Day of Codes - page 2
by libran1984 6,384 Views | 19 Comments
It finally happened. It was a day filled with code after code after code. The day started out great. I, an LPN, was relegated to the role of primary nurse this day. I was on a team with two competent RNs. We shared the two... Read More
- 0Jul 18, '12 by sandiego12Libran, Wow, crazy day for sure! LPN's can hang high alert heparin and ivp meds! What state is this in? I would seriously be careful about practicing out of your scope. You don't want to lose your license and if your planning on getting your RN you don't want to do anything to mess that up.
- 0Jul 18, '12 by iggyEDRNSounds like you have a great team there! Makes me miss my old ER crew. The one LPN we had in our ER helped raise me from a baby nurse, and though I'm the one that everyone comes to when they can't get an IV or lab draw, I still wish I could scream out, "Joey, Help!" sometimes;-)
- 4Jul 18, '12 by libran1984I practice in the state of Indiana. Lots of ppl comment "be sure you're not practicing outside your scope" when really, Indiana has a very liberal scope for the LPN. The only certs I carry are ACLS, PALS, and TB testing.
I once posted that one of our best IV starters in the ED was an LPN who held a dual Paramedic cert. someone responded that she was prolly such a great IV start b/c of her EMT-P cert, when really it was the opposite. She is a medic less than one year and an ER LPN for 4 years. She got all her IV start experience in the ED.
The hospital also provides training for all nurses (RN/LPN) to hang blood. That's just another thing I'm allowed to do, although admittedly, I've only done once.
My limitations are only dictated by my hospital policy which include no IVP cardiac meds, no discharge/(initial) teaching, and an inability to perform a legally binding assessment (that is the RNs job) although I am allowed to continually monitor a pt and report directly to the doc.
I sign up for a pt. An RN assesses. I care for the pt. I report clinical data to the MD and perform orders. Then the RN discharges/teaches. End of ER visit. I see the pt for two hours, the RN sees them for 20 minutes. It allows the RN to take care of higher acuity patients while I handle kidney stones, suicidal thoughts, pain issues, seizures, and septic work ups.
- 0Aug 6, '12 by BabyRN2BeQuote from Esme12I've worked at a few hospitals in L&D and NICU. At one hospital, a "Code Pink" referred to a cardiac or respiratory arrest in L&D or NICU, and at another "Code Pink" would mean infant abduction.At your facility....yes....at another? Maybe not.
At yet another hospital we had an interesting code name for someone having a baby outside of L&D. It was called "Code Zebra." Seriously, I have no idea on why it was called "Zebra."
Libran: I have read many of your posts and you are a great writer. I always look forward to reading them!
- 0Aug 7, '12 by uRNmywayQuote from bjaeramNot where I worked. Code pink is a neonatal or pediatric respiratory arrest. Missing baby I believe is a code yellow stat. Code yellow being missing patient. Its never come up so Im not real sure, thank god. Code blue, code white, see plenty of those when you have a highly geriatric demographic though!Code Pink usually means a baby is missing not coding!