codes in the ER?

I'll likely cross post this to ER sub board too...maybe Peds.

If you work in the hospital is there a protocol in place to call NICU/Pedi nurses and doctors in an infant/pediatric code?

If not, are your ER staff NRP/NALS/PALS certified?

TIA

Cross posted to peds/NICU boards

Is there a protocol in place at your hospital to call NICU/Pedi nurses and doctors in an infant/pediatric code?

Are you all trained in NRP/PALS as well as ACLS?

TIA!

Hi,

In the ER that I just left we worked our own pedi codes. The exception would be if it was a newborn that was freshly delivered, then we called down special care nursery staff, but other than that it is an ER and we were prepared to handle whatever came through the door!

HPRN

Our ER people are certified in everything. But if a mom delivers in the ambulance, home or when she gets there they call both OB and NICU as back up and to take them back to their units.

ER nurses, techs and providers are trained in PALS. It would be very odd if an emergency department was unable to deal with that emergency. That being said, there is no protocol that I know of but we would call them anyway.

For infants they call a code pink at our hospital and NICU staff respond.

All rns & docs have pals, everybody has bls. We call the pediatric hospitalist for kid codes, but that's not a written protocol. The hospitalist is in case we're successful. Having them there expedites the admission/transfer.

I work in NICU. If we called a code I don't think anyone would come. We handle our own codes. There are always docs and nnps around. If there is a newborn baby code in er the NICU nurses go. Nurses, docs, nnps and rt are all certified in NRP.

We run our own codes adult or peds. That said we call anyone who we think will be needed in case we achieve rosc, adult or peds. That includes or, cath, neuro, peds specialist, etc.

We do get ACLS and pals. The edu program runs Ed and ICU staff through a two day course that hospital educators do. On my residency there is a lot of mock codes. We have gotten to know the code carts and heart monitors well. We also get hauled to most every medical code we can. We do CPR,run the monitor, push drugs, start lines, etc so we get comfortable in code situations.

BSN GCU 2014. ED Residency

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In the ERs where I've worked, everyone is required to become PALS cert within 6 months of hire, and we run all of our own codes no matter the age. We do STABLE as well, NRP is not required but is a bonus. We rotate ACLS and PALS certified RNs on the code team who accompanies ICU to run the codes through the rest of the hospital, since our doctor goes to intubate anyway. The youngest code pink I've worked in ER was a 6 week old preemie.