Document Type

Article

Publication Date

4-17-2024

Abstract

With the advancement of modern medical practices and technology, the lives of patients have been prolonged, and their outcomes have improved. Patients who were once in intensive care units are now cared for on the medical/surgical ward, while patients who are now in the intensive care units would not have survived a century ago. However, when all measures have been exhausted, a patient may enter cardiac arrest, triggering a cascade of life-saving interventions in an attempt to achieve resuscitation, more commonly known as a “code blue.” The research and implementation of new evidence-based practices has been slow when discussing the processes of code blues, leading to survival rates that have not kept up with those of other medical interventions. Each year, there are over 290,000 in-hospital cardiac arrests (IHCA); of those, only 25% will survive to hospital discharge. The struggle in researching IHCA comes with their infrequency and quick onset, relying on retrospective research. With that, accurate documentation and recording is necessary in order to make significant observations and changes in the code blue process. Interventions that would improve the quality of cardiac arrest recording include incorporating a universal form of documentation across institutions, designating appropriate staff as the recorder in a code blue, adding advanced cardiac life support education to all registered nursing curricula, and establishing a structured environment with proper placement of the recorder during a cardiac event.

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