What does CNA do during code blue? - page 2

by Ybur514

7,932 Views | 30 Comments

Hi I just got hired by one of the hospital in our state and about to start my orientation next week, I never had any work experience as a CNA in the hospital so I don't have any idea what the CNA does during Code Blue. Is there... Read More


  1. 1
    Quote from sapphire18
    Yup, gofer and chest compressions. PMFB- you have a CPR machine?!? I have never heard of this!!
    AutoPulse Non-Invasive Cardiac Support Pump - Automated CPR - ZOLL

    ^ Check that out. We don't have 'em, but some squads do. Effective automated compressions...a machine never gets tired. I think it's cool.
    Tragically Hip likes this.
  2. 0
    Quote from sapphire18
    Yup, gofer and chest compressions. PMFB- you have a CPR machine?!? I have never heard of this!!
    *** Yes of course. I don't think I have worked in a hospital of any size in the last 5-7 years that didn't have a CPR machine. The very best one IMO is the Lucas. The only downfall is that it won't fit larger patients. If the patient fits, it provides very high qualiety CPR, better than I can do and I am a big guy with lots of CPR experience. The AutoPulse is a much cheaper machine and not nearly as effective. I know this from codes on patients with art line that allow you to see exactly how effective compressions are.
    See it here:
    Welcome to Jolife • LUCAS CPR • LUCAS? CPR
  3. 0
    Y'all need towels?

    But seriously, we are not the New Orleans Saints but the ones that clean the Superdome. Most facilities will have a team of the strongest RNs/LPNs and respiratory who will show. In a nursing home, it will be a few LPNs until the EMT-B's and paramedics arrive.

    CPR is only for us a last resort and by state guidelines.

    We also seldom have access to if patients are DNR or full code. But, this depends on facility.
  4. 0
    Quote from ctmed
    Y'all need towels?

    But seriously, we are not the New Orleans Saints but the ones that clean the Superdome. Most facilities will have a team of the strongest RNs/LPNs and respiratory who will show. In a nursing home, it will be a few LPNs until the EMT-B's and paramedics arrive.

    CPR is only for us a last resort and by state guidelines.

    We also seldom have access to if patients are DNR or full code. But, this depends on facility.
    Interesting. All of our residents' name plaques and beds are marked with stickers to designate them as DNR or full code. The average person walking into our facility would never know what those stickers mean unless they worked there, though.
  5. 0
    CNAs should be gofers, if there are enough people responding to the code, then they can use their time wisely and answer call bells.
  6. 2
    Ask your own facility's trainers and, especially, unit supervisors. I'm a CNA on a medical unit where we do our own shift reports, CNA to CNA. We pass on DNR/full code information in every shift report, keep our BLS certs up to date, and have regular unit education on how to initiate codes precisely because we are expected to respond immediately and correctly in code situations.

    Patient on the bathroom floor: if I forget which patient of mine is DNR, I would look for the purple DNR band on the wrist. In its absence I am required to call a code and begin compressions. Help will be there in a minute, and, yes, I would expect RNs, docs, CCOR, etc., to elbow me out of the way soon.

    At which time I'll either be a gofer for the code team or go back to the floor and take care of the other patients. Another aide on our floor is EMT trained, and she is more likely to stay for the entire code. She is fast, strong, knowledgable, experienced, and several RNs have commented that they hope she's there when we have a code.

    Dina
    PatMac10,RN and Fiona59 like this.
  7. 0
    I am a CNA in a long term care facility. I have performed CPR 3 times in the 8 years that I have worked there. At our facility when a code blue is called everyone is expected to respond. Whoever is nearest the crash cart grabs it on their way to the code. Each time I have been there for a code, the CNA's have been performing CPR. The nurses have been calling the ambulance, and getting paperwork together. The paramedics usually have us continue CPR after they arrive as well. I think the ones most comfortable with jumping in and helping are the ones that do, regardless of whether they are a CNA or a nurse. At one code I responded to, the nurse that should have been there freaked out and hid. There are also a lot of CNA's that I work with that don't handle the codes very well.
  8. 5
    Hey, hon!

    Congratulations on the hire! You'll get some invaluable experience as a CNA. Just never forget when you're a nurse, that you were once a CNA.

    I'm a CNAII in the emergency department of a Level 1 trauma center and teaching hospital that's in the national top 10 (not bragging, just stating). In my previous job as a float pool CNAI in a very small community hospital, I was an onlooker/runner.

    Now, in my ED, we NAs are what I call the CPR brigade. The running joke is "If you're not breaking ribs, you're not doing it right!" We have a trauma/resuscitation area so all our equipment, the AED, and the code drugs are at hand. But anywhere else, grab the crash cart and yell for people to get out of the way. We do the chest compressions and when it's July and we have new students/interns/residents we instruct them on how to do properly do compressions on an actual person. (I love hearing the doctors tell noobs, "These girls know what they're doing; listen to them.") Things to remember (on adults):

    *The longer the code, the more distended and and air-filled the abdomen gets, the harder the compressions get.

    *Screw the "thirty compressions to one breath" in a hospital code. Just keep going. Someone else can worry about the lungs.

    *The tempo of CPR is (not even joking here) "Ah-ah-ah-ah stayin' alive, stayin' alive."

    You'll never feel prouder than when you have your hands over that heart, the doctor orders you to hold CPR and has everyone do a pulse check, and you hear the words, "We have a pulse." Good luck, hon. I hope this helps. Remember the Bee Gees! "Ah-ah-ah-ah...." LOL!

    BrittaLeigh313
    Last edit by BrittaLeigh313 on Jul 31, '12 : Reason: additional info
  9. 1
    where i work, anyone can call for a code if they find a non responsive patient, as every minute counts and the time it takes a cna to find a nurse to call the code could mean life or death. mostly, one cna runs for things as needed, and the others continue their regular job while it's going on.
    PatMac10,RN likes this.
  10. 0
    Quote from BrittaLeigh313
    Hey, hon!

    Congratulations on the hire! You'll get some invaluable experience as a CNA. Just never forget when you're a nurse, that you were once a CNA.

    I'm a CNAII in the emergency department of a Level 1 trauma center and teaching hospital that's in the national top 10 (not bragging, just stating). In my previous job as a float pool CNAI in a very small community hospital, I was an onlooker/runner.

    Now, in my ED, we NAs are what I call the CPR brigade. The running joke is "If you're not breaking ribs, you're not doing it right!" We have a trauma/resuscitation area so all our equipment, the AED, and the code drugs are at hand. But anywhere else, grab the crash cart and yell for people to get out of the way. We do the chest compressions and when it's July and we have new students/interns/residents we instruct them on how to do properly do compressions on an actual person. (I love hearing the doctors tell noobs, "These girls know what they're doing; listen to them.") Things to remember (on adults):

    *The longer the code, the more distended and and air-filled the abdomen gets, the harder the compressions get.

    *Screw the "thirty compressions to one breath" in a hospital code. Just keep going. Someone else can worry about the lungs.

    *The tempo of CPR is (not even joking here) "Ah-ah-ah-ah stayin' alive, stayin' alive."

    You'll never feel prouder than when you have your hands over that heart, the doctor orders you to hold CPR and has everyone do a pulse check, and you hear the words, "We have a pulse." Good luck, hon. I hope this helps. Remember the Bee Gees! "Ah-ah-ah-ah...." LOL!

    BrittaLeigh313
    Hi Britta,

    Thank u so much that helps me alot,lots of info..lol dats funny ok I will remember that bee-gees ah-ah-ah-ah and just sing it on my mind but hopefully when I encounter my very 1st patient who needs cpr I will do it right and accurate. so in the hospital its 30:1? instead of 30:2?,.now how cud I do the rescue breath is there always a cpr mask on the patients bedside table?..thank u so much! And oh dnt wori someday when I bcome nurse I'l always respect cnas)


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