What does CNA do during code blue? - page 3
by Ybur514 8,087 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
- 1Jul 31, '12 by tigerlogicAsk your manager.
At my hospital everyone who has patient contact-- including the housekeeping and dietary -- has CPR training and is expected to call a code and start compressions if they find someone unresponsive. period. (This would be different in LTC) Also, after many/most (?) major surgeries, DNR automatically changes to Full Code at my hosptial. If you don't know their code status start the code -- it can be stopped later. We also have a RRT (rapid response team) that's kind of a pre code blue team that gets called sometimes.
For my hospital, CNAs can clear extra things out of the room, be a runner, and answer other call lights/keep the rest of the unit calm after the code team has arrived.
But really, clarify this with the facility where you're working.
- 0Jul 31, '12 by Ybur514Quote from BenedinaHi Dina,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.
Thank u,yes my supervisor told me I can call a code too and start cpr while waiting for the team. Im gonna hve an orientation nxt week so hopefully they gonna show us proper way of calling a code blue. That code blue thing just making me so nervous..lol )
- 1Jul 31, '12 by funtimesI agree with what other people said about DNRs and calling codes. If you encounter a patient who is unresponsive, definitely not breathing(know what agonal breathing looks like) and doesnt have a pulse, and there isnt an RN or Doctor close by I would call a code and initiate CPR unless you know for a fact they are a DNR or that information isnt immediately available. Code status should be given during report at the beginning of your shift or during admission and should be in your kardex or whatever documentation on the patient you have.
Better to stop resuscitation after its initiated than to withhold or delay it unnecessarily.
You will be told exactly what your duties will be during orientation, and if you have any questions make sure you ask, as its better to know beforehand whats expected than to just wing it or continually ask what you should do during the real thing.
- 0Jul 31, '12 by PatMac10,RNAt my hospital we usually assist with CPR. We also act as "runners" to get supplies and equipment that may be needed outside of the code room. In the ER we assist the nurses I ensuring all rooms, especially our trauma rooms are well stocked. We also help prepare the room for a EMS call that requests a traumas room or if we hear a report that we feel will lead to a code. After the code it stabilization if the pt we help transport them to the ICU or CT etc... We also help with room cleaning afterward as all staff do.
- 2Jul 31, '12 by funtimesWithout getting into some bitter CNA vs RN battle, Ive worked many codes as an EMT and train for them all the time and I have seen RNs(and even an RT) do completely ineffective compressions, and do a pretty poor job of bagging a patient. Doing effective compressions can get tiring fairly quickly, so just because an RN or someone else is doing them, dont just assume they got it covered and take off. You may have to rotate in on compressions if the code drags on.
RNs might know way more than CNAs do, but not all hospital Nurses are ACLS certified, and some might not have much, or even any experience in a real code. On the other hand we have some really sharp experienced CNAs where I work who are johnny/jane on the spot with everything needed and really know what theyre doing.
- 1Aug 4, '12 by BrittaLeigh313Quote from Ybur514
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)
Always keep your CPR up to date. While this is something your facility should remind you of, do keep up with it yourself as well. Recently, American Heart Association says it's 30 compressions, breathe, breathe and then another round of 30 compressions. In a properly-stocked hospital room, an Ambu bag should be within reach. It's the plastic balloon with the mask. Always know where your critical supplies is located. Usually in an emergency setting, you just keep doing compressions for 2 minutes while Respiratory Therapy bags the patient until the doctor calls for a pulse check. Glad I could help. You'll never forget Stayin' Alive, that's for sure.