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?

Specializes in Emergency Department.

The first code blue I ever worked was in the field, when I was still orienting as an EMT some 17 years ago. Elderly woman down, after working on her hedges by the driveway. Fire got on scene first, defib x2, did a round of CPR, I got in a round, and one more defib and we obtained ROSC. Around that time, a transport medic unit got on scene and the medic got the tube and I rode in with the patient in a different company's ambulance, my job was to be the vent... I figure that at $7.25/hr, I was probably the cheapest vent that patient would end up being on for a while.

Pre nursing student, working CNA/ER clerk. First code I witnessed was, to be perfectly honest, a very blessed and peaceful event. Drive up patient, daughter notifies triage that pt is "passed out in the car". 2 RNs take stretcher to patient, move her to a code/trauma room. 12-lead shows a reasonable rhythm based on pt history (afib?). Less than 2 minutes later, physician notes Cheyne-Stokes and requests more nurses in addition to the 2 in the room with him. Two rounds of compressions and one shock later, the daughter asked the recorder "how likely that she will come back from all this effort?" She was very calm and collected even though she was crying some; the recorder told her that at 98 years old, it's not very good. The daughter called it instantly, to our great relief. Never saw a family more in tune with one another to unanimously make the right decision.

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