N.J. Admin. Code § 8:41-7.6

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-7.6 - Standing orders for asystole

(a) The following standing orders are authorized in the event that an adult patient presents with asystole:

1. Initiate CPR;

2. Confirm asystole in a second lead. If this is a bradysytolic arrest, immediately proceed to pacing. If rhythm is still unclear and possibly ventricular fibrillation, defibrillate and, if indicated, follow protocol for ventricular fibrillation;

3. Assess and secure airway, oxygenate and intubate;

4. Establish IV access with 0.9 percent normal saline solution;

5. Administer Epinephrine 1 mg IV or 2 mg ET of a 1:10,000 solution. Repeat every three minutes for a total of three administrations;

6. Administer Atropine Sulfate 1 mg IV or 2 mg ET. Repeat every three minutes up to a total of 0.04 mg/kg; and

7. Contact the medical command physician.

(b) Termination of efforts shall be considered only with the input of the medical command physician if asystole/agonal rhythms continue after successful intubation and initial medications and no reversible causes are identified. The time interval since arrest shall be considered.

(c) The total amount of solutions given via ET shall not exceed 50 cc.

N.J. Admin. Code § 8:41-7.6