Yes I call the team, unless there is a DNR/Advanced directives etc... If a pt ever starts a conversation like that, I start that ball rolling asap. You have to remind me what utilitarian and deontological theories would be though.
I just finshed a 7p shift in the CT ICU.
Speaking of which, we all prayed that we would not end up with the emergency case. 86 yo highly functioning Prior to Admit, with same day massive inf wall MI and RV infarct, had retavase in ER, and arrested last night, went to the OR for CABG!!! For crying out loud, aren't we supposed to die at 86?? I pray my family never does that to me. Anyway, we know how that is, emotions were just so high, they can't see the big picture, but the surgeon certainly should have. If I had been the surgeon, I would have advised we monitor her overnight. Then she would have arrested again and died w/o her chest split open. As it is, she died on the table. A few weeks ago they had another train wreck who they brought out and said she'll probably only live 20 minutes. Two weeks later, the nurses demanded an ethics meeting to d/c life support on this poor corpse. I said, that woman probaly met this lady in the light and grabbed her hand and pulled her into the light and said, "You don't want to go back there, trust me." The other nurses on said, that would not surprise them in the least!
Now, I will admit, there have been times, the team has decided that "baywatch Barbie" compressions are best. You know, total bend at the elbows, all done for the sake of a show, or a 10 minute code, or push drugs real s-l-o-w. Bring the crash cart real s-l-o-w. etc... We used to call that a gray code, fell into the gray area.
I have also had docs who refused to make a pt a no code, and a family member watch their dad be repeatedly defib'd. I told the son, don't worry, I'll call you first if BP drops, then the doc, you and your family get up here asap. The BP fell, the son came up with several sisters and brothers, they formed a circle around the bed, holding hands and refused to let the docs touch their dad. That was the best "teamwork" I have ever participated in!
Anyone see that weird movie with Nick Cage as a paramedic who put the pt's ecg leads on his own chest while he disconnected the vent, until it was way to late for any code to bring the guy back? What was the name of that movie??