questions about doing CPR - page 2
Where I work, if someone is a full code (nsg home) we do CPR only if the cardiac arrest is witnessed. YOu wouldnt do CPR if they were found dead in bed. Is your policy the same?... Read More
Feb 4, '07Occupation: ER Nurse Specialty: 7 year(s) of experience in Med/Surge, ER ; Joined: Jan '07; Posts: 136; Likes: 9It shouldn't matter whether is was a witnessed arrest, a full code is a full code. I work in the ER, and have responded to codes on the floor where the patient has been dead for a while, and we work them, usually one round of drugs, and the doc calls it.
Feb 4, '07Joined: Jul '05; Posts: 5,197; Likes: 6,225Quote from NicoleRN07Yes, but have you ever worked in LTC where it was the normal to have some very independent patients that could have been dead for 7+ hours because it was the night shift and these particular patients don't get checked every two hours. I have seen what you are advocating doing in the prison where someone is dead for several hours....No doctor is there of course.....The patient is brought into the medical bay and everyone plays at doing chest compressions/ventilations until they can clear it with the provider on call to stop.It shouldn't matter whether is was a witnessed arrest, a full code is a full code. I work in the ER, and have responded to codes on the floor where the patient has been dead for a while, and we work them, usually one round of drugs, and the doc calls it.
Again, I don't think someone can really understand the difference until you have worked in both LTC and the hospital settings. I would do just like you in the hospital but that is the hospital with the resonable expectation that these patients are checked every 2-4 hrs bare minimum.
Also, keep in mind as the nurse in LTC it is your decision to make if you don't feel comfortable not starting CPR on patient that has been dead for several hours...start CPR...call 911...and let the paramedic (on the advice of the medical director) call it. Just because the policy gives you that option doesn't mean you have to follow it.
Feb 6, '07Occupation: gratefully retired Specialty: Palliative Care, NICU/NNP ; Joined: Jan '06; Posts: 470; Likes: 63Quote from bill4745In the state of California 2 nurses are allowed to declare death. I would feel really stupid doing CPR on someone without a pulse, respirations, cold and stiff and dilated pupils.No, everyone is coded, even if cold and stiff. (I work in a hospital.)
It seems to me that if you fail to do CPR on a pt without a pulse then you are declaring death, which your nurse practice act probably does not allow you to do.
Feb 6, '07Occupation: LPN Specialty: 2 year(s) of experience in LTC?Skilled and dialysis ; Joined: Feb '07; Posts: 85; Likes: 42I also work in LTC/nursing home. If a resident is a full code we must administer CPR whether cardiac arrest has been witnessed or not. Most instances if res has been gone for any length of time the RN in charge can cease CPR when he/she sees fit.(can call time of death sooner if res cold and stiff hten if still warm and having a chance!)