Codes: Can we administer code meds without MD present?

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Recently, was having a discussion with a friend who mentioned a code situation in which Epi was drawn up and administered without the MD being present (was en route to the NICU) or aware. At my facility, I've never been engaged in a code when the MD wasn't either present or on the phone having contact with the nurses, and so I was wondering if someone could please clarify for me whether or not we are allowed to administer code drugs without the MD "ordering" them. I realize we are responsible for knowing dosages, protocol, etc. Any takers?

Thanks! :)

Specializes in Neonatal ICU (Cardiothoracic).

Wow this is an OLD thread!

Like Kate said, in the event there wasn't an MD/NNP already in the unit, I would have called already if a kid was crumping, and they'd be on their way. Otherwise, NRP kicks in, and as long as you follow the protocol to the letter, you're covered. At least if your unit policy is to do NRP in an arrest situation.

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Specializes in Level III NICU.
Wow this is an OLD thread!

Whoops, didn't even notice!

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