O.K. another cold code. I don't want to make a long post about something we have all experienced. Nursing is the human response to health and health conditions. Would it not be more appropriate if we were equally important to determining the patient's code status as is the MD? If for no other reason than that nursing is collaborative and we would be concerned about the patient. Under ideal circumstances survival to discharge for a code is roughly 1 in 100. Modified codes are less than ideal circumstances.The patient is informed that to be intubated means a life on the respirator and consequently decides, with the MD, that a modified code is appropriate. How often does the patient know that the possibility for survival to discharge, after a code, without a protected airway is zero? The MD is preforming outside his expertise in assuming that the patient's response to the health condition would be to prefer no intubation without the possibility of d/c. The MD lacks the tools necessary to make an appropriate nursing diagnosis.