[burn out]

One night we got a new admission into ICU from ER. It was a female patient being admitted with COPD in her 40's. She did not appear to be in distress and was able to talk with o2 on vital signs were all within normal limits no red flags anywhere. Her nurse got her admission assessment done without incident and pt settled in. Suddenly, we are charting at the desk, when there is a loud crashing sound in her room. We run to her room to find her face first against the wall(Like she had collide with the wall at a great rate of speed) and was slideing face first down the wall, her catheter was stretched acrossed the room (connected to the bed still) her water pitcher spilled all over the floor and her heart rate dropping in the 40's then 30's then 20's call a code. It was a disasterous (sp) code having to perform it in the floor. It took forever to get her intubated and the doctor was soaking wet when he was done with that, then he had to shock her in all that water (with paddles in his hands he said..just say I was a brave man). We were calling for our strong monitor tech to help but he had run to the "Can" and could not come out. It took us an hour to get her body up out of the floor so the family could see her (we had to bind her up like a turkey and use a backboard and hoyer lift plus 6 people to lift).

I now this was tragic but afterwards we all were talking about the code and how it went and we all started laughing. Sometimes laughter is the only way to cope with this job. Are we just sick or does anyone else have codes like this and how do you cope?

[bill4745]

You are not sick. It is a stress relief.

[kittagirl]

Hi,
I know what you mean about codes two come to mind instantly.

One was a new admit that had come in with vague abdo/ chest pain, asked for a commode as soon as they arrived on the ward. Unknown to us the patient had been constipated for over 10 days and was convinced that the pain was from that (who knows) but had stashed Laxatives on their person and swallowed the whole pack at some point while in the A/E (ER).

Arrives on the ward in urgent need, asked for the commode, the constipation was solved to the extent that the commode was overflowing on to the floor.
We had just noticed the smell when we heard a loud crash, ran in to the room to find the pt on the floor covered in poo and a bit blue.

Call was put out, it was the week the new dr’s started so they ran on to the ward white coats flapping all excited until their shoes started sticking to the floor. I can still see their faces.

Surprisingly we got the patient back and was eventually discharged with strict warnings about following instructions on laxative packets.

We’ve also had one where the pt was sat in a reclining chair and we shocked them sat upright. When the shock hit the patient both their arms flew up and hit the doc on either side of them across the face, hard. I know it’s not really funny people been hit, but it was. The air turned blue………………

The worst part is with the high levels of Adreninal once you start giggling you can’t stop……….

[fultzymom]

Originally Posted by bill4745

You are not sick. It is a stress relief.

I agree! Many times we laugh at things that would not normally be funny. But sometimes you either have to laugh or cry!!

Leslie

[stillpressingon]

Originally Posted by fultzymom

I agree! Many times we laugh at things that would not normally be funny. But sometimes you either have to laugh or cry!!

Leslie

I totally agree.It's gotten to where I only tell medical people certain things b/c many non-medical people WILL think I'm being mean/sick/whatever, and I'm not trying to, but in light of everything else some things are just plain hilarious!

[TriageRN_34]

Mine was my first hospital code many moons ago where a MD jumped on a patient that was about to be shocked (he was complaining that no one was doing compressions...hmmmmm wonder why...those pads (not paddles) may not be seen but they are there!)! Took a brave nurse to knock him off to the floor!

And my part...intern with a doppler probe trying to get a pedal pulse during the shock..I took tackled him and saved him from a very harsh shock! Now this all happened at the same time, sadly the patient didn't make it...but lucky for us a MD and intern did! LOL! It was also very pleasing to tell the intern...no pulse means no pedal pulses no matter what doppler you use..and metal probe to shock BAD!"...LOL!!!!!!!

It was actually hillarious and all us nurses were just dumbfounded by the actions of the MD and intern (actually the interns came out of the woodworks like curious mice LOL!). But we all got a good laugh afterwards..even the almost 'victims'. (the MD forgot about the pads were now in place not the paddles).

[burn out]

Originally Posted by TriageRN_34

Mine was my first hospital code many moons ago where a MD jumped on a patient that was about to be shocked (he was complaining that no one was doing compressions...hmmmmm wonder why...those pads (not paddles) may not be seen but they are there!)! Took a brave nurse to knock him off to the floor!

And my part...intern with a doppler probe trying to get a pedal pulse during the shock..I took tackled him and saved him from a very harsh shock! Now this all happened at the same time, sadly the patient didn't make it...but lucky for us a MD and intern did! LOL! It was also very pleasing to tell the intern...no pulse means no pedal pulses no matter what doppler you use..and metal probe to shock BAD!"...LOL!!!!!!!

It was actually hillarious and all us nurses were just dumbfounded by the actions of the MD and intern (actually the interns came out of the woodworks like curious mice LOL!). But we all got a good laugh afterwards..even the almost 'victims'. (the MD forgot about the pads were now in place not the paddles).

OMG you almost had three codes going on at the same time.

[banditrn]

There were several of us that started at the same time on the same floor - one day a code was called, and one of our co-workers (who was known for being rather intense - and also a bit large) came RUNNING into the room, LEAPT onto the bed, which for some reason wasn't locked - and the whole bed went sliding across the room into the bed of the other patient!

I know I'm sick, cause these stories have me laughing!

[Ayrman]

Two codes stick in my mind after the several hundred - literally - I ran during my EMS career, both in-hospital as part of the ER/Code response team and in the field. One took place in a pool hall in a small town of several hundred people. When the patient was shocked his legs leapt up into the air. One wizened bystander, mouth full of chew no less, exclaimed "My God, did you see his feet jump!"

Another time we were doing a tiered response with a voly sqaud outside the metro area. One of the medics on the squad worked for us as a Paramedic for his day job. They were trying hard to get a line but hadn't succeeded by the time we met them. This was a rather corpulent lady who was down and she had a large (like AC large) vein running down the medial aspect of her right breast. He and I looked up to see what the other had been looking at, and we knew what each was thinking. We just shook our heads in unision, knowing that we would never live that down if we tried it. Fortunately there was one AC left to try and that stick hit the mark.

On the same code I went to shock the patient - think Lifepak-5 complete with paddles , this being the mid-80's - and her flesh literally rolled over the side of the sternum paddle as I hit the buttons. Through my knuckles, across my chest and God only knows where from that. We used open microphone APCOR units back then so we could have hands-off 2-way communication, and Medical Control heard a string of mild profanities come over the air. IIRC I also did a little dance. From the look on the faces of the voly squad people (think sardines in a can, there were several packed in there) you'd have thought I was going to be Code #2. Come to think of it there was a very puzzled inquiry from MC as to just what was going on.

Ayrman

[RunnerRN]

Not much up to par with those above, but I love when one of my docs is getting ready to intubate a drunk that we've been bagging, tilts the head back, and we get a nice big BURRRRP right in the docs face Even better when it is a new resident who hasn't yet learned to wear a mask when tubing drunks!