I get so frustrated sometimes at work. I work cardiac telemetry, and we have a lot of high acuity patients and frequent codes sometimes. I consider myself good under pressure, and I like the feeling of using my brain and skills to the max during a code. I get so mad when some nurse freezes up and leaves the room or someone else has to go code their patient. Not just new nurses, either. One nurse has been there for 30+ years and still I have yet to see her slap that code button on one of her patients. She hovers and flits around until someone runs in there and starts compressions and yells for help. To me, this is just simple incompetency.I precept and mentor a lot of new nurses - how can I teach this? It seems an elusive quality. I try to look at it like this - the patient would be dead if they were at home, so basically everything you do at that point is helping. There will be one of two outcomes - and it seems to be about 50-50, although we have been lucky this month and I think every one of our codes has lived and done well afterward. I hate to say that I "like" a code - but I do like the adrenaline rush and the feeling of accomplishment when someone survives. We get a lot of sudden VT and VF - it's just the nature of our floor and the types of patients we care for. We are all required to certify in ACLS protocol every year - so why the lame nurses that run from it? The way I look at it, if a nurse is going to be that indecisive and harmful to the patient, then get the heck out of cardiac nursing! Sorry for the rant, just had a bad couple of weeks - tired of working with people who won't get up and haul a$$ and do their best when needed.