I have a question: On our Med-Surg floor, we had a 80 year old patient that was A&Ox3. Her nurse had been talking to her, left the room for about 3 minutes, and when she came back, the patient had resp. of about 3 per minute, and she appeared to be dying.
Code Blue was called, we initiated CPR. We had done about 6 compressions, she had a faint carotid pulse, and was still "gasping". The Code Team arrived, and we told the physician that she still had a few respirations when we arrived (about 3 minutes before he did). She had a pacemaker, and it appeared that it was trying to "kick in" and do it's job.
He looked at her, felt for a radial pulse, and noted that it was faint. About 2 minutes later, he "called it", stating that her pupils were fixed and dilated, and that she had been dead "a while". We tried explaining to him that about 10 minutes prior to all this, she was absolutely fine. He did not listen and left the room.
My question is this? Did this physician pronounce this patient dead too quickly? We all felt very badly after this and felt that the code was not handled well at all. Did we do all we could for this patient, or did we let her die? Personally, because she still had a few respirations, I felt that we should continue, and so did the other nurses, but the doctor has the final word.