[see original post below]
So, last nite, the nurses were talking about the code. i believe i made a comment that all i saw was people doing cpr in the room. I hope i mentioned in the post that i had been doing vitals elsewhere and came by to watch everything later. So last nite i actually heard what happend.
Remember i said that when the guy was found, he still had ryhthms, just unresponsive which is why a RR was called instead of a code. Well, the general comments by the nurses was that "it was a sloppy code." According to them, compressions weren't started till about 2omins time and they felt compressions coulda been started early. " it didn't seem like the knew what they were doing during the first minutes" one commented.
Two of 'em felt there shoulda been someone higher than the residents running the code because both the residents and interns were new and the one who was actually dictating the code said it was her first time.
One agreed but felt the it's not really necessary to have a higher doctor running the code, however, there should still be a higher person who would stand there and say "no, don't do this or do that."
The other pointed out the didn't even start pushing meds early and weren't sure of what they were doing.
Like i said in the original post, from what i observed, when they were asking for some meds, pharmacy didn't have like 2 meds they asked for. it coulda been more, i only know 2 meds weren't given.
Also, the lack of communication was soo bad no one knew what was going on.
One nurse said what about cardiology and while the other pointed out that the cardiology guy just came in to observe, another pointed out that the only reason why the guy came to our floor was because he was on the floor right above us when the thing was going on. I think i mentioned in the original post that he showed up toward sthe last 3rd part of the code.
One question i asked myself the night i blogged was that would the patient have made it through the code if the meds pharmacy didn't have had been there.
Today, the question i ask is: would he have made it if compressions had been started early and there'd been a much senior resident or some higher doctor there? I really believe he woulda made it cuz he had rhythm, he had a much higher chance of surving. Starting CPR on an unresponsive patient with rhythm 20minutes after a code starts is just a SIN!
Other thing i'm wondering is why didn't these nurses voice their concerns at the end when the cardiologist asked for opinions? Go figure!
All, in all, i've heard there've been some "sloppy" and "nasty" codes that have taken place on the floor and while this one was terrible, i heard it was a lot better than some of the nasty ones.
These docs should be glad the family is not screaming "bloody lawsuit" cuz if all these things come to light.......Only God knows what the outcome will be.
For me, it's a learning experience, i did learn from it and i hope it makes me a much smarter and better practioner.
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