RN super , code super fail...

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Hi just a quick gathering of opinion regarding something that happened at work tonight. A code was called. There was a major rift in communiction all the way down the line and altogether was a disaster. First of call, apparently no one heard this STAT even paged over head. I know I did not. Then I am being called on my unit by a frantic nurse to call 911, get an AED...who shows up to a code without an AED. I am an agency nurse so I change facilities often so , although it would be my fault, I had no idea where the AED was in this facility, and turns out there was only 2.... So still confused as to why a nurse on the third floor was calling me down on the first to address this because 1. I have no idea whats going on 2. you're completely panicked spewing information at me 3. you keep calling for all sorts of things not allowing me to address the first thing...

The phones in this building would not allow anyone to call 911, the nurse I handed report off to said that's no surprise but...what the heck?! I called from my cell and they arrived shortly... In the meantime I ran all around the building in search of AED. A CNA passing by with his phone to his ear said "It's at the front desk" So there I go wasting time in search of an AED wondering what everyone else is doing....The girl at the desk was totally oblivious and she was the one who CALLED the stat over head. I said there is supposed to be an AED here I need to find it...her response "uhh, whats that"... my response... "A DEFIBRILLATOR, to restart someones heart! People are dying here...So no AED still, I reach out to the nurse next door who is just finding out of this from me and she goes right to the AED...RN supervisor tries to be angry with her when she arrives meanwhile I feel as though she failed majorly by not bringing it in the first place or sending the other RN to grab it real quick one floor below...wasting time calling around to nurses who are not anywhere near and mostly useless.... I could not believe the nurse just calling and calling do this and that, and my supervisor giving me and attitude when I asked her to flush my nephrostomy toward the end of my shift...which was also a 7-3 task... I feel as though this was not an organized code and the facility needs to inform and inservice staff and an AED should always be taken to a code ..and the idea that 911 cannot be called from inside...is kinda scary...idk

Specializes in Oncology.

You guys need to be having mock codes, deciding who is to respond, and flagging your AEDs with some kind of overhead marker. Ideally AEDs on every floor. If not, assign which code responder brings the AED.

" I am an agency nurse so I change facilities often". This code was a cluster .. you know what. The powers that be will determine responsibility as they see fit .

In the future , know the facility protocol and where the AED is... before you start your shift.

You are a licensed health care professional, responsible to know this when you walk in any door.

CY your A.

Specializes in Pediatric Critical Care.

CY your A.

Cover your your? :saint:

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

Unless this facility is standing between you and dumpster diving, I don't think I'd go back there to work. I've heard of some code clusters, but this one takes the cake. In fact, might be worth dropping a dime to the state regulators.

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