i'm a relatively new grad; i just finished my first year on a telemetry floor. last night i had my first patient code. now i've assisted with other code blues, but have never had it happen to my patient. i had only been her nurse for 2 hours, and had spent most of the hour prior to her condition changed in her room. i just had that "gut feeling" something was wrong, and had told my co-workers that. i was at her bedside when her r/r suddenly increased to 48 per/min. i quickly assessed pt, vitals, 02 sat, heart and lung sounds. everything was at her baseline, excluding the r/r. had charge nurse stay with patient while i called the doctor.
i had to get a little forceful with the doctor to get him to take the situation as serious as i felt it was, but i got the orders i wanted. i was finishing writing the orders, while the charge nurse was getting patient ready for transfer to icu. when all of the sudden i hear a rapid response called to my patient's room!
the patient had quickly become unresponsive and cyanotic, sats in the 70's. i paged doc stat, informed him that he needed to see her now! while on the phone with doc, i hear the code blue called! er doc comes up; primary doc comes in shortly after. patient was quickly intubated, but passed a short time later.
everything had happened within minutes (change in condition, rapid response, code blue); she just went downhill so quickly! i just feel so guilty, like i could have done more! i keep replaying the entire night, over and over. i feel sick to my stomach. do you ever get over it? do you ever quite blaming yourself?
Apr 3, '11
You did everything right!! Nice job! Don't blame yourself, you did nothing wrong, in fact, you did everything right! Unfortunately, you will always remember but it wasn't your fault.
BTW, I still remember my first code, too!!
Last edit by sunnycalifRN on Apr 3, '11
: Reason: clarification