SIDS Pediatric Code - page 2
by harrird | 5,779 Views | 23 Comments
So I'm a new nurse, I just passed my 6 month mark. I took a job at a smaller, but very busy ER right out of nursing school. We have a great time there, I love my coworkers. There's just something special that you can't relate... Read More
- 0Sep 12, '12 by chaka_1709*Hugs* Your story brought tears to my eyes.
I'm a nursing student and I'm not sure if it was in class or on a thread here that was discussing whether family members should be in the room during a code. I think it is much more important to include the parents of a child than the children of a parent during the code because children are much more unexpected (in most cases). I'm sure the mom appreciated seeing that y'all did everything you could in order to save her baby's life.
- 0Sep 12, '12 by merleeI know that a code in PEDS is always different, and it is hard to describe why. You wrote this very well.
I know it is frequently a good thing for a family member to be in the room, regardless of who the patient is, during a code. Families want to know that 'everything' was done if that was their goal.
Keep us informed about your career path.
- 2Sep 12, '12 by CrazedI lost a child to SIDS in 2004. It was a grueling and horrible experience but one I have learned from. That mother has some dark days/week/months/years ahead of her but hopefully she has a strong support system. Reading the latest genetic research on SIDS there really isn't anything we can do. There is no such thing as "near miss SIDS" and once a child starts down the SIDS path there is no turning back. The latest link from Hopkins has to do with defective genes and serotonin which honestly makes a lot of sense. My child was a winter baby in a cold climate but was always sweating.
By the time we awoke to find my child it was far too late.In a way I am glad I didn't have to wrestle with the trauma of a code as well. As the mother to a SIDS baby, thank you for feeling the importance of the child. More often than not, because our children die so young no one feels their loss in the same way the immediate family does, much in the way no one knows what the mother of a stillborn or miscarried mother goes through. In the end it is the same, the death of promise.
- 0Sep 13, '12 by Bobmo88I may not be a nurse yet but I have had my fair share of pediatric codes working as an ER Tech. When I read this I was reminded of a particular code where the patient had been seen in our ER the day before and discharged but returned due to no improvement in symptoms. The patient had labs drawn and within normal limits as far as I could remember but the patient was still not getting better. We finally did a CT scan and I believe they had found some sort of cellulitis in the neck and we decided to transfer the patient. The Dr. initially wanted to transfer the patient to a general peds floor at a hospital that had a PICU just in case the patient got worse but then the nurse recommended a PICU after reassessing the patient.During this time the patient got progressively worse and then eventually started coding. We coded this patient for at least 30 minutes and did everything that we could but to no avail. A few of the nurses were in tears, especially those that had young children. As deeply saddened as I was by what had just occurred, I felt like I needed to stay strong for not only the family but my fellow coworkers. There was an autopsy done to determine the cause of death and I believe the patient had MRSA and became septic. It must have been a fairly rapid onset since the blood cultures that had been drawn initially were negative (though this particular patient had spent a very long time in our ER, they had gone through 3 different doctors) I have been through many codes but pediatric codes are most definitely different.
I was involved in another code in which the mother spoke Spanish and I was the one who had to tell her that there was nothing more we could do for her child so we were going to stop resuscitating. I think the hardest thing about pediatric codes is when the families ask you why? Why did God take my child away? My inability to give them an adequate answer was probably one of the most humbling experiences I had ever had.
Thank you for sharing your story. I will reiterate what one of the experienced nurses I work with told a younger nurse who was distraught from the first code described but had held her composure drawing up medications even though she initially did not want to. "We may not have been able to save this one but you will save thousands of kids with the skills you learned today"
- 0Sep 13, '12 by ncatincredible experience--may u always remember the power and skill u had and the power and skill god has. when i was getting my master's and had to take a course in death and dying, the instructor-a ph d herself--shared that there really is no known black and white reason for a sids baby. it was felt that the infants-who are truly just arriving from heaven-see their future before them and choose to go back to the other side.... bless u!
- 0Sep 13, '12 by ♪♫ in my ♥I had my first (and only) SIDS code about a year ago. It still stays with me... we were working this kid though it was clearly a show-code for all of us... poor kid had moved on long before we got him.
Mom and dad were there and dad just flipped out - punching the wall, throwing things, howling. I'm a dad and I've faced some scary moments with my kid and I could sooo identify with the guy's raw grief and rage.
This family had tried so hard and so long to have this kid. It was just... wrong.
I've coded lots of folks (and picked up my share of cadavers in a prior life) and pronounced a few DNRs but, for the most part, they were 'right.' This (and a couple of similar experienes - a young father killed in an MVA coming home from work, specifically) have just been 'wrong.'
For the most part, I like the drama and trauma... with the kiddos, though, I have to go home and just hold my own kid for awhile - until I get the, "Daaaad...." and 'my' life comes back into full focus.
- 0Sep 13, '12 by NurseDirtyBirdThank you so much for doing a job many (including me!) cannot do. A natural death at the end of life is one thing, but unexpected and traumatic at the the beginning of life, for all caring for the patient.
We hear "it takes a special kind of person to do what you do," all the time, but for Peds, it really really does.