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Discussion

Have you ever heard about this?

Featured Replies

i've never known the or not to handle our/their own codes

jess

  • Expert

No place I've ever worked at or had clinical at paged overhead for a code in the OR or ER. One place didn't do it for ICU either, but the place I am now does.

one place didn't do it for icu either, but the place i am now does.

likewise. although the icu runs their own codes, the paging overhead notifies patient escort/transport so that they may be on hand to grab necessary equipment and supplies so patient care staff can attend to the patient. as for the er and the or (as well as preop and pacu), everything is kept close by and the close quarters make alerting unnecessary staff, well, unnecessary!

jess

Our in-room "code buttons" in the OR were only wired to that department. THe OR and anesthesia teams handle their own codes there. Honestly, anyone else would be useless... you want the person (CRNA or anesthesiologist) who gave meds and watched monitors prior to the code to manage it. They know the best course of recovery. There are usually enough scrub techs and anesth. techs around to run for supplies, send labs, get blood, etc. Th way those normal procedures are done on the floors is completely different from in the OR in our hospital.

Our ICU code buttons are wired into the hospital system but we use our discretion before smacking them... if the code takes us by surprise we hit it to make sure we get the drs running and resp therapist and chaplin there. If it's the 5th time the pt coded that night, has been known to be deteriorating, or the drs are already there, we just code them without the whole hospital knowing about it. There've been times that the front hall has coded a pt without the back hall even knowing about it, LOL.

I work PACU, we handle our own codes in the OR. The only time we call for assistance is after hours in PACU and after the OR team is gone and anesthesia is gone. Thankfully, I haven't been in that position yet, and I hope I never am.

Overhead pages of Code Blue go to every area of the hospital except the OR and PACU at my facility.

ER and ICU still want the rapid response and transport team there as needed. OR and PACU are already equipped for whatever arises.

Overhead pages of Code Blue go to every area of the hospital except the OR and PACU at my facility.

ER and ICU still want the rapid response and transport team there as needed. OR and PACU are already equipped for whatever arises.

It's interesting how RR teams are set up in different facilities... may I ask who's on yours? In our hospita it's an ICU nurse, the ICU RRT, and the resident/fellows on the intensivist service that month... so we rarely need to call them overhaed from ICU as they're usually already there. In the hospital I worked in, there was always a CRNA on the team but not sure who else (I was in the OR so never saw an RR team come in... only the CRNA tearing out)

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