do any of you like codes?? - page 6
i have a confession...i like codes, ok, i love codes. i don't like that i like them, because, i know it means a human being is in big trouble. but my heart gets pumping, pin point pupils,... Read More
Feb 15, '08Occupation: RN Specialty: 7 year(s) of experience in Neuro/Trauma SICU ; From: US ; Joined: Feb '08; Posts: 69; Likes: 70I am a big fan of codes. It all started when I worked med/surg as an aide. I always found myself gravitating towards the sick patients, and if there was code, I was always the second of third person there.
It always sucked transporting the patients to the ICU right after a code. I felt disconnected in a way.
So when I graduated I landed my dream job working on a Level 1 Trauma SICU unit. I couldn't be happier on my unit, I get to see all the stuff I ever wanted and more.
Aug 6, '08Joined: Jun '08; Posts: 498; Likes: 334i liked them when they were still new to me. but now they're physically exhausting! nothing like sweating and messing up my hair to start my day off bad!
i'd rather they code for the oncoming shift (well, i'd rather they not code at all... but if they have to, then not on me!)
Aug 7, '08Occupation: . From: US ; Joined: May '08; Posts: 644; Likes: 552I would say that right now codes are very scary to me because I'm a new nurse. When I didn't have my license and was in school I would be interested in them and performed in one and I did get an adrenaline high. But now, I'm the one who is responsible for this person's life and I can no longer pass it off and just walk away if you know what I mean. I am more interested in prevention if there is any way possible in keeping that patient stable or recognizing if the patient is deteriorating and doing something about it before the patient gets to the point of coding. I'm more interested in that aspect than doing ACLS. I actually get more of a high carring out those steps towards saving a person's life than beating on a most likely dead man's chest and pushing drugs while watching the monitor. I want to get into ICU once I am more experienced because I view ICU nurses as the Ultimate Nurse, the nursing gods of nursing; and I hold them in high respect. I know one day I will be there, but I need to learn to crawl before I can walk.
Aug 7, '08Occupation: Nurse, of course Specialty: critical care; community health; psych ; Joined: Sep '03; Posts: 2,355; Likes: 621For me when I'm working a medical code, I get detached from the patient. The goal is clear. Time stands still. The drama unfolds as the team assembles, each member with a job to do. This is when my judgment is at its best and my energy is at its highest. When its all over I can cry or not, but always need to talk about it. When family is in the room, it's a different story. I don't like family present at codes. I need that cool aloofness to do my job and their presence sucks it right out of me.
Anyway, now that I'm in psych nursing, I don't get to be part of medical codes anymore. When they do happen, I feel like I'm all dressed up for a party with no where to go. I'm not even allowed to start an IV. I know I like medical codes because I can no longer take part in them. I have to be a bystander. I miss it.
Aug 19, '08Occupation: RN - Vascular/Thoracic Surgery Unit Joined: Jun '06; Posts: 5; Likes: 1The only time I hate a code is when we really shouldn't be doing it. All too often we're trying to cheat death on someone who really should be allowed to go in peace. Either family can't let go or just poor preparation means no DNR order. And the poor 95 year old with dementia is worked on for what seems like forever, cracking ribs, intubating, shocking....only to revived on a ventilator in the ICU until people can make peace with it.
Aug 21, '08Occupation: RN Specialty: 8 year(s) of experience in cardiac ICU ; Joined: Jul '08; Posts: 68; Likes: 64Codes do give me a bit of an adrenaline rush, but I am much more pleased with myself after a day where I've felt like I've spent the shift about 15 minutes away from a code at any given point. I prefer being proactive - somewhat aggressive - and taking initiatives (getting them intubated, getting lines placed and drips started, etc.) and being part of the team effort to AVOID a code. After all, less than 15% of those who reach a code blue situation (in hospitals) survive to discharge - which includes those in vegetative states.