SIDS Pediatric Code
22Sep 11, '12 by harrirdSo 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 to people that don't work in stressful environments. It reminds me a lot of the camaraderie you find in the military.
When we got the call that a 5 month old was coming full arrest the tone in the entire ER shifted immediately. Everyone was instantly all business. Now I may be a new nurse, but I was a tech through nursing school in an ICU, and I'm no stranger to codes. In fact I love them. I love the adrenaline, the pace, the teamwork, the interventions. I'm what you would call a code junkie. Everyone kept telling me, "It's different with kids." Well I didn't know what to think about that. I've got young children, and every time I tried to think about it from my own perspective I wound up nauseated and just pushed it down into the pit of my stomach and went on about my business.
When they brought this baby in she had been down for at least 20 minutes. (When they called report we didn't have much to go on. We knew they were working hard to save this baby, so we just prepared for the worst.) When the came through the bay the medics were obviously frantic, but had intubated her. We were shuffling for an IO access when my best friend rocked a 24 in a single stick in her little hand. I was calling out dose calculations, our charge nurse was drawing meds, techs were alternating on compressions, and another talented newer grad was record keeping.
Our doc was "emptying the cart on her."
We tried everything.
After 20 minutes, Mom got there.
We told the doc - "She needs to be in here." She needs to see that everything possible was done for her child. The chaplain guided Mom in and sat her next to me so she could hold the baby's hand. We just kept going.
Probably 20 rounds of Epi. Doc finally called it. And I just hit my knees.
I could feel everyone else around me doing the same. And we just prayed. We prayed for that baby, and we prayed for her family. It was a moment that will be forever with me. It is different with kids. Right or wrong, it just is.
In that moment I felt like I was EXACTLY where I was supposed to be in this world. I just took a PRN job at a lvl 1 pediatric ED.
I just needed to share that.Last edit by JustBeachyNurse on Sep 12, '12 : Reason: formatting/spacing
2Sep 11, '12 by NotReady4PrimeTime, RN Senior ModeratorIt really is different when it's a child, isn't it? the mood in the room changes dramatically. Efforts will continue a lot longer than for an adult, who after 20 minutes is pretty much done for unless the CPR was of the highest quality. And there's the added layer of tragedy that this child, this baby, is dead when she hadn't even had a chance to live and her mom is never going to see her grow up. It's a hard job but a worthwhile one. Thank you for your good work.
2Sep 12, '12 by jmsnkidsGood morning--I just wanted to tell you that you are such a blessing....
I have been a peds RN for thirty plus years and was the coordinator of a state SIDS support group and research program. Your tender words about this tragedy bring back lots of memories, good and bad, for me. I know you are and will continue to be a great nurse and have the heart it requires to love kids and their families.
God bless you on your exciting and so rewarding journey.
JeanMarie---"KidsRN" from San Francisco
1Sep 12, '12 by JustBeachyNurseBeautifully written, unfortunately it felt like I was there with you. I will never forget my first pedi code (2 year old drowing during a family party. Under water for >10 minutes, no one noticed that no one was watching until the child's 5 year old sibling found the baby face down in the pool and screamed).
As a mom and a nurse, I certainly appreciate that you took the cues from mom and not only had her in the room at her baby's side but the chaplain there for support.
You have definitely found your niche. Not everyone can handle such a difficult scenario and later write about it. Kudos to you.
4Sep 12, '12 by harrirdThanks so much for all the kind words. I literally typed out that post in about 10 minutes before leaving for work. I just felt compelled to write about this little girl. It's so easy to develop a callousness in our profession and this is a part of my life I don't want to have to bury to survive long term. I just feel like these moments need to be breathe. I'm thankful this community provides an outlet for topics like these.
0Sep 12, '12 by Esme12, BSN, RN Senior Moderator((HUGS)) This baby will stay with you forever. This is "The day" that changed your path. I personally always loved peds for no matter what I put that baby through.......a hug can make them feel better. Your triumphs will be greater and the failures devastating and some over whelmingly sad.
Peds IS different.......you either LOVE it or hate it(or secretly fear it) as an ED nurse. The path will choose you and I think it's clear today where you will be going.