Okay people, I've been nursing for 1 year and 6 months to the day. i have never had to call a code or rapid response. I work on a tele floor. Here's the scenario:
ay shift coming in, Nurse aid tells me "her IV is out" I go to the room with the aid, remove the IV and ask her how she's doing. She says "I need something to eat" I tell her "honey your gallbladder isn't working the way it should and the doctor wants to continue you on the ice chips, are you getting tired of them?" She say's "look at me. I'm getting weak because I haven't had anything to eat" (this woman is 100 years old, no a candidate for surgery and the only past history is ileus, and GI bleed). I say "let me get with him once he gets here and we'll se what we can do" she says "what's he doing, trying to kill me" and we all, including the patient began to laugh. I told her, "let me get another IV inserted, your doctor normally comes in by 0730. (he doc is one of those who will write you up for not having I/O charted, for not having an IV inserted......he likes to write people up.)
0715: Anywoot, me and the on-coming go to insert a new IV,(i couln't get one on her, they just blew everytime you flushed). We get the IV in and the on-coming says to her, "we're back in business (the on-coming is married into the patients family) well the patient doesn't say anything and she starts breathing really shallow. The on-coming looks at me a says "she doesn't look good" I say "dude, we were just shooting the s#### in here with her". She tries to get the patient to talk to her but she doesn't, she shakes her and the woman doesn't respond. I get a monitor, o2 monitor, and bp machine in the room : 35.7 72 24 116/64 83%.
We turn up the O2 to 4L, no change, the patient starts to close her eyes and the on-coming says "she's going to die, I'm calling a code" before I could say, no, get rapid response, a code is announced. Everyone comes charging in the room. I say "we really just need a rapid response, she has a pulse" but doctor preceeds with the code. Resource nurses come in and say "is she really 100 years old, my god!" I had someone call the family and they said they wanted everything done for her. Primary physician notified he said "just stop the response", told him the family didn't want that. He came to the room looked at her and said "I'm going to try and change the family heart" he tried and tried but they wanted everything done.
Well the patient got transferred to the ICU. I got her transferred, called report, and finally realized, school is out, my son has been at home alone for almost an hour and a half. Why did this happen to me? I called home and my son didn't answer the phone, so i think ok dad has told him not to answer the phone, then i think someone has gotten him, as my anxiety attack proceeds, the primary comes and says "why didn't you call rapid response?" I looked at him and said 'dude, my son is at home alone...............I've gotta go" he says "that's not what I asked you. I said "I thought a rapid response would be appropriate but a much experienced nurse thought the code was the way to go" he walked off
My question is, would you have called a code or rapid response?