Codes in the OR
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This is a discussion on Codes in the OR in Operating Room Nursing, part of Nursing Specialties ... Was curious about the code policy (cardiac arrest) in the Operating Room at other institutions. We...
by lucyapple Aug 17, '12Was 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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Aug 17, '12 by Sweet_Wild_RoseQuote from lucyappleWe keep it internal, but overhead page in our department only for "anesthesia STAT"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?Quote from lucyappleOptional for everyone except open heart nurses- Is ACLS certification mandatory or optional for nurses
Quote from lucyappleWe have specifics for a few:- Do you have specific roles/protocols for each team member?
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 lucyappleUsually anesthesia- Who runs the codes -anesthesia, surgeon?Quote from lucyappleFree nurses/STs, CRNAs, anesthesiologist, pt care asst- Who responds to your code?Quote from lucyappleThe only peds anesthesia STATs have been airway issues, so not really- pediatric codes - any infoQuote from lucyappleTypically 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.-DNR (Do Not Resusitate) status... remain intact during OR?
Quote from lucyappleSurgeon'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.- Dealing with family members
