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

Nurses General Nursing

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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 were mocking the patient bc of her breast implants and old age, and I felt strange, at the lack of seriousness, in this very serious setting. I had participated in many other code rescues before but the code blue was scary. I awkwardly stood back while the experienced nurses did their thing, and then one of the charge nurses told me to do compressions on the patient while the other nurse rested. I was so caught up with the adrenaline and making sure to give good compressions that I failed to notice I had cut my wrist with a bracelet I was wearing from how hard the pressure was during the compressions!!! Luckily, I had gloves. Whew!

The patient did not make it.

After the code, my preceptor and I got back to business.. Well at least my preceptor did, and all that time, I was just thinking to myself, "wow, I just gave compressions to a dead person, and they didn't make it"... I felt pretty sad the rest of the shift. This was the first dead patient I had seen :( It took me a couple days to get over it, but I felt overwhelmed by the whole thing...

What about you guys.. What was your first code blue like?

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....

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.

Specializes in ER, ICU/CCU, Open Heart OR Recovery, Etc.

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.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
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...
Specializes in ER, ICU/CCU, Open Heart OR Recovery, Etc.
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...

Specializes in ED, School Nurse.

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.

Specializes in Emergency.

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...

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!,,,,

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.

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.

Specializes in Pharmaceutical Research, Operating Room.

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.

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

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