PPE requirements for Code Blues 

On 31 July 2020, we moved to a higher level of PPE requirements for our healthcare workers attending Code Blues and MET calls. All patients who deteriorate and require a Code Blue or MET response will be managed as if they are COVID-19 positive – regardless of their known COVID-19 status or setting of care.

Key change: CPR (chest compressions and bag and mask ventilation) must be conducted in Tier 3 PPE.

Please note further detail on the Code Blue and MET call PPE requirements. Site-specific details can be found here.

  • The first responders, will apply Hudson Mask O2 10 L/min on the patient if in cardiac arrest.
  • First responders apply Tier 3 and commence compression-only CPR and apply defibrillator and deliver shock if indicated as per Monash Health guideline.
  • If another first responder is available, they must don Tier 3 PPE and may commence bag and mask while they wait for the arrest team to arrive.
  • While undertaking bag-valve mask ventilation, first responders must ensure they use two-handed vice grip, straight arms, minimise breaths, maintain seal.
  • Code Blue and MET teams will don Tier 3 PPE before entering the room.
  • All airway management must be performed by the most skilled clinician available during the response.
  • Viral filters must be applied to all airway devices at the patient end.
  • Intubation or placement of a supraglottic airway: performed by senior critical care staff (Anaesthetics, Emergency & ICU registrars and consultants) trained in the principles of intubating COVID patients or by MICA.
  • Anaesthetic SRMOs can attempt placement of a supraglottic airway, if they have been trained in the principles of airway management in COVID patients.

Approved by Prof Carlos Scheinkestel and Dr Anjali Dhulia

Previous Next
Test Caption
Test Description goes like this
This website is for Monash Health employees. Please be mindful before sharing links.Learn more