Preview

Code White Case Study

Good Essays
Open Document
Open Document
619 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Code White Case Study
Good Evening,

There has been some confusion on the coming “Code White”. I hope to eliminate some of the confusion with this email.

Code White is an organized response to new onset neurological symptoms that may be acute ischemic or hemorrhagic stroke symptoms. This process has been being worked on in the stroke committee and education for the last year. It was approved by IPC last month and is going for final signatures.

In May the emergency department ended it service with Mayo Clinic for Telestroke services as any extension of the existing contract would have committed us to them for another year. We were still in negotiations with the new company and our inhouse neurologists, Dr. Baker and Dr. Sullivan covered for the interim. This process however required that there was a stroke team in place in the emergency department to ensure the timely treatment of stroke patients. Instead of giving them training on one process in May and retraining them to a new process once our new telestroke company started in August, we chose to do training that would ensure they were
…show more content…
Sullivan and Dr. Baker are off( which will be abour 4-5 weeks during the year). 7 of their neurologists are credentialed through YRMC and began providing service in the ED on August 2. To ensure that there was a prepared ICU CWRT in place when we went live with Code White, we began training the ICU RC, relief RC, and a couple of other ICU responders in June. This early training has allowed them to become familiar with the process prior to implementation of Code White. They have occasionally been able to observe ED strokes to help them understand the process. Dr. Baker, Dr. Sullivan, and myself all gave lectures to the ED and ICU CWRT on the role and expectations of the team. Dr. Sullivan has two similar teams in Tucson and has lent her expertise in their

You May Also Find These Documents Helpful

  • Good Essays

    I was able to communicate effectively with Russell and perform the adequate patient education. I familiarize with the orders and MRA system. In addition, the simulation tested my nursing critical thinking…

    • 857 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    On Wednesday 04/27/2016, at approximately 2320 hours, FHE Security Officers Christopher Paz, Omar Alonso and Steven Evans were dispatched to the Special Care Unit (SCU) room #37 for a (51S) Patient Standby in ED. Upon arrival at 2322 hours, we met with ED Registered Nurse Lisette Van Windt who stated that she had called Security to standby because she needed to go to the patient room. The patient, Eugene Whitford (DOB: 06/20/1966–FIN# 85561610) is a Baker Act patient who had been agitated and uncooperative with nursing staff. Mr. Whitford had been very loud and using curse words towards medical staff. Security stood by while Nurse VanWindt went inside Mr. Whitford room to administer medication and check on him. Security did not have to go hands…

    • 144 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    The first step in a RCA is to form a team that will be beneficial to the analysis process. Ideally, this team should include 4-6 people as well as be interdisciplinary in nature so as to provide unique perspectives on the system operations and interventions at hand (Ogrinc & Huber, 2013). Additionally, the team members should be from all different levels of the organization so as to foster appropriate changes if necessary in the system. Based on the case study presented, it would be important to have a nurse present from the unit/department where Nurse J and the LPN work, a respiratory therapist, a doctor that works for this hospital in the same capacity as Dr. T, a risk manager and a member of the quality improvement team. After the team is formed, the first step in the process is to identify what happened. In this particular case study, Mr. B was over sedated, not correctly…

    • 3223 Words
    • 93 Pages
    Better Essays
  • Good Essays

    They found the answer in the establishment of a remote monitoring and consultation center. The center was staffed with physicians and nurses who could monitor patients and advise staff at multiple locations. Hospital staffs were initially not pleased with the “oversight”. They felt like others were looking over their shoulder. It only took a couple of successful consultations and catches by the center to convince the staff they were not there to evaluate their performance, but rather to assist them in providing the highest quality of care to their…

    • 576 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Balas, M. C., Vasilevskis, E. E., Burke, W. J., Boehm, L., Pun, B. T., Olsen, K. M., … Ely, E. W. (2012). Critical care nurses’ role in implementing the “ABCDE” bundle into practice. Critical Care Nurse, 32(2), 35-47. http://dx.doi.org/10.4037/ccn2012229…

    • 954 Words
    • 4 Pages
    Good Essays
  • Good Essays

    I think that black codes were an attempt at reestablishing slavery. They forced African-Americans to work. If they didn’t work or if they ran away from their job they would either be forced to return or go to jail. Since they had to go back to work they usually ended up back on plantations. States were allowed to decide on “separate but equal” laws, keeping blacks apart from whites. The Jim Crow laws end up enforcing segregation. Also African-Americans had to have a place to live and they usually couldn’t vote unless they had a grandfather that voted before the civil war. Southern whites wanted their slaves back. And this is the way they tried to do it.…

    • 118 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    The road begins with the end of the Civil war and the ratification of the thirteenth amendment, which was a straight road ahead at full speed. Then the road gets better when crossing the Freedmen's Bureau Bridge which transitioned freedmen from jobless and in poverty to the “other side of the bridge” which had employment and education options. However, soon after there was a road block, the Black Codes. The black codes limited the rights of blacks and tried to keep them from citizenship be they found a detour with full speed ahead. This detour was the 15th amendment which protected the right to vote for blacks. Then there was a slight turn away from citizenship and a bump in the road. The bump was the Jim Crow Laws. The Jim Crow laws separated…

    • 171 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Trauma Leadership Role

    • 559 Words
    • 3 Pages

    There is a current equivalent nurse within the inpatient setting, which is known as the rapid response nurse. The rapid response nurse is a member of the medical team who responds to deteriorating patients outside of the ED. Their role has been shown to improve team dynamics, patient outcome and communication, be effective in leadership and rapidly identify the deteriorating patient (Gilligan, 2005; Jolley et al., 2007). It has also been identified that trauma nurse coordinators within the military setting have shown improved performance in trauma care by implementing clinical practice guidelines, improving patient care processes and refining policies (Fecura et al., 2008). Combining the rapid response nurse with the emergency trauma nurse role and introducing some of the military policies could further improve the leadership skills a trauma team needs in an emergency resuscitation situation.…

    • 559 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Essay On Black Codes

    • 574 Words
    • 3 Pages

    The main way white southerners attempted to limit the freedom of former black slaves was through the use of Black Codes. The Black Codes were the white southerners way to keep African American in legal bondage as second class citizens. The laws were created after the Civil War mainly to keep African Americans as indentured servants. Black Codes controlled almost all aspects of life, and prohibited African Americans from the freedoms that had been won. While new laws prevented the owning of slaves they found a way to through legal loopholes to guarantee that blacks would serve as their laborers. Although the laws varied from state to state, the main goal of the laws were the same, keep African Americans in invisible chains. Codes regulated civil…

    • 574 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    In my initial post I didn't even include worshiping or learning to read or write but I agree Black Codes also limited these opportunities as well. It simply astonishes me, and this is coming from someone who lived in Mississippi for a substantial period of time that there is not more accountabaIlity for what happened to African Americans for years. No museums really showcasing how ugly these people were treated or how at every turn their rights were infringed upon. By no means am I saying that it is everyones burden to apologize for how their forefathers acted however, we cannot disscuss how great certain inventors, Presidents, time periods, or historical eventes are and ignore how ugly people of color were treated in this country for years.…

    • 239 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    The patient was restless and gasping for air. The registered nurses quickly responded to the emergency by calling for an emergent intubation. Immediately after calling for assistance, a male wearing a surgical cap and a badge that read CRNA showed up. Though I was amazed by the entire experience, The Certified Nurse Anesthetist truly captured my attention. The encounter was intriguing to watch, as he took control of the chaotic situation and demonstrated passion, autonomy and knowledge. For example, he asked pertinent questions regarding the patients’ electrolytes and history demonstrating a strong foundation in his practice. After watching the Certified Registered Nurse Anesthetist (CRNA), I was eager to learn more about Nurse Anesthetist as a profession. I spent countless of time researching what it takes to become a successful CRNA. While still in nursing school, I strived to obtain a strong academic foundation. Though my overall GPA is 3.3, I was inducted into Sigma Theta Tau Nursing International Honor Society. Following nursing school graduation, I was still hungry to learn more about the profession. I began working in an 32-bed ICU in a rural area. I was fascinated with the amount of critical thinking skills required to care for ill patients. Less than a year, I was thirsting for more challenges. I relocated to UT Southwesten Medical Center. A biomedical Institution.. At this…

    • 1384 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    The Black Codes

    • 2025 Words
    • 9 Pages

    For over 500 years, people of African descent have shaped the course of American history. From the year 1501 to 1865 a total of 12 United States Presidents were slave owners. The group included George Washington, Thomas Jefferson, James Madison and Andrew Jackson. President Jefferson and Madison both owned slaves but hoped the institution of slavery would one day die away. "A general emancipation of slaves ought to be gradual, equitable & satisfactory to the individuals immediately concerned, and consistent with the existing & durable prejudices of the nation," wrote Madison in 1819, after he had left the White House (Warner, 2005). Other presidents had less compassion for their slaves and ordered them…

    • 2025 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    The strategy for effective training for the ER department (but can be used universally) includes the establishment of reliability in the team to reduce…

    • 936 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Recently, the hospital added a videoconference service for stroke patients arriving in the emergency room. Staff, and patients will be connected with the on-call neurologist within minutes of arrival. The physician can visually assess the patient and ask questions. The nurse and physician can collaborate on the patient’s care.…

    • 1396 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Tbon

    • 258 Words
    • 2 Pages

    other RNs in the clinic along with one unlicensed technician; all of the staff practiced…

    • 258 Words
    • 2 Pages
    Satisfactory Essays