Published
Ok hypothetical question here... lets say you go into a patients room right after report and you find the pt not breathing and no pulse you have no idea how long they have been like this do you call a code or not???
well, here's your choices, assuming the patient is not DNR
1. You call a code and run it until the physician says stop.
2. You don't call a code and.... do what?... call the morgue? Notify the physician immediately?... sit down and have a donut? I mean, what do you plan to do if you DON'T call a code?
Many years ago after I gave my nursing students morning report I was making rounds checking on them. I noted one of them standing at the foot of the bed literally wringing her hands and looking obviously distressed. I asked him what was going on and she said "I think they're dead!" My heart leapt to my throat and I was ready to swing into action- until I heard this tiny voice say "No I'm not!"
1.yell for help
2. start CPR- unless they are like way dead-i mean seriously if it looks like its been a few hours this is not going to help-
if you are told to stop, they are DNR, so be it, but at least you dont just stand there waiting for someone to tell you if they are code or no code and wasting precious time
I was told everyone is considered a full code until or when you find out otherwise.
I have not worked in a situation that would warrant the decision, but when I was doing clinicals at a nursing home, I wondered what the protocol would be. As a student, or maybe a floater, you might not know off the top of your head whether there was a DNR order signed or not. So therefore, (I was told) everyone is a full code upon arrival and must initiate life saving measures until otherwise informed. I can see the reasoning in this, but then again it's a strange subject.
Can anyone verify this? I never did verify the information, or ask for verification, which I should have!
Blue
tx2007, RN
277 Posts
Ok hypothetical question here... lets say you go into a patients room right after report and you find the pt not breathing and no pulse you have no idea how long they have been like this do you call a code or not??? I would say yes, but I asked several nurses and they couldn't give me an answer!!!