Response Team. The primary purpose of the Code Team is to bring critical resources to the patient experiencing signs/symptoms of clinical deterioration in order to help prevent cardiac or respiratory arrest. The Code Blue team is also capable of ACLS response when required.

When CPR is required, the patient's Advance Directives will be honored if the physician is aware of the code status. Any qualified person should initiate initial basic life support/CPR if appropriate.

Levels of Staff Response

CODE GREEN (BLS): available for situations requiring nursing assessment and/or intervention such as fainting, falls, and dizziness during all operational hours.

“Pull for Help” -  When you experience a code green, pull a cord station alarm activator which are located in all SCCA public bathrooms on the 1st through the 6th floors.  When pulled a Code Green response will be initiated and a qualified staff member will come to the location of the initiated “pull for help”.

If you are in an area where there are no pull cord alarms, dial 1000 and ask the front desk to page a code green and your location.

CODE BLUE (ACLS): Provides critical resources and/or ACLS response when a patient’s clinical status is beyond the ability of local staff to manage.

“CODE BLUE Button” - Push a “CODE BLUE” button located on the 1st, 2nd, 3rd, 4th, 5th, & 6th floors in various locations in patient care areas.  CODE BLUE buttons, when pushed, have both visual and auditory alarms.  They are wired into enunciator panels on their respective floors as well as to an Emergency Response Computer Terminal (Code Blue), located on the 1st floor Main Reception Desk. A trained and designated response team will come to the location where the Code Blue button was pushed.

If you are in an area where there are no pull cord alarms, dial 1000 and ask the front desk to page a code blue and your location.

Levels of Response: CODE GREEN (BLS) and CODE BLUE (ACLS) Coverage Times
CODE GREEN (BLS) CODE BLUE (ACLS)
Hours

Monday-Friday 7 AM – 10 PM

Sat/Sun & Holidays 8 AM – 5 PM

ALL OPERATIONAL HOURS

Monday-Friday 8 AM to 5 PM

  1. Outside Code Team hours (M-F after 5:00 p.m., all day weekends and holidays):
  2. The Code Blue button can still be pushed/activated, and 1st Floor Reception staff will make an overhead announcement, so that anyone available can render assistance until EMS (emergency medical services) arrive.
Responds To

All situations requiring nursing assessment/intervention:

  • Including but not limited to falling, fainting, dizziness, AND
  • For all medical emergencies during all non-CODE BLUE (ACLS) hours, AND
  • Nurse Call for the 1st and 2nd floor public bathrooms
All medical emergencies on SCCA premises.
Team Members

Local nurses (RN/LPN) from floors 1-6 in the SCCA clinic.

1st floor LPN's also respond to code green on the 7th floor, in the parking garage and circle drive.

  • 2 RNs  (ACLS Certified)
  • 2 PA-C/ARNP’s (ACLS Certified)
  • 1 MD/Attending
  • 1 Pharmacist (ACLS certified)
  • 1 Social Worker
  • 1 LPN
  • 1 Security Guard

*** Note: When in doubt, CODE BLUE should be level of response initiated ***

Code Blue / Code Green Quiz Questions

1. If you are unsure which level of support a patient requires, always default to Code Blue team.

 
 

2. To call a Code Blue, you should:

 
 
 

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