Asystole during transport of a patient??

Trauma Columnist · Mar 19, 2009

If the pt is at risk for coding while in transit, you should ask for another RN or at least a tech that can do compressions, goes with you.

If the pt is your run of the mill "I'm going to have surgery" pt, then the risk is no greater than usual. I'm assuming you are travelling in well-travelled hallways? If not, again ask for help.

Aneroo, LPN · Mar 19, 2009

Always keep an ambu bag when transporting. It fits easily underneath transport stretchers. Always make sure the O2 tanks have enough supply in it, even if the pt isn't using O2.

If the patient is at serious risk for coding while en route, chances are you'll have other people with you. I agree with the previous poster- bring someone else with you, even if it's a tech to help give compressions until you return to the floor.

If possible, bring a phone with you. The most recent place I worked had phones for almost all of the nurses, so if you were off the floor or in a room, you could easily be reached. This way you could call your charge and let them know to call the doctor and that you're coming back.

diane227, LPN, RN · Mar 29, 2009

You need to sign up and take ACLS as soon as possible. Transport with oxygen an ambu bag and a mask. If you have an emergency bag, take it also.

hypocaffeinemia, BSN, RN · Mar 29, 2009

I second the recommendation to take ACLS.

For what it's worth, epinephrine or vasopressin is the first line drug for PEA/asystole, then atropine.