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Discussion

Which unit has the most code blues?

Is it the ER? ICU? In one hospital orientation we were told it was interventional radiology.

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  • Experts

Probably interventional radiology......If you are messing with the heart things go haywire. They are usually not called over head because you have what you need there...but an overall number yes it is probably interventional radiology. Then the ED then ICU.

In my hospital, among in-patient units, I think CCU and the CV surgical ICU have the most - but they also seem to have the more successful ones also.

  • Author

Thanks. We had an unorganized med surg code recently and I just wondered...which unit gets more practice. It isn't us for sure.

Thanks. We had an unorganized med surg code recently and I just wondered...which unit gets more practice. It isn't us for sure.

Codes on the floors usually are a disorganized cluster - it's not unique to your facility! Critical care nurses (including ER) are just calmer because they do it more. I work on a MICU and fortunately the ICU team is pretty good about getting patients and or families to agree to DNR status before a code happens. Our patient population is a bit more "hopeless" than someone with a bad ticker and not a lot of other comorbidities.

I would say IR and CVICU.

From the sounds of the overhead page, IR. I don't know actual statistics in my hospital though, and the ICUs don't page out their codes.

The most inconvenient spots - like radiology.

Only partly joking.

From the sounds of the overhead page, IR. I don't know actual statistics in my hospital though, and the ICUs don't page out their codes.

Neither do ERs usually so that's hard to figure out.

I work in the ER and we have codes all the time, but we do not ever call them overhead, so its hard to compare to other units that do.

The most inconvenient spots - like radiology.

Only partly joking.

Or the parking lot or lobby!

As of late we have a LOT of code M and rapid responses in our attached medical building and/or the lobby.

I think (as others have pointed out) the units with sicker pt's have more codes (and IR). I worked on a cardiac step down unit and we had codes on a pretty regular basis. It was still a bit of a mess but we had them enough that someone usually knew what was going on. We were all ACLS too. Lots of Rapids too. But that's usually to be expected with post MI's, cardiac drips, lobectomies, etc. They're just more fragile.

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