Code status

Nurses General Nursing

Published

I've been a nurse for over 3 years, and this is the first to me. Had a patient code, suddenly. she was stable for the days that I had her. When she was found down, a the moment my thought was to put her in a safe area and had another nurse help because where she landed was in a tight space in her hospital room. Rapid/code team was paged, Doctor was there and I was talking to him about her being dnr/dni while I was doing that the other nurse was already preforming CPR and husband stated he wanted CPR on his wife. CPR was continued and when everything was over the topic with us was she was dnr/dni why was CPR started, it was all a fight or flight situation and I feel like it's my fault for not announcing her code status while placing her body in a safe place.
 The code team didn't ask who's the nurse instead asked a nurse about her code status, normally when a team is called they say out loud " who's the nurse". There was a lot of people in the room trying to bring her back, but wasn't able to. It was chaotic! Not one in that room asked what happened, who's the next of kin, it was all docs and code team talking to each other and the assigned nurse wasn't asked for. 
 I feel like I failed at my job, and feel so bad for both patient and family member because of my lack of communication. 

She didn't  code. She died . She didn't want anything done.

You're right, she didn't. What does the doctor or nurse tell the husband when he's in the room watching her get CPR? And has hope. We knew she wasn't going to make it, but husband was hopeful. It was all a crappy situation and sad to witness, especially her code status not being wished. 

Specializes in Psychiatry, Community, Nurse Manager, hospice.

Her husband overrode her decision. Was he her healthcare proxy? Who paged the code team? Don't beat yourself up over this, but do think about what you want to do differently if it happens again.

+ Add a Comment