IF you do c/s on unit and IF you have a PACU...
you & the staff should, by national standards, all have ACLS Certification.
Now, will you be held to the same level of accountability as the CCU nurse?No, legally I believe a good expert witness could explain the difference in your proficiency levels in court....the "use it or loose it" phrase!
REALITY: my 450+/yr unit has had FOUR FULL CODES this year!
We all MUST be proficent in our ABC's, getting Codes activated, getting equipment to bedside, recording times and filling out code sheets, knowing where items are on the Code Carts, knowing the patient's history so we can give a history to the MD in charge of the Code Team, *REMINDING THE CODE TEAM THAT THERE ARE TWO PATIENTS IN THAT BED*, (ALL pregnant women who 'code' have a better survival rate if the baby is sectioned out...remember the blood bolus from the contracted uterus? So sayeth our sacred Perinatologists), getting unnecessary 'stuff' away from bedside to make room for the Code Team, SETTING UP FOR AN EMERGENCY C/S RIGHT THERE, INCLUDING SETTING UP TO RECEIVE A CRITICALLY STRESSED INFANT, calling NICU to attend c/s, reassuring other patients, getting pastoral care for family, getting security to the unit to control the hallways and keep the 'looky-loos' away, and remembering to care for all the rest of the mothers and fetuses on the unit by helping to cover other staff's patients!
I'm sorry for being wordy....but I was the charge nurse for several codes.
Needless to say, our response to the first 'on unit' code was more disorganized than the last. Even running 'mock codes', is a helpful skill!
Hope you never, ever have to do this.