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Blue Cart and Stat Pages for Pharmacists (3.9)

Blue Cart and Stat Pages for Pharmacists (3.9) - Policies, Clinical, UWHC Clinical, Department Specific, Pharmacy, Decentral

3.9

POLICY & PROCEDURE




Effective Date:

January 2004
⌧ Pharmacy Policy Manual
Chapter: Decentral
Operations Procedure Manual
Chapter:

Policy #: 3.9

… Original
⌧Revision 4/2014
Page 1
of 3
Title: Blue Cart and Stat Pages for Pharmacists



I. PURPOSE: To establish a policy and procedure for Pharmacist response to overhead “Stat”
pages and participation with the cardiopulmonary resuscitation team (Blue Cart Team).

II. POLICY: When “Dr. Stat” or “Blue Cart” or “Anesthesia Stat” is paged in the hospital
(including Intensive Care Units/Emergency Department/Cardiac Procedures Laboratory) the
appropriate pharmacist(s) shall respond and carry out designated tasks.

III. FORMS:
A. UWH # 1280007 (Rev. 09/2008) Resuscitation Report
B. Charge form generated from the Stock List Database

IV. PROCEDURE:
A. Pharmacist(s) who shall respond to “Dr. Stat” or “Anesthesia Stat” pages are:
1. Only the pharmacist(s) responsible for the Patient Care Unit in which the “Dr.
Stat” or “Anesthesia Stat” page was called (i.e., not the Blue Cart Team
pharmacists).
a. Pharmacist(s) who shall respond to the Cardiac Procedures Laboratory
1. Pharmacist responsible for covering B6S3 (TLC-South)
2. Pharmacist responsible for covering F4/5 (limited to 0700-2200)
2. There will be no direct pharmacist response for “Medical Response Team” or
“Rapid Response Team” or “Strong Team” stat pages.
3. Pharmacists who shall respond for ADULT “Blue Cart” chimes to the paged area
during the hours of 0700-2200 are:
a. Pharmacist responsible for covering B6S3 (TLC-South)
b. Pharmacist responsible for covering B4/5
c. Pharmacist responsible for covering the ED Monday through Friday
(limited to 1330-2200 Saturday, Sunday & Holidays)
d. Unit pharmacist covering the area on which Blue Cart occurs
4. Pharmacist personnel who shall respond for PEDIATRIC “Blue Cart” and
“NEONATAL “Blue Cart” chimes to the paged area during the hours of 0700-
2200 are:
a. Pharmacist responsible for covering B6S3 (TLC South)
b. Pharmacist responsible for covering B4/5
c. Pharmacist responsible for the Pediatric ICU
d. Pharmacist responsible for the Neonatal ICU (limited to 0800-1800 as
single/same pharmacist covers both PICU and NICU beyond these
hours)

POLICY & PROCEDURE




Effective Date:

January 2004
⌧ Pharmacy Policy Manual
Chapter: Decentral
Operations Procedure Manual
Chapter:

Policy #: 3.9

… Original
⌧Revision 4/2014
Page 2
of 3
Title: Blue Cart and Stat Pages for Pharmacists


e. Pharmacist responsible for covering the ED Monday through
Friday(limited to 1330-2200 Saturday, Sunday & Holiday)
f. Unit pharmacist covering the area on which Blue Cart occurs
B. Pharmacist personnel who shall respond for overnights to all areas for “stat” and “Blue
Cart” pages from 2200-0700.
1. Pharmacist Nights Critical Care
2. Pharmacist Nights ED/PEDS
C. Group pager #8382 “PHARMACY BLUE CART GROUP CALL” includes all the
designated pharmacist pagers that respond to a “Blue Cart” beyond the “Unit pharmacist”
as listed in IV.A.3 through IV.B.

D. Management of the number of pharmacy staff responding to the “Blue Cart” page:
1. The pharmacist staffing the unit where the “Blue Cart” was paged shall
determine the appropriate number of pharmacists, and which individual
pharmacists should stay based on experience, workload, and the number of
pharmacists required to optimally care for the patient
2. Recommend at least two (2) pharmacists be present during a “Blue Cart”.
3. The decision on who should stay shall be made immediately and the remaining
pharmacist(s) will return to their work area.
E. The Pharmacist shall:
1. Respond to requests for medications and prepare them immediately or obtain
needed medications/infusions which are not available in the emergency tray from
central pharmacy or other available locations.
2. Anticipate needs for medications and have them available and ready for use.
3. Assure appropriate drug therapy is being used according to ACLS or PALS
guidelines. Recommend proper dosing and selection of medications as
appropriate.
4. Provide drug information as requested by physician in charge of the Blue Cart or
as deemed necessary (i.e. dose, rates, incompatibilities, etc.)
5. Designate someone to chart necessary information on the Resuscitation Record
(UWH Form #1280007 – revised 04/2008) if unable to serve in that capacity.
When charting is completed, the pharmacist will allow the physician in charge of
the resuscitation to review and sign the resuscitation record. Then the pharmacist
will leave the white copy (patient’s medical record copy) on the unit to be filed in
the patient’s chart. The yellow (resuscitation committee copy) and pink
(pharmacy copy) copies should be sent to the Adult Critical Care Pharmacy
Manager for further distribution.

POLICY & PROCEDURE




Effective Date:

January 2004
⌧ Pharmacy Policy Manual
Chapter: Decentral
Operations Procedure Manual
Chapter:

Policy #: 3.9

… Original
⌧Revision 4/2014
Page 3
of 3
Title: Blue Cart and Stat Pages for Pharmacists


6. At completion of the Blue Cart, the appropriate charge form is generated by the
pharmacist. The charge form is found in the emergency drug box or emergency
tray.
7. Ensure drugs from crash carts and emergency boxes are replaced as per P&P 8.7.
8. Participate in any post-resuscitation review and complete, sign, and date
necessary paperwork.

F. Defined ICU coverage during a “Blue Cart”
1. While the pharmacists from B6S3 and B4/5 are responding to “Blue Cart” pages:
a. The B6N3 pharmacist will cover the B6S3 pharmacist responsibilities
while two pharmacists are staffed in TLC.
b. The F4/5 pharmacist will cover the B4/5 pharmacist responsibilities
while two pharmacists are staffed in Cardiology.
V. References and Related Policies, Procedures
A. Pharmacy Policy 8.7 “Management and oversight of Emergency and non-emergent
kits, boxes, and trays.

VI. Coordination:
A. Authored by: Pharmacy Manager, Patient Care Services and Emergency Preparedness
B. Reviewed by: Steve Rough, MS, RPh.
C. Committee Approval by: PPIRC


Approved By: ____________________________
Director of Pharmacy Services

Date: ________