ACLS guide lines are check for responsiveness.... call for help... check for breathing if no, or agonal in your case give two rescue breaths, check carotid for a pulse...
if no pulse do 15 compressions... if there is a pulse continue rescue breaths until intubated or spontaneous breathing, place in rescue position. 2 breaths... 15 compressions. You did not say if she had a pulse or not, so compressions may or may not have been needed.
This sounds respiratory in origin, however there is way too much to rule out which the ER will.
The guide lines are there to encourage EARLY and quick compressions as the current O2 level should last for a minute or two until an airway can be secured... after the INITIAL first two rescue breaths are given, and then circulation assessed.
my concern is not suction as someone mentioned, that comes quick enough with a crash cart. My concern is with the lack or mouth/valve masks not being in the room to protect the initial responder from exposure.... YOU!
While I know nothing of long term care, these one way breathe into masks are in each room in hospital floor rooms. You've done a wonderful thing for this patient but need to follow up with your facility exposure protocol.
I am NOT in anyway judging your reaction, I gave mouth to mouth on my neighbor on the floor of her kitchen... we just make these decisions and they are ours to live with.
Just a thought for future codes, you never ever have to code in a bed, slide the patient to the floor and have at it there, it is safer for everyone's backs and shoulders and saves time, plus prevents dropping a patient during a harried lift procedure, the floor will do just fine.
You sound like a wonderful caring nurse, who responded quickly and I see you used your best judgement in the circumstances. My suggestions are just that to mill over for the future.
I'm an experienced ICU nurse and can code in my sleep, so it's easy for me to say what to do, as well as easy to just do it naturally, so I'm not knit picking you at all, just supportive suggestions. Above all, protect yourself, you can't help others if you don't protect yourself first
Sound to me like you did a great job, but know it's ok, to wait for protective equiptment to arrive.