How was your first code blue? What role did you have? - page 2

The first code blue I ever participated in was at my first nursing job, while I was still in orientation. The patient was not mine. It was an older woman with breast implants. The nurses in the room... Read More

  1. by   Farawyn
    Quote from 808dreams
    Great topic!!

    My first code was back in nursing school, I worked as a nursing assistant and I got to watch a man in his 80s being coded. He did not make it. What was memorable to me was the fact that he literally projectile vomited and projectile diarrheaed black stuff everywhere during the code. So it was a short code and it was obvious he was dead very soon. I'll never forget it. As I recall, it was one of those cases where the family was fighting against making the poor guy a DNR....
    Yea, that was my second code. Uuuuuuuugh. Age 96.
  2. by   SororAKS
    My first code ever was when I was a student. They made us stay out of the room. It seemed like such a disorganized mess.

    Once I had graduated and gotten my license, I was working on a step down unit, and had just recently gotten ACLS certification. The code was on my unit. I got in there before everybody else did (I worked in a teaching hospital), helped the patients nurse set up the monitor and placed the defib pads, then followed protocol at that time, giving the shocks. Everything went smoothly, but unfortunately the patient didn't make it.
  3. by   TheCommuter
    Quote from SororAKS
    Everything went smoothly, but unfortunately the patient didn't make it.
    At times, it is extremely fortunate that the patient didn't make it. Death is not the worst outcome, although our death-denying society seems to believe otherwise...
  4. by   SororAKS
    Quote from TheCommuter
    At times, it is extremely fortunate that the patient didn't make it. Death is not the worst outcome, although our death-denying society seems to believe otherwise...
    Agree totally. At that time, I had not been through enough horrible codes being done on people that were not going to come out of it. I had not been in a position where I was ordered to defibrillate someone that did not want to be coded but there was nothing in writing...
  5. by   ohiobobcat
    I worked in a small critical access hospital as a new RN. I worked overnights on med-surg. We had a little old lady that brady-ed down to the 30s, agonal resps. I had not taken ACLS yet. We overhead paged the code and the ER physician, who was asleep, came down and spent WAY too much time trying to intubate this patient. Turned out the ER doc was asleep and when he was woken up for the code, he could only get one contact lens in, so he was trying to intubate this poor woman with one working eye. I recorded for that code, and had no clue what I was doing. Luckily, we were able to piece things together afterwards with what I had written down. We did get a pulse back on this woman and shipped her. I honesty either don't remember if she had a good outcome, or if we just never found out what happened to her after we shipped her.
  6. by   emtb2rn
    First hospital code was in school, 2nd semester. Got report from the nurse i was going to be with, asked if she minded if i started seeing pts, she said fine. Went to see the highest acuity first, and it was pretty much "annie, annie, annie" from there. Got rosc with cpr, wound up going with her to the unit for the rest of the shift.

    At that time, i had over 15 years ems/ski patrol experience, so it wasn't my first code. And my very first one didn't go so well...
  7. by   Coldsvt
    Quote from emtb2rn

    At that time, i had over 15 years ems/ski patrol experience, so it wasn't my first code. And my very first one didn't go so well...
    Hey there fellow ski patroller!,,,,
  8. by   CryssyD
    My first code was not actually my patient--it was my patient's roommate. I was a first-year nursing student, and I was busily doing one of the few things we could do at that stage--bathing my patient. We were busy with the bed bath, and the curtain was drawn, but we could hear the roommate snoring. She was sitting up in the chair, having come off her telemetry, and was all dressed and waiting for her son to come pick her up. My patient and I looked at each other at one point and one of us made a crack about how the roommate was "sawing wood" over there, snoring away (we hadn't covered stertorous breathing in school yet).

    Then suddenly the snoring stopped. I went to check on her, and, sure enough, she had stopped breathing. I didn't even know to pull the call bell out of the wall--I just stepped into the hall. Fortunately, my instructor was in the hall at that moment and I frantically motioned her into the room. She called the code. Thank goodness, the lady started breathing again after they threw her back into bed. I was totally freaked out by the whole thing.

    The next 2 codes I saw were run very well and I learned a lot. But I'll never forget that first one--it scared the heck out of me.
  9. by   abc123RN
    The first code I worked was as an EMT with vol rescue squad. I was an LPN and EMT-B at the time, working on medic certification. We loaded a difficulty breathing pt in the truck and I check pulse, none. One of the medics working said all the color drained out of my face when I realized what was going on. ETA to hospital was 5 min or less, EMS crew got to take pt to the ICU and his family called us a few weeks later and wanted to let those that answered the call know he was going home. He lived another 2 or 3 months at home and we got called to the house for him again one night. Massive MI, he passed that night.
  10. by   flying_ace2
    The first one I had was also in nursing school during my preceptorship on a hospital rehab unit. It was a young 40-something mother who was there recovering from an ischemic stroke. She vagaled down while on the toilet and coded right there. My preceptor brought me to watch the code and to assist with compressions if necessary. I remember it as being very chaotic, but who knows if it actually was or not. They only worked on her for maybe 10 minutes before calling it. The code itself didn't bother me as much as the aftermath when her husband got there. They had two very small children together, boys of maybe 5 and 8, and I can still hear him screaming in my head.
  11. by   Twinmom06
    my first code was on non-tele med surg. I made rounds at 2 am - stuck my head in the room and saw breathing efforts and moved on. I didn't "wake" patients at night - I just observed respirations and left. at 2:45 the aide went in to do vital signs and came out in the hall screaming that the patient was non responsive, another nurse was closer ran in and came out screaming that she thought he was dead! I booked it in there after screaming for someone to get the cart and call the code, and started compressions - he was pulseless. I was so freaked out I was doing compressions with the patient SITTING UP!!! In the end he was dead - no bringing him back. After the code was over we went to pack up his chart etc and found his DNR signed by him but not the doc yet - and our computer system still showed him as a full code - so I did the right thing. There is nothing like feeling ribs break for the very first time - still gives me shivers 2 years later
  12. by   ambr46
    My first code was an elderly hypothermia patient. I jumped right in doing compressions because I had never done them before. Apparently, when a patient has hypothermia they have to be rewarmed before they are declared dead. I got in way more hands on practice than I ever could have imagined. The code lasted nearly 2 hours. After 45 minutes of alternating compressions with the other staff, I was toast.
    Sadly, the patient didn't make it.
  13. by   MissChloe
    I'm a new nurse and have been working cardiac ICU for about 6 months, I've been to a few code blues now. I mostly take over the recorder role; I've never actually done compressions.