Standard Operating Procedures emergency procedures

Code Blue Activation

Cardiopulmonary arrest response — CPR, code team, role assignments, debrief.

Built for: Healthcare Hospitals

What's inside this template

Recognize arrest, call for help
Pulselessness or unresponsiveness with abnormal breathing → CALL CODE BLUE (push button or page overhead). Note time of recognition.
Begin high-quality CPR
Compressions 100-120/min, depth 2-2.4", full chest recoil, minimal interruption. Switch every 2 min.
Code team arrives, role assignment
Team leader (intensivist/hospitalist), compressor, airway, IV/meds, recorder, runner. Assign roles aloud.
ACLS algorithms
Rhythm check every 2 min. Defibrillate VF/pVT. Epinephrine 1mg every 3-5 min. Identify and treat reversible causes (Hs and Ts).
ROSC or termination
If ROSC: post-arrest care (cooling, neuro check, transfer to ICU). If TOR: family notification per protocol.
Debrief
Brief debrief immediately after event. Hot wash: what went well, what to improve. Formal debrief within 7 days.

Inpatient code response

AHA ACLS-aligned

DHS Run-Hide-Fight + lockdown — get out if you can, hide and silence devices if you can't, fight ...

EPA + OSHA HazCom response — assess → evacuate if needed → contain → clean up → report. Stop spil...

New hire data collection — personal info, emergency contacts, direct deposit, policy acknowledgem...

Quick lock + tamper-seal verification for code carts in outpatient / non-clinical units.

EEOC + state-aligned anti-harassment policy. Defines prohibited conduct, reporting channels, inve...

Crisis comms workspace — stood up during active crisis, dissolved after stabilization.

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Type: emergency Category: Emergency Procedures Difficulty: Advanced Time: 30 min RN PCT Hospitalist Code Team Hospital Unit ED

1

Recognize arrest, call for help

Pulselessness or unresponsiveness with abnormal breathing → CALL CODE BLUE (push button or page overhead). Note time of recognition.
2

Begin high-quality CPR
2 min

High-quality compressions are the #1 determinant of survival. Don't stop for non-essential reasons.

Compressions 100-120/min, depth 2-2.4", full chest recoil, minimal interruption. Switch every 2 min.
3

Code team arrives, role assignment
1 min

Team leader (intensivist/hospitalist), compressor, airway, IV/meds, recorder, runner. Assign roles aloud.
4

ACLS algorithms
20 min

Rhythm check every 2 min. Defibrillate VF/pVT. Epinephrine 1mg every 3-5 min. Identify and treat reversible causes (Hs and Ts).
ROSC or termination decision
5 min

If ROSC: post-arrest care (cooling, neuro check, transfer to ICU). If TOR: family notification per protocol.

ROSC achieved → go to step

No ROSC → go to step
6

Debrief
5 min

Brief debrief immediately after event. Hot wash: what went well, what to improve. Formal debrief within 7 days.

Outcome: Event documented, family notified, debrief held.