As an ACLS and PALS instructor...Stay calm in a code. It doesn't get any worse than this. You can't make it worse. They won't get deader. Follow the algorithms.
My first pt coded on me 2 weeks ago. He told me "call my wife I'm dying" 30 secs later respiratory arrest. It was terrifying but I thrive in high stress situations like codes. I've work on medsurg now for a year and want to move up to medical ICU soon. Love all your videos, they're all so relevant, honest, and helpful!
This makes me feel so much better. As a new nurse, I’m terrified everyday I go into work that one of my patients are going to code considering I’ve never had to code someone before. 😂
I had a few met calls on my last prac, initially you freeze up and then the adrenaline kicks in.. I like that you really simplified what to do.. breathe for them if they arent able to and help their heart work if it isnt. such simple things that you sometimes forget in the panic of the moment, especially the first ones you are part of. btw, your hair is on point! xx
Hi Ashley, Great video as always...I think it's important to note that if you are the primary nurse, you should not leave the room as you are the source of information for the team, and probably will be the recorder as well. Love your new hair--you look beautiful!
I'm in my last semester of school. Thursday was my class's first day at a LTC facility & I had to call a code 30m into my shift! The resident was unresponsive & no pulse, so we began CPR until EMS arrived. Everyone did their absolute best, but he didn't make it. It was definitely eye opening. Like you said, pick a role & stick with it!
Hi Ashley, I live in Australia and I have just scored my first Graduate RN position starting in 2 weeks. I am thrilled :D I just wanted to say I am so happy I found your channel! I've been watching your videos for a good few months now and you're very inspirational! Keep up the videos :)
This was super helpful, thank you! I love your videos and how they relate to real life - really concise but transferable info. Also... just had two offers for my first nursing job ever and will be deciding Monday!!! :D
I LOVE your videos more than you know and I've followed you on here and your vlog channel for over a year now but I must say...I absolutely hate how short your videos are 😔 I could listen to your ICU/nursing stories for hours. Please consider doing more storytimes...I love these videos and your educational videos but I miss the ones where you just sit and talk to us. Especially the ones where you tell us the true side of nursing..the great, not so good and the ugly. 😘
Strange this video came across my feed...my stepmother fell ill last Weds. Was transported to ER via ambulance and determined she was suffering a stroke. Admitted to ICU for treatment and observation only to decline/have increase in stroke symptoms over the next 48 hrs. The night of day 2 she suffered cardiac arrest...was resuscitated, intubated, and responding...suffered a second cardiac arrest/massive heart attack...resuscitation was unsuccessful so Dr had to place her on an external pacemaker until family could arrive and make a final decision. Ive seen some traumatic things in my life, however, seeing someone on a pacemaker that was doing 100% of the work (she had no heart beat on her own) was so disturbing. Decision was made to stop all support...she died approximately 20 minutes later very peacefully with family around her bedside. The two nurses caring for her during that awful night/following day were just lovely, kind individuals. She's being laid to rest this Thurs.
Hi Ashley! I first want to say you have been a big inspiration for me! So, I'm about to take my TEAS test and I'm so nervous! I'm horrible with math and Chemistry. Nursing is my passion and I want to be a Nurse more than anything! Any advice? 😊
My patient fell over in bed with perhaps no pulse. Had my back to him doing his admission history and his daughter yelled, "Dad!" Yah. I hit the code button and then checked. He had a serious heart block that gave him a major pause in consciousness. Then you guessed it. Before I or the hoards of people that arrived could intervene, he was awake and asking us, "what's up?" Twelve hours later next shift - he had a pacemaker.
Hello! I've been following you for a while and I called my first primary code. I found out last night that he didn't make it and it's shaken me up. How do you handle it?
theonlyfaith I had my first patient code on me on Saturday (after being a nurse for almost two years). Would definitely like to see a video done on this topic. I wouldn’t say the fact my patient didn’t make it has shaken me up (we got the patient back and transferred to the ICU but they coded again later that day and didn’t make it) so much as the situation itself and the fact she had literally just been talking to me when I stepped out of the room (with a staff member still in there with her who ended up calling for help) to call the doctor to ask for an NG tube and ask a CNA to come to the room to help me clean her up. She should’ve been a DNR and on hospice given what was going on with her anyway, which I think made the situation a little worse. The best you can do is learn from the situation/experience to know better what to do next time - what went on leading up to the event? In my case, when we had gotten back to the floor after taking her to the ICU, my charge nurse started looking over her vital signs that had been documented on night shift and noticed a drop in her blood pressure over night. It was my first time having her despite her having been on the floor for a few weeks so I didn’t know what her baseline was when I had looked at her morning vitals. It was a busy morning and we didn’t have decent staffing so I didn’t get to look up a whole lot on her to supplement night shift’s report. I had been in the room probably four or five times prior to the code being called around 10:00. The report I had gotten from night shift was that an abdominal CT with contrast was needed to rule out obstruction but the patient couldn’t tolerate the contrast due to vomiting. I could’ve asked that nurse what the vomit had looked like, but didn’t think to until she had started vomiting and I went to call the doctor for the NG tube. Talk to nurses who may have taken care of the patient before. I talked to a couple who had cared for my patient within the last week and they said, “it could’ve happened to any one of us on any one of our shifts,” due to the nature of what was going on.
Hi Ashley! Based on your video, I'm guessing you're in AZ! I used to live there for 15 yrs. in the East Valley and hope to go back there as a travel nurse. What are your best tips for nursing school? I'm just starting Pharm. and Fundamentals of Nursing!
If I can add my two cents, it’s not our place as nurses to judge if a patient is Med seeking. The only thing we can do is ask the doctor to order a social worker consult if they are med seeking. But if a patient had a reason to be in pain doctors always order prn pain meds and if a patient is saying they’re in pain you believe them no matter what.
Other nurses or staff helping should leave if it's gets packed in the room I agree, but if it is your patient you should not leave the room. The main nurse needs to be available to answer questions when the code team / ER shows up.
Nikkifnp good point! I guess I did not specify that in the video. As the primary nurse you should stay with your patient. In the video, I meant that if you show up to help with a good and there are 103839293829 people in the room, then sometimes you're more "help" by leaving than staying around. :)
Nikkifnp good point! I guess I did not specify that in the video. As the primary nurse you should stay with your patient. In the video, I meant that if you show up to help with a code and there are 103839293829 people in the room, then sometimes you're more "help" by leaving than staying around. :)
What if you just clocked out of your scheduled shift, and you're walking along and you notice a visitor that codes or has some other medical emergency? Would you clock back in and help them? Or work off the clock basically?
If they have to wait for you to go clock in then it will cost them their life. If you even had to honestly question that then PLEASE choose a different field or be an office nurse.
As an ACLS and PALS instructor...Stay calm in a code. It doesn't get any worse than this. You can't make it worse. They won't get deader. Follow the algorithms.
RN here, This is actually some solid advice! Definitely something to tell myself when I am coding a patient and get nervous, it can’t get any worse.
My first pt coded on me 2 weeks ago. He told me "call my wife I'm dying" 30 secs later respiratory arrest. It was terrifying but I thrive in high stress situations like codes. I've work on medsurg now for a year and want to move up to medical ICU soon. Love all your videos, they're all so relevant, honest, and helpful!
Your hair looks so good!
Please do a video on meds you give during codes!
This makes me feel so much better. As a new nurse, I’m terrified everyday I go into work that one of my patients are going to code considering I’ve never had to code someone before. 😂
I had a few met calls on my last prac, initially you freeze up and then the adrenaline kicks in.. I like that you really simplified what to do.. breathe for them if they arent able to and help their heart work if it isnt. such simple things that you sometimes forget in the panic of the moment, especially the first ones you are part of.
btw, your hair is on point! xx
Hi Ashley,
Great video as always...I think it's important to note that if you are the primary nurse, you should not leave the room as you are the source of information for the team, and probably will be the recorder as well.
Love your new hair--you look beautiful!
I'm in my last semester of school. Thursday was my class's first day at a LTC facility & I had to call a code 30m into my shift! The resident was unresponsive & no pulse, so we began CPR until EMS arrived. Everyone did their absolute best, but he didn't make it. It was definitely eye opening. Like you said, pick a role & stick with it!
Hi Ashley,
I live in Australia and I have just scored my first Graduate RN position starting in 2 weeks. I am thrilled :D
I just wanted to say I am so happy I found your channel! I've been watching your videos for a good few months now and you're very inspirational! Keep up the videos :)
Love it. Thanks
This was super helpful, thank you! I love your videos and how they relate to real life - really concise but transferable info. Also... just had two offers for my first nursing job ever and will be deciding Monday!!! :D
You have really great topics! Thank you
My first pt coded on my second day as a new grad nurse in the ER.
Great video & I love your hair 😍
I have asthma & 17yrs ago I ended up in the icu because of it. Also I learned never to sleep with the call button.
I LOVE your videos more than you know and I've followed you on here and your vlog channel for over a year now but I must say...I absolutely hate how short your videos are 😔 I could listen to your ICU/nursing stories for hours. Please consider doing more storytimes...I love these videos and your educational videos but I miss the ones where you just sit and talk to us. Especially the ones where you tell us the true side of nursing..the great, not so good and the ugly. 😘
OKAY I LOVE YOUR HAIR
Very helpful
Strange this video came across my feed...my stepmother fell ill last Weds. Was transported to ER via ambulance and determined she was suffering a stroke. Admitted to ICU for treatment and observation only to decline/have increase in stroke symptoms over the next 48 hrs. The night of day 2 she suffered cardiac arrest...was resuscitated, intubated, and responding...suffered a second cardiac arrest/massive heart attack...resuscitation was unsuccessful so Dr had to place her on an external pacemaker until family could arrive and make a final decision. Ive seen some traumatic things in my life, however, seeing someone on a pacemaker that was doing 100% of the work (she had no heart beat on her own) was so disturbing. Decision was made to stop all support...she died approximately 20 minutes later very peacefully with family around her bedside. The two nurses caring for her during that awful night/following day were just lovely, kind individuals. She's being laid to rest this Thurs.
Hi Ashley! I first want to say you have been a big inspiration for me! So, I'm about to take my TEAS test and I'm so nervous! I'm horrible with math and Chemistry. Nursing is my passion and I want to be a Nurse more than anything! Any advice? 😊
My patient fell over in bed with perhaps no pulse. Had my back to him doing his admission history and his daughter yelled, "Dad!" Yah. I hit the code button and then checked. He had a serious heart block that gave him a major pause in consciousness. Then you guessed it. Before I or the hoards of people that arrived could intervene, he was awake and asking us, "what's up?" Twelve hours later next shift - he had a pacemaker.
Hello! I've been following you for a while and I called my first primary code. I found out last night that he didn't make it and it's shaken me up. How do you handle it?
theonlyfaith I had my first patient code on me on Saturday (after being a nurse for almost two years). Would definitely like to see a video done on this topic. I wouldn’t say the fact my patient didn’t make it has shaken me up (we got the patient back and transferred to the ICU but they coded again later that day and didn’t make it) so much as the situation itself and the fact she had literally just been talking to me when I stepped out of the room (with a staff member still in there with her who ended up calling for help) to call the doctor to ask for an NG tube and ask a CNA to come to the room to help me clean her up. She should’ve been a DNR and on hospice given what was going on with her anyway, which I think made the situation a little worse.
The best you can do is learn from the situation/experience to know better what to do next time - what went on leading up to the event? In my case, when we had gotten back to the floor after taking her to the ICU, my charge nurse started looking over her vital signs that had been documented on night shift and noticed a drop in her blood pressure over night. It was my first time having her despite her having been on the floor for a few weeks so I didn’t know what her baseline was when I had looked at her morning vitals. It was a busy morning and we didn’t have decent staffing so I didn’t get to look up a whole lot on her to supplement night shift’s report. I had been in the room probably four or five times prior to the code being called around 10:00.
The report I had gotten from night shift was that an abdominal CT with contrast was needed to rule out obstruction but the patient couldn’t tolerate the contrast due to vomiting. I could’ve asked that nurse what the vomit had looked like, but didn’t think to until she had started vomiting and I went to call the doctor for the NG tube.
Talk to nurses who may have taken care of the patient before. I talked to a couple who had cared for my patient within the last week and they said, “it could’ve happened to any one of us on any one of our shifts,” due to the nature of what was going on.
Hi Ashley! Based on your video, I'm guessing you're in AZ! I used to live there for 15 yrs. in the East Valley and hope to go back there as a travel nurse. What are your best tips for nursing school? I'm just starting Pharm. and Fundamentals of Nursing!
Can you do a video on how to treat a substance abuse patient like how do you know someone is med seeking
By the way your make-up and hair looks so cute
If I can add my two cents, it’s not our place as nurses to judge if a patient is Med seeking. The only thing we can do is ask the doctor to order a social worker consult if they are med seeking. But if a patient had a reason to be in pain doctors always order prn pain meds and if a patient is saying they’re in pain you believe them no matter what.
I love your hair
Please add more vedio on codes
When I read the title I thought you meant code as in billing codes LOL medical secretary problems
Do u know that u r so pretty💕
Other nurses or staff helping should leave if it's gets packed in the room I agree, but if it is your patient you should not leave the room. The main nurse needs to be available to answer questions when the code team / ER shows up.
Nikkifnp good point! I guess I did not specify that in the video. As the primary nurse you should stay with your patient. In the video, I meant that if you show up to help with a good and there are 103839293829 people in the room, then sometimes you're more "help" by leaving than staying around. :)
Nikkifnp good point! I guess I did not specify that in the video. As the primary nurse you should stay with your patient. In the video, I meant that if you show up to help with a code and there are 103839293829 people in the room, then sometimes you're more "help" by leaving than staying around. :)
What if you just clocked out of your scheduled shift, and you're walking along and you notice a visitor that codes or has some other medical emergency? Would you clock back in and help them? Or work off the clock basically?
Elizabeth Schiada Really... You don't need to be concerned about whether or not you'll get paid to save someone's life, you just do it.
Elizabeth Schiada that's the least of my concerns if I see someone die in front of me... save a life first, worry about getting paid later
If they have to wait for you to go clock in then it will cost them their life. If you even had to honestly question that then PLEASE choose a different field or be an office nurse.
You look like a mix of Brie Larson and TH-camr Christen Dominique !! This hair is beautiful btw ;)
Her everything is beautiful and she is very educated!!❤️🌹😊
New subby
👍
AED & CPR AIR WAY EKG MD's & I.C.U. R.N.'s
Fi unum pluribus.