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Discussion

Codes - Your Procedure

Just curious...

I was just wondering if you guys are allowed to administer epinephrine and begin CPR (even though epinephrine would fall under ACLS) without a doctors orders? I know that when I first began working at the hospital I work at now, ER nurses weren't allowed to do anything other than page the doctor and start BLS. Now of course, the procedures are all different since I'm in the ICU/CCU.

I understand that some hospitals have strict guidelines, but if you wouldn't mind just sharing with us what nurses at your hospital or facility do when there is a code, I'd appreciate it!

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At my hospital, you can also initiate ACLS protocol (CPR, defibrillation, meds, etc) as long as you are certified. An ER doc is responsible for coming to all floor codes and they usually show up pretty quickly. They take over the code when they arrive. Things usually go pretty smoothly.

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