Published Apr 8, 2006
GiantHeart21
51 Posts
I was wondering if you have a special role in the code after the code team arrives if it was yuor patient that coded?
Burnt Out, ASN, RN
647 Posts
Sometimes I record if it is my patient, other times I am giving a history to the responding code team, notifying primary MD, arranging for possible unit bed.
canoehead, BSN, RN
6,901 Posts
The primary nurse usually acts as a general coordinator in my ER, reporting on history, making sure all the bases are covered based on the patient's history. You need someone who knows where all the supplies are located and how to grab and read the med protocol charts, yelling to ancillary staff to call resources in, make sure the required info for documentation is obtained and written (like position of ETT, two lead confirmation of asystole, turning the patient to check for injuries). Crowd control can be a big problem too, pull the curtains, and shoo rubberneckers outside the door until they are needed.
Tweety, BSN, RN
35,406 Posts
The patients nurse is the one who records and gives report to the code team when they arrive.
The charge nurse remains at the desk, calling docs/families and managing the rest of the floor should other patients need an RN. The other staff nurses are to help with the code, gopher, chest compressions, etc. We have residents who are in charge of the code, and the critical care nurses come down to push the meds. Respiratory to intubate.
It works like a charm if everyone understands their role.
mom23RN
259 Posts
I worked in ER so we didn't get the code team.
TazziRN, RN
6,487 Posts
:yeahthat:
One ER nurse is always on the code team but if we have a code we're lucky if we get any help!
Jennerizer, ASN, RN
728 Posts
Our entire code team is usually there within 60 seconds, so the patient's nurse gives info to the ER doc, calls the patient's doctor(s) & calls the patient's family.
Jen
burn out
809 Posts
yes as the patients primary nurse you have a very important role. You probably know the patient better than anyone else there- you should first be able to tell the doctor if the patient is in fact a code or no-code, their diagnosis and past medical history all of which will help in determining what happened to the patient and how to treat him.It is also your responsiblity to notify the family and primary and consulting physicians about the patient.