Respiratory Arrest
Legacy Content
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Data Integrity Rule -as of 5 June 2000
Never use 100-03 as primary admit diagnosis. Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:
- A. Code Blue is called
- B. Code Blue record is completed
- C. Pulse is present
- D. Intubation is required
- the above provide "minimal" guidelines to follow, however not all cases follow the exact rules. If it looks like resp arrest and smells like resp arrest, code it as resp arrest.
- Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc. This always be coded first.
- If patient progress to full cardiac arrest then don't code resp arrest. That is redundant.
- see: Unwitnessed Cardiac Arrest
- see: Witnessed Cardiac Arrest and Cooling Protocol BRR
Discussion
Template:Discussion I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks!GHall 22:03, 7 July 2011 (CDT)
- I do code respiratory arrest for some situations that do not fit the above rules. If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards often use their own familiar chart forms/addendums rather than the "Code Blue" record for such events; therefore, I do not stick to the rule " "Code Blue" record is completed".
I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).Mlaporte 16:49, 19 July 2011 (CDT)
- I only call it resp arrest if a code blue sheet is completed. Intubations in the ICU are not considered resp arrest unless a code blue is called as well because it is a controlled environment set up for critical issues like this. A resp arrest is an emergent event and should be treated as such. If intubations occur during a 25 code on the ward, a code blue sheet should be completed ideally by the ICU staff. You could probably argue that one as a resp arrest without the sheet but I think this is rare. This needs to be clarified Trish. --LKolesar 13:07, 20 July 2011 (CDT)
- ICU staff do not respond to "Code 25" at some community hospitals. The ER doctor and RT respond. Mlaporte 21:12, 21 July 2011 (CDT)