1. MEWS- Modified Early Warning Score
VA Emergency Response
Early Response Team
For inpatients with acute changes in BP, HR, SatO2, UOP,
mental status
Code Team members will get call on Code pager
Team Members:
MICU Resident, MICU RN, ICU, RT
How to call an ERT
Inpatient Nursing staff pages & gives 3 digit bed number
Documentation: Early Response Team Call Template- CPRS
Patients with MEWS Scores >3, Charge nurse will call Med Team to assess patient – ERT will be call if team can’t be reached.
MEWS- Modified Early Warning Score
CODE Team
All codes are call by dialing Code 6911
Code Team members will get call on Code pager
INPATIENT CODE TEAM RESPONSE
Bedtower, Dialysis,, Cardiac Cath Lab, Cath Recovery, Chemo Clinic, Radiology, Bronchoscopy Suite,
Sleep Lab, GI/ MDSU, MRI, Nuc Med
Team members: MICU Resident &/or Fellow, MICU RN, SICU RN, Anesthesia, RT, Pharmacist ( day shift), Nursing Supervisor
OUTPATIENT CODE TEAM RESPONSE
Primary Care Clinics, Outpatient clinics, Lab, basement, waiting rooms, hallways, Canteen, Retail store, parking lot
Team members: ED RN, ED Tech, RT transport patient to ED
DOCUMENTATION
1. Code Recorder sheet- Becomes physician’s order sheet, must be signed by Code Leader post-Code .
2. CODE BLUE SUMMARY- CPRS TEMPLATE- Must be completed by the Code Leader in the patient’s CPRS Notes.
SCORE 3 2 1
Temp
<35
> 38.4 HR
<40
40-44
45-50
51-100
>130 RR
<7 8 9
10-14
15-20
21-29-
>30
SBP
<70
71-80
81-100
>200
LOC
Un-resp
Resp to pain
Resp voice
Alert
Confused, restless, agitated
MEWS scores are available on patient’s coversheet under clinical alerts and are 0800, 1600, 2200

2. CODE TEAM Roles & Responsibilities Primary RN Secondary RN RT Pharmacy
Roll Call
Operate defibrillator
Check AED status
Check rhythm
Check timer
Switch to manual -
Secondary RN
Check IV patency
Check blood glucose/
draw labs
Set up fluids
Deliver medications
Pharmacy
Pull out med tray
Draw up meds
Make Medication
recommendations
to Leader RT
Take over ventilating/
Oxygenating patient
Monitor Sat O2
Place upper airway
Coordinate 30:2
Assist with intubation -
CODE LEADER
Get Report
Assess Patient
Assess Situation
Determine intervention
Communicate Effectively
Problem Solve
Compressor 1
Take over compressions
from 1st responders
Check pad placement
Check pulses with
rhythm checks
ANESTHESIA
Place advanced airway
Confirm ETT Placement
Problem Solve with
Leader
Compressor 2
Check bed position
Check hardboard
Ensure compressor
hears feedback
from Zoll
Recorder
Record report from
1st responders
Track time & announce
Q2min
Control Sound levels
Recap interventions