help with mock code

We had a code the other day that was actually caused by a PCA narcotic OD. I guess you call resp, but after you address the "ABC" you have to come up with the reversible cause and give some thing like Narcan. Funny, the team at the code we so used to thinking cardiac/rhythm that they didn't turn off the PCA. I was a surgery nurse for 6 years and I am just learning the cardiac stuff so I was like "Narcan.... hello... Narcan... Doc, Hello... Narcan!!!! He was like, "...for what?" "Hello... turn off the PCA and give the guy some Narcan!!!!!"

Who are you practicing the codes with? Nurses? Students? Paramedics? Docs?

Just a thought for the scenario....

As for accommodating all scenarios, when I was teaching mock codes I would start out with a patient with an MI...who started out in SB with a pulse with ST elevations---VT with pulse/to VT-pulseless/VFib/---after successful shocks/meds--ST (related to EPI) but high enough to question SVT (you can mention it then) and then PEA, because although the patient went into a ST..there isn't a pulse (or it slowly became a Sinus Brady) and that would be PEA, ending with a flatline--Asystole.

Don't know if you want to mention paced rhythms but you can throw that in.

Hey JoPACURN,

I received an email message that you replied to this thread but I can't seem to find the reply. I know the first few words of the message because the email shows that much. I wonder what happened to it??? It just disappeared... *poof* :wshgrt:

Strange... Fell free to post it again

I am actually starting to do them every few months on a med surg unit just to get people more familiar with the code cart and not to panic! Generally speaking the patient is already dead so anything we do should help.

I was involved in a real code caused by someone choking on their dinner.

I think that would make a good scenario because you could also deal with the blocked airway.