Objective

The CPR (Cardio Pulmonary Resuscitation) committee is formulated to provide better services when medical emergencies arise to patient, hospital staff or visitors requiring immediate medical attention. The committee is composed of a multidisciplinary team of medical and non-medical staff. The committee is responsible for establishing and overseeing the policy on Cardiopulmonary resuscitation.

Scope

Applicable to all the members in the CPR committee and Code Blue Team.

Constitution of the committee

1. Intensivist/ Consultant (Chairman)
2. Anaesthetist
3. Operations & Quality Manager
4. In-charge – Medical services (Secretary)
5. Nursing Superintendent
6. Clinical assistants (3)
7. OPD in-charge
8. ACLS trained Nursing In-charge
9. A representative from PET/CT department
10. A representative from the Radiology department

The chairman shall have the authority to invite any non-member to attend the meeting, if it is deemed fit in relation to any matter being/ or to be deliberated by the committee.

Quorum

The minimum quorum for passing any resolution in the committee should be 50% of the members present in the committee with chairperson being mandatory.

Frequency of meeting

Members of the committee meet once in two months.

Selection of members

1. Chairperson – Selected by the chairman of Apex Committee
2. Secretary – Selected by the chairperson, he or she is also a member of the committee
3. Members – Selected by the chairperson

Responsibilities

The resuscitation committee shall be responsible for:

1. Ensuring adherence to resuscitation guidelines and standards
2. Defining the role and composition of the resuscitation team
3. Ensuring availability of resuscitation equipment and appropriate resuscitation drugs
4. Ensuring code blue team members are assigned for all the three-shift (Morning, Evening and Night)
5. Planning adequate provision of training in resuscitation
6. To reorganize and make a better response to Code Blue calls
7. To make sure that all are aware on how to address a medical emergency and how to activate code blue.
8. Conduct Mock Drills for Code Blue
9. Audit of resuscitation outcomes
10. The committee should keep a Survival statistics
11. Review necessary policies and protocols, algorithms etc related to Code Blue as per American Heart Association recommendation on Resuscitation Procedures
12. Review of CPR TOR and Code blue policy of the Hospital
13. Auditing – To ensure high-quality resuscitation service the CPR committee should audit:

• The availability and use of equipment and drugs (Every day checking is done by the nurse in each shift based on a checklist)
• Resuscitation decisions are taken (each event).
• Critical incidents leading to a cardiopulmonary arrest or occurring during the resuscitation attempt (each event)
• Where the audit has identified deficiencies, steps must be taken for corrective and preventive action to improve performance.
• The resuscitation committee must receive appropriate support from the clinical governance.

Role of chairperson

• Acts as a liaison between the CPR committee members and the hospital administration.
• Is an expert in the field of CPR hence always available to advise on all the aspects of CPR
• Receives all the surveillance reports and information pertaining to CPR/Code blue, initiate necessary action based on the reports.
• Initiate research activities and surveillance programmes in the hospital.
• Keep oneself abreast with the recent developments in the field.

Role of secretary (Member secretary)

• Prepare the agenda for the next meeting
• Submission for approval of agenda by the chairperson
• Inform the committee members regarding the next meeting at least 2 days before the meeting
• The minutes of meeting shall be prepared by the secretary
• Get the approval of minutes by the chairperson
• Circulate the agenda approved by the chair person to the members and the concerned persons
• To maintain all records ( as per list) related to the committee
• Submission of a copy of the agenda and the minutes of the meeting to the quality department after getting signature from all the concerned members

Agenda

Agendas for the meeting shall be prepared by the secretary in consultation with the chairperson and signed by the chair. Then it is sent to all committee members and other experts. The agenda shall be sent to all at least 2 days before the scheduled meeting.

A meeting shall be called even by an oral / telephone communication in case of an emergency meeting. A justification for the emergency meeting has to be given.

Minutes

• Shall be prepared by the secretary.
• MoM is sent to the chairperson for the approval within three days of the meeting.
• After the approval of the minutes by the chairperson, the approved minutes are circulated within 2 days of the meeting to all the committee members and the person concerned for implementation.
• A copy of the agenda and minutes of every meeting shall be sent to the quality manager by the member secretary

Decision making

• A thorough discussion of the agenda shall be done by the committee members and based on their suggestion and recommendations the issue shall be weighed. Also as and when needed any kind of trial study may be performed and based on the outcome of it the committee will decide on that issue.
• The decision of the committee will be finally taken by a majority vote and that shall be implemented.

Records to be maintained

1. List and details of all members
2. The TOR of the committee
3. Copy of all agendas, minutes of all meeting
4. Attendance sheet
5. Copy of any other correspondence to the committee members or non-members
6. Copy of any study conducted for the sake of the committee