Codes in the OR

  1. 0
    Was curious about the code policy (cardiac arrest) in the Operating Room at other institutions. We are in the process of revamping our yearly competency/code management program.....what are your protocols in your hospital OR?

    - Do you call a code? or not call a code and deal with it internally?
    - Is ACLS certification mandatory or optional for nurses
    - Do you have specific roles/protocols for each team member?
    - Who runs the codes -anesthesia, surgeon?
    - Who responds to your code?
    - pediatric codes - any info
    -DNR (Do Not Resusitate)
    status... remain intact during OR?
    - Dealing with family members

    Any thoughts or suggestions would be greatly appreciated.....
    Thanks!
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  3. 1 Comments so far...

  4. 0
    Quote from lucyapple
    Was curious about the code policy (cardiac arrest) in the Operating Room at other institutions. We are in the process of revamping our yearly competency/code management program.....what are your protocols in your hospital OR?

    - Do you call a code? or not call a code and deal with it internally?
    We keep it internal, but overhead page in our department only for "anesthesia STAT"
    Quote from lucyapple
    - Is ACLS certification mandatory or optional for nurses
    Optional for everyone except open heart nurses

    Quote from lucyapple
    - Do you have specific roles/protocols for each team member?
    We have specifics for a few:
    surgeon- continue operating or at least get to a point to stop if possible
    surg tech- maintain sterile field, assist with compressions if chest is draped
    pt care asst- compressions if not sterile
    RN who comes from outside the room- document
    anesthesia- meds, airway

    On day shift, we get quite a few extra bodies, sometimes to the point we need to kick people out. Nights, sometimes we have to call PACU for help
    Quote from lucyapple
    - Who runs the codes -anesthesia, surgeon?
    Usually anesthesia
    Quote from lucyapple
    - Who responds to your code?
    Free nurses/STs, CRNAs, anesthesiologist, pt care asst
    Quote from lucyapple
    - pediatric codes - any info
    The only peds anesthesia STATs have been airway issues, so not really
    Quote from lucyapple
    -DNR (Do Not Resusitate) status... remain intact during OR?
    Typically DNR goes away unless there is a big, big discussion. This relates mostly to anesthesia giving reversal drugs. Plus, most of our surgeons won't operate if DNR isn't waived, to be reinstated as soon as patient leaves PACU or sometimes later.

    Quote from lucyapple
    - Dealing with family members
    Surgeon's responsibility at end of surgery or end of code if unsuccessful. The nurses are too busy with taking care of the patient to be going out to talk to family, although once in a great while during day shift the supervisor for the specialty involved will talk to family.


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