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Mock RRT To Code

This document outlines a mock rapid response team (RRT) simulation to code scenario involving a 60-year-old woman with altered mental status. The scenario involves responding to a call about the restless and agitated patient, assessing her declining condition, initiating the code, performing CPR, and converting the patient's rhythm. Equipment for the simulation is listed. The scenario progresses from assessing the patient and calling the RRT, to the team arriving and monitoring the patient's worsening status and converting rhythm, to post-resuscitation care. Instructions are provided for the participants to respond appropriately to the patient conditions and monitor readings provided by the educator during the role play.

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Rosalinda S Cambri
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162 views3 pages

Mock RRT To Code

This document outlines a mock rapid response team (RRT) simulation to code scenario involving a 60-year-old woman with altered mental status. The scenario involves responding to a call about the restless and agitated patient, assessing her declining condition, initiating the code, performing CPR, and converting the patient's rhythm. Equipment for the simulation is listed. The scenario progresses from assessing the patient and calling the RRT, to the team arriving and monitoring the patient's worsening status and converting rhythm, to post-resuscitation care. Instructions are provided for the participants to respond appropriately to the patient conditions and monitor readings provided by the educator during the role play.

Uploaded by

Rosalinda S Cambri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Mock RRT to Code Altered mental Status

RRT to Code 99
Equipment:
 Adult Non-rebreather mask
 Adult BVM
 Emergency cart with back board, defibrillator, adult & infant defibrillator pads,
 AHA Posters (CPR, Post ROSC care)
 Poster: screenshot Epic Code Narrator
 Code 99 paper down time flowsheet
 Bedside table, easel, Vital sign machine

Introduction: At this station we will present case scenarios using role play r/t Rapid Response
for acute Altered mental Status progressing to cardiac arrest. You will be expected to
appropriately respond to the clinical scenario prior to the arrival of the rapid response and code
team. All the equipment you need is in the room. The team leader role will be assigned. Please
speak clearly when performing an action. The instructor has the answers to your questions re:
patient condition.

Scenario:
Dorothy Bloom is a 60-year old obese woman with history of major depression on Prozac
(Fluoxetine) 60 mgs daily, admitted three days ago for chief complaint of “generally feeling
down, unable to sleep for a month”. Admitting diagnosis of Major depressive disorder with
dysthymic symptoms. Fluoxetine dose was increased to 80 mgs daily on admission. This
morning, the nurse noticed that Ms. Bloom has been restless, pacing back and forth in the
hallway. When the nurse asked how she is feeling, the patient states “I don’t know. Something
is not right. I have to get out of here. I’m starting to feel very weak and dizzy. I’m scared. Please
help.” You note that she is diaphoretic, flushed, with hand tremors. When the nurse asked Ms.
Bloom to stop pacing and have a seat, she became agitated. What are your actions?
Appropriate responses:
 Call for help. Diall 1111 and call a Rapid response.
 When other Psychiatric unit staff arrive, help patient to chair, and obtain vital signs
Educator: Provide VS: BP 180/90, HR 130, RR 28 and shallow, SPO2 86% on room air
 The RRT team arrives
 Other RNs arrive to assist with the code cart, glucometer and ECG machine.
Educator: What are your next actions?
Appropriate responses:
 Primary nurse gives a brief SBAR report to the RRT team
 (TL) assigns roles: compression, ventilation, documentation, defib/monitor, medication
 Place 100% non-rebreather mask on patient

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Mock RRT to Code Altered mental Status

 Place defibrillator electrodes to monitor rhythm


 Turn on Zoll monitor
 Obtain finger stick glucose
 Ensure IV access
Educator: Simulate sinus tachycardia on monitor. “Monitor shows tachycardia. Fingerstick is 88.
Ms. Bloom becomes unresponsive.” Simulate ventricular tachycardia on monitor
Appropriate Responses:
 Check for pulse and respiration for 5 < 10 sec. Count out loud
Educator: “No pulse. No respiration” Maintain v tach on monitor.
 Place board under patient
 Start compressions. Count out load
 Call code 99, include location
 Start ventilation
 Document
 Analyze rhythm in AED mode and follow instructions
Educator: Maintain v fib on monitor
Appropriate Responses:
 Continue compression
 Continue ventilation
 Complete 2cycles at 30: 2 C:V ratio, check pulse and analyze rhythm in AED mode
Educator: simulate NSR on monitor after 2 cycles. “Pt. has converted to SR. Code team arrives.”
Appropriate Responses:
 SBAR handoff
 Post ROSC Care
Appropriate Responses:
 Consider advanced airway
 Perform 12 lead ECG
 Check response to verbal and tactile stimuli
 Articulate need for targeted temperature management if non-responsive
o Apply Arctic Sun cooling pads
o Articulate temperature range 32 – 34C for 24H
o Connect cables
o Initiate treatment: turn on Arctic sun, select hypothermia option, confirm temp
range, start therapy
o Empty pads for transport
o Disconnect pads
When Pediatric RN is in group
Educator: have RN demonstrate current BLS techniques

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Mock RRT to Code Altered mental Status

Appropriate Responses:
 1 rescuer CPR 30 C:2 V
 2 Rescuers CPR 15C:2Vwith and position change

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