Seen many codes in my 8 years of nursing and 2 years of nurisng school, I have lost count, don't know if this is bad or good. Worst experience-- ON call for SICU on Thanksgiving night (I worked 7p's), well come about 2300 the ER got slammed, and MICU was already at max for the number of staff, and SICU was not far behind, so got called in about MN or so, to get a patient from tele floor that had arrested, 3deg AVB rate of 20--> asystole-->whole nine yards-->rescusitated him, waiting for ICU nurse to come in to work (that would be me) to take him to the unit. Well I go in to work, go to tele, pt is on 20mck/kg/min Dopa at this point, Cardiologist was there, wanting to float TVP when we got to ICU, pt has TCP in place with good capture, get this man into elevator and if he doesn't proceed to drop his rate again, lose capture, coding him in the elevator, bascially turned up the mA.. Got him to SICU (which was full from the ER slamming party, and was overflowing into the PACU which is connected to SICU) kept him in tele bed, got him connected, vent setup, etc. No warning this mans HR shoots up to 160's, his just tachy away, well Cardilogist, wanting to float TVP to try and overdrive pace this man out of this SVT. Well the Cardiologist gets introducer in IJ, starts floating the TVP into RA and into RV, ramming this catheter down the introducer into RV, the man fibrillates, V-fib all over the place, of course the monitor that has the pacing capabilities (which is still on pt) doesn't defib also (hospital trying to save a buck), so we have to get him on the SICU crash cart monitor, and the Card. is screaming "shock him, shock him", so we defib this man without gel, no pads just paddles, stank, but it worked, well right after this the Card continues to mess with TVP, during this time we get pt on the fast patches/hands off defib pads, sure enough pt fibrillates, shock him, start the ACLS stuff, he comes out of fib for maybe 5 minutes, long enough for Card to finally decide that maybe just maybe he tickled this mans ticker to hard, well pt goes into fib again, shock he comes out for brief period, fibs again, third times a charms stays in it this time, we CPRing him, Medicating him, the whole nine yards for almost 2 hours from the time we roll into SICU, well right smack in the middle of this code the lady in the bed next to him gets a hold of her ETT and out it comes, so we got nurses(3 nurses for 7 pts in a 5 bed SICU, and my code man was singeled cause I never had chance to get report on what would have been my 2nd pt.) over there trying to bag her, we are calling another code cause this lady needs to be reintubated, well ER doc gets there an reintubates this lady, we continue coding my man who is still in fib, we finally exhaust all possible medical interventions(he was on Epi, Levo, Neo drips) and the Card calls the code at about 0330 or 0400 somewhere in there, and then the Card wants me to tell the family/wife-I said NO, its your job, I will go with you and help you tell the wife and daughter. What really breaks my heart is the wife never got to see him after we got him to SICU, cause we started coding him like 5mins after we got there.
Working in cath lab on call, have to come on a Sat afternoon, for acute MI in ER, the lady agrees to be in drug study (this is at large teaching hospital), well we get her to cath lab, research nurse is there, gives me drugs to give the pt. give them to her, and now have to wait and hour, before cath her. Well hour goes by, and Intervetionalist egages RCA with the catheter and shoots the contrast, and the lady bradys and quickly very quickly deteriorates to v- fib.Of course we call the code overhead so Anesthesia will respond to intubate, and being Sat. there is no obviously no other patients, so the family knew something was up when all these people came running by the waiting room. Well all Intervention patients get the fast patches for defib as routine, we shock her, she comes out of it, does not last she refibrillates, she is awake during most of this, (thank god she doesn't remember any of it) saying quit (at least up until she was intubated) to the chest compressions, and feeling it every time we shocked her. We defibrillated her 16 times before all was said and done. She survived, did very well, came back the following week to have lesion in LAD fixed, this went off without a hitch. Very sweet lady... Well these are my two memorable ones....