I think that it depends on the code/family. I have participated in codes with family members in the room. One code, a respiratory arrest, went well with the pt's wife it the room, we saw the code coming so we were able to prepare her and we were ready for it. Another code, cardiac, thank goodness that pt's wife was sitting down or she may have hit the floor...other than that she did ok too, it was a long night for the patient and family...I think that if a family is to say in the room, an rn needs to be with the family and explaining what is going on... Another issue in our unit is space, after RT/Docs/Pt. Tech for CPR/lab/pharmacy/and three our four RNs, etc there just isn't a lot of room left...We had a code the other night and I so glad the family was not there for, gi bleed, pt nude, blood pretty much out of every orfice/vomit everywhere (sorry for the gross mental picture, like I said, I am glad the family was not there)...three or four unsuccessful attempts made at intubating, level one putting blood in that was just coming back out...etc...pt did not make it, nothing worked when we tried it...I was glad that the family did not have to see their loved on like that, it was not pretty and no family should have to see that, I know that I wouldn't. I guess it depends on the family though...I am still up in the air on this question, I believe in family centered care but I think that for most codes, the family should be taken out of the room into the hall, again each situation is individual...if there had been family in the room for the last code I don't know what the plan would have been...Also there is so much going on, if the family is not being talked to, they may not understand, things may be intrepreted the wrong way, especially if it is a tense code...FYI, there was a thread about this not long ago, I can't remember exactly which forum it was under...Good luck on your ethics paper, it is an interesting topic, that's for sure.