Codes - Your Procedure

[antidote]

Just curious...

I was just wondering if you guys are allowed to administer epinephrine and begin CPR (even though epinephrine would fall under ACLS) without a doctors orders? I know that when I first began working at the hospital I work at now, ER nurses weren't allowed to do anything other than page the doctor and start BLS. Now of course, the procedures are all different since I'm in the ICU/CCU.

I understand that some hospitals have strict guidelines, but if you wouldn't mind just sharing with us what nurses at your hospital or facility do when there is a code, I'd appreciate it!

[Babs0512]

Generally speaking, I believe that's it's true, the MD's order the drugs, HOWEVER, in our hospital, if you are ACLS certified, (as I am) I can run a code without an MD, or rather until the MD gets there.

I have run many codes, someone has to call the shots and keep things orderly, since most people shy away from that, I would usually step up to the plate. I would never deviate from ACLS protocol though.

I'm always very happy to give up running the code when the MD arrives.

[owensmommy]

At my hospital, you can also initiate ACLS protocol (CPR, defibrillation, meds, etc) as long as you are certified. An ER doc is responsible for coming to all floor codes and they usually show up pretty quickly. They take over the code when they arrive. Things usually go pretty smoothly.