So, I am crazy..LOL! My hubby, who is a paramedic, and I (I am a floor nurse at an assisted living...one nurse per shift for all 160 patients!) take ACLS together every two years...kind of like a 'date' so we can work together and see the differences in our jobs and find new respect for eachother (after 2 years, the nurse vs paramedic thing starts up a bit..LOL!). We really enjoy this time, even though I once knew this stuff like the back of my hand *SIGH*, and now a days feel like a total doofus! LOL!
So here I was, actually shaking as I entered the MEGA CODE. For those that have never taken ACLS, this is when you must be a leader for a code, and they throw you some pretty scary cases. You are not just responsible for CPR and AED/Defib, but the entubation, iv, meds (stating how much, how long push, etc). Okay..hi I am a floor nurse for an assisted living facility..not like I am running around tubing folks and doing IV's...but I was going to give it my best! (my answer to v-tack was "funny little squiglies" and normal sinus "more familiar funny little squiglies"...LOL!).
We got an EXCELLENT ER MD that oversaw the mega code. A pure blessing! He would ask what you do and make the situation according to what you really would see or do! So here I am...around ER nurses, cardiac nurses, paramedics..then little old me! LOL! They are going off on all the meds, tubing folks like pros (well the nurses got a bit hung up..but they don't do it all the time like the paramedics do)..and then it was my turn......LOL!!!!
SO I am asked, so what do you do...and I looked around and said "comedy relief!". I explained that I work in a assisted living facility that despite nurses pleas will not get an AED...and to be honest...he could give me a patient and I could honestly say "I would call 9-11, find the polst, and do CPR PRN". So he was so cool, said.."okay...lets pretend that your top administrators mother was just saved by an AED and you got one at your facility...lets go"...
It was still a comedy after that...I went into how I would have to get the AED which was in the middle of my facility, if even put back, that was located at the direct opposite of my location and down stairs. I would run and dodge walkers and wheelchairs the whole way, jumping over them like a clutzy gazelle, get it...do the same thing again...get the thing attached..and oh my...POLST, DNR...LOL!!!!
We had a good laugh, but really...I did okay. Memorized the algorhythms well so I knew what to give when despite never having to do it! But my mindset...at least I know, and can assist in situations where I may be the only other one there (please GOD make sure I am not alone with a ACLS kit!!! LOL!!!!!! OH that poor patient..broken teeth from tube placement will be the least of their probelms when I am done..LOL!).
Oh yeah...I aced
..whew..I was really nervous!!!
So, this leads me to a question... do you feel that all facilities, even LTC and Assisted livings should have AEDs? (not necessarily a code cart...but at least an AED!). We discussed this as a class at length..and we all feel that it should be there..heck, people may be DNR...but are all staff DNR???? OR family visiting???
What do you think, and should it be mandatory that all medical facilities have one???
Mar 7, '05
THanks! I was so nervous I was unsure of myself..but I started laughing and feeling more comfortable giggling with the paramedics and RN's more skilled than I (at my expense..that seems to work for me..LOL!)..and I relaxed and only got 3 wrong on the exam! WOW!!!!!! Blew me away!!!!!
Anyway..I thought it was a great thing to learn (or in my case re-learn) because it helps me to hone in on what a paramedic or ER nurse is going to need/want to know in order to get a move on, and not waste so much time having to sort everything out in order to make a choice in meds especially! I can now think about warning someone of certain histories or current treatments I may not have considered previously to have made a difference. Saw cases that reminded me of so many 9-11 calls I have made and how I actually did make a difference by getting the info out (if I was being listened to..LOL!). And heck, at least get them into a position because I know what they may do and how that recliner is really going to hinder things..LOL!
I had fun...I think it would be great to teach it in a 'nurse friendly' way so that us nurses know what paramedics need to know for continuity of care
. Of course mine class would be more comedy and also 'what they need to know and why"...but how fun!!!!
And gee, go figure I think all places should have an AED especially medical! There is a great trend going on in my county where police now carry them YEAH!!!!!!! But alas, my facility has REFUSED them saying it would take too much training, to much money, and all our pts are DNR..and when I brought up the family or staff thing..they told me not to do CPR or anything on them because of liablity (yeah BS!!! I so will treat to the best of my abilities!)....They are ignorant, stubborn, money pinching, and totally WRONG. I will tell them that when I leave (hopefully soon, that home loan is almost complete!! YEAH!!!!!!!).
Last edit by Antikigirl on Mar 7, '05