{"id":4354,"date":"2012-01-04T10:04:25","date_gmt":"2012-01-04T15:04:25","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/im-residency\/?p=4354"},"modified":"2012-10-02T16:24:06","modified_gmt":"2012-10-02T20:24:06","slug":"resources","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/im-residency\/2012\/01\/04\/resources\/","title":{"rendered":"Resources For Code Leadership"},"content":{"rendered":"<p>Given that the overall trend, in the hospital as well as nationwide, has been a decline in the number of Codes and\u00a0an increase in the\u00a0number of Rapid Responses, Residents have expressed significant concerns of feeling unprepared\u00a0in leading\u00a0codes.<\/p>\n<p>In response to this, we have sensed the need to\u00a0implement a <strong>Code Leadership Training Series\u00a0<\/strong>which includes the following components.<\/p>\n<p><em><strong>Goals<\/strong><\/em>:<\/p>\n<p>&#8211; To improve Resident confidence in running codes<\/p>\n<p>&#8211; To educate and improve code leadership skills including leader identification, organization, closed loop communication, talking out loud, and debriefing\u00a0<\/p>\n<p>-To make a new policy for identification of code leader with tangible identification (lanyards)\u00a0to be passed off with code pager daily<\/p>\n<p>-More consistent \u00a0incorporation of\u00a0debriefing after every code, irrespective of outcome<\/p>\n<p><em><strong>Interventions:<\/strong><\/em><\/p>\n<p>&#8211; Organizing hands-on mannekin based simulation of Code Leadership using case scenarios as a boot camp<\/p>\n<p>&#8211; Ongoing monthly simulation sessions with more medically complex scenarios<\/p>\n<p>&#8211;\u00a0Ongoing education\/ refresher courses\u00a0available to MICU\/CCU residents prior to the start of their rotation (as part of their orientation)<\/p>\n<p>-Increase and make readily available resident <strong><em>resources<\/em><\/strong>:<\/p>\n<ul>\n<li>Pocket\u00a0cards ( <a href=\"\/im-residency\/files\/2012\/06\/ACLS-card-1-final.xls\">ACLS card1<\/a>, <a href=\"\/im-residency\/files\/2012\/06\/ACLS-card-2-final.xls\">ACLS card2<\/a>, <a href=\"\/im-residency\/files\/2012\/06\/leadership-pocket-card.pdf\">Roles of Leader<\/a>)<\/li>\n<li>Reference articles (<a href=\"http:\/\/circ.ahajournals.org.ezproxy.bu.edu\/content\/122\/18_suppl_3\/S640.full.pdf\">AHA 2010\u00a0Executive Summary<\/a>, <a href=\"http:\/\/www.sciencedirect.com.ezproxy.bu.edu\/science\/article\/pii\/S0300957299000805\">Resident leadership on codes<\/a>, <a href=\"http:\/\/www.sciencedirect.com.ezproxy.bu.edu\/science\/article\/pii\/S0300957211005399\">Impact of systems errors in code outcomes<\/a>, <a href=\"http:\/\/circ.ahajournals.org\/content\/112\/24_suppl\/IV-67.full.pdf\">AHA guidelines for symptomatic brady and tachycardia<\/a><\/li>\n<li><a href=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2012\/03\/Code-slides.ppt\">Educational slides\u00a0<\/a><\/li>\n<\/ul>\n<p>-Requiring code leaders to wear tangible indentifiers (<a href=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2012\/03\/Lanyard-pdf.pdf\">Lanyards<\/a>)<\/p>\n<p>-Making code debriefing a strong recommendation\u00a0after each code blue<\/p>\n<p>For any questions or comments please email <a href=\"mailto:Apranta.Deka@bmc.org\">Apranta.Deka@bmc.org<\/a> or <a href=\"mailto:Jill.Grounds@bmc.org\">Jill.Grounds@bmc.org<\/a> .<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Given that the overall trend, in the hospital as well as nationwide, has been a decline in the number of Codes and\u00a0an increase in the\u00a0number of Rapid Responses, Residents have expressed significant concerns of feeling unprepared\u00a0in leading\u00a0codes. In response to this, we have sensed the need to\u00a0implement a Code Leadership Training Series\u00a0which includes the following [&hellip;]<\/p>\n","protected":false},"author":5942,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[17636],"tags":[4856,17635,17628,4857],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts\/4354"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/users\/5942"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/comments?post=4354"}],"version-history":[{"count":1,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts\/4354\/revisions"}],"predecessor-version":[{"id":4885,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts\/4354\/revisions\/4885"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/media?parent=4354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/categories?post=4354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/tags?post=4354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}