Ok, maybe I am just burned out but I am seriously annoyed at how codes are run at this one facility that I work at. It feels disorganized and almost unsafe. 1. Everyone has to run into the room. OMG! Seriously. Every RN in the ER (about 7) decided they had to be in the room. We still have about 18 patients in the main floor so I stayed out. This is plus doctor and 2 respiratory therapists. 2. The two techs were walking around the main ER and I made a comment about why was every RN in the code room. They said "they need them all in there" and started listing off jobs." I pointed out that usually in most facilities techs do compressions. Their defense was "he did a round." Seriously? Also, other facilities I've worked in we have rotated people into the code to give people a break. Think about it, even if it was just one tech in there and the other stayed on the main floor then that would have been 1 more nurse that would have been on the floor. 3. In a facility where there is a cath lab and we ice them frequently, we may have that many people in the room to help set up with the ice stuff. The cardiac ICU nurses usually run the drips and the machines. However, that is usually 4 nurses, a doctor, and the charge nurse or house sup acting as a runner. 4. We don't get codes in the ER frequently. I think of four since I've worked here which leads to a "omg! I want to do compressions." My issue is that it doesn't feel like the codes are efficient or properly utilizing resources. The main ER does not stop because there is a code. We've run codes with less people at other facilities. The chest compressors do not have to be RNs although the RNs should rotate in to help prevent fatigue. Maybe it is also a combination of EMS where we have knocked down the roles a lot less than what it used to be. What are your thoughts? How are codes run in your department?