tag:blogger.com,1999:blog-7495327656501821802.post8066599464910761617..comments2023-09-26T03:43:42.961-07:00Comments on Adventures of Hood Nurse: Hood Hospital 2, Electric Boogaloo: Go Ahead and Shock Him Into Asystole, Thenhoodnursehttp://www.blogger.com/profile/15467790713937519943noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-7495327656501821802.post-78046715691276906172012-10-30T22:38:08.544-07:002012-10-30T22:38:08.544-07:00Interestingly enough, a friend of the family walke...Interestingly enough, a friend of the family walked into her local hospital after seeing her MD for mild neck/jaw discomfort for a couple wks (yes, that's it!) and dropped dead on the floor of the ED waiting room. They managed to resus her and at one point a few days later, she coded in radiology....she was resussed for the second time, and after a week in the hospital (and a couple stents later) and she is now at home, living by herself (still has pain) but is remarkably - still alive. I am always a little apprehensive when I go over and visit her.....Cartoon Charactershttps://www.blogger.com/profile/07871661908222892370noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-88604284662691160542012-10-30T00:13:39.000-07:002012-10-30T00:13:39.000-07:00Thank you for wonderful post! During my years as a...Thank you for wonderful post! During my years as an ER rn, only a few were able to make it through but only through miracle I cannot able to explain. It's to believe but most of the times, it give me some creeps seeing someone pass-away. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-76909872023861352272012-10-21T16:56:51.586-07:002012-10-21T16:56:51.586-07:00Wow, this really touches home with all of us. I m...Wow, this really touches home with all of us. I mean, why did we go into nursing? But it is the wise nurse who recognizes that not all interventions are for the good of the patient or family. When it's time to go it takes great strength and love to respect that nature has the last word. Nobody gets out of here alive and it's not the role of medicine to force the notion that a chemically sustained pulse qualifies as life. Brava my girl for speaking truth.RNDancerhttps://www.blogger.com/profile/11639152812077385110noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-40705573318715347312012-10-20T06:53:36.263-07:002012-10-20T06:53:36.263-07:00It's true. I think so many people watch TV sh...It's true. I think so many people watch TV shows where staff initiates CPR and the patient wakes up and opens their eyes after one minute. I really had no idea how shitty the odds were. I remember being APPALLED in ACLS when they told us that 90 percent of nurses would not stop to code someone in a public setting. I'd say in most cases I'd be one of those people. It just isn't worth it most of the time. I wish there was some way to educate people about this. hoodnursehttps://www.blogger.com/profile/15467790713937519943noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-67803212208388892142012-10-20T05:47:31.423-07:002012-10-20T05:47:31.423-07:00In peds it is pretty bad. At my hospital they'...In peds it is pretty bad. At my hospital they're giddy to get out the ECMO machine and stick them on that for a few excruciating days only so they can 95% of the time have a horrible outcome. nhttps://www.blogger.com/profile/06497750804580404408noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-33794132055749367062012-10-19T22:33:42.002-07:002012-10-19T22:33:42.002-07:00I don't know if you do this in the adult world...I don't know if you do this in the adult world, but in peds if we have a code that's going on for awhile and we're thinking about calling it, we will very often bring the family back into the room (if they ever left in the first place...our policy says they can stay as long as a staff person is available to explain to them what's happening and they stay out of the way). Usually once the families see the brutality of a code and the doctor explains that the patient isn't responding, they'll actually be the ones to tell us to stop. I think it's actually therapeutic for the family to see it, as hard as it is to watch, because then there's no doubt in their minds that we did absolutely everything we possibly could.<br /><br />I read about a study recently where they were trying to track what influences DNR decisions, and one group of patients was shown a video of real-life CPR along with a video of what a post-arrest patient in the ICU actually looks like...that group chose DNR much more often than the group that just got counseling from a doctor. They also explained the actual percentage of patients who survive to discharge after being coded and how dismally low it is.<br /><br />I think most people in the public just don't realize how hopeless codes really are most of the time.Allyhttps://www.blogger.com/profile/04722419811219778850noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-60787077472115966042012-10-19T13:54:23.564-07:002012-10-19T13:54:23.564-07:00Thank you for bringing this up. In my 3 years as a...Thank you for bringing this up. In my 3 years as an ER rn, I have never seen anyone come back and walk out of the hospital. Most of the times, dead is dead. Let them just stay dead. <br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-22246203089129762752012-10-18T18:55:52.548-07:002012-10-18T18:55:52.548-07:00It's worse with peds patients. No one wants t...It's worse with peds patients. No one wants to let them go, so they go on and on for an hour or so. Then on the 25th dose of epi they get a pulse, then send the poor child's body to the children's hospital PICU for the brain death evaluation. By that time all organ systems are gone, and we don't even have the option of donation for the parents.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-90873863792343077012012-10-18T18:47:08.089-07:002012-10-18T18:47:08.089-07:00We've had long talks about this - the whole ke...We've had long talks about this - the whole keep them on life-support lets the family say good-bye kinda thing. I still think that a) if people saw the effort of codes and knew the percentage of a quality outcome - no pt would want to be coded after 30 min - none and b) the whole getting them to the ICU for a two week stay before having to remove support only delays the family's reaction to the loss and imparts some feelings of ownership to the passing. I'm happy to code pt's as long as necessary, but the more times I see it the more times I am convinced of these. jlrinnerhttps://www.blogger.com/profile/17813778326374876161noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-2242610892486298582012-10-18T10:37:00.287-07:002012-10-18T10:37:00.287-07:00My mom is a nurse too and we talk about this all t...My mom is a nurse too and we talk about this all the time. We put a lot of effort (and drugs/money/resources) into people and situations that really are futile. Stephaniehttps://www.blogger.com/profile/14279323284276811245noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-83911331693122506832012-10-18T06:46:08.796-07:002012-10-18T06:46:08.796-07:00I can't tell you how many patients we have tha...I can't tell you how many patients we have that do this. The whole refuse to die thing. Most of our patients are older but seriously will be asystole for minutes at a time and then everything comes back-pulse and bp better than mine at the moment. Over and over they will keep doing that without any help from anyone or drugs. I guess it just shows you the power of the body to adapt and want to keep living. The families freak out though especially if you don't do anything because you know it's not real.Couldn't she just have gone back and printed a strip from when he was asystole? Kate the Greathttps://www.blogger.com/profile/10800736896682874130noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-61608217478924052822012-10-18T05:30:05.589-07:002012-10-18T05:30:05.589-07:00yeah, i'm pretty sure i'd just like to be ...yeah, i'm pretty sure i'd just like to be "let go" in this situation.<br />especially if chances are brain damage // never recovering.<br />i've seen it too, where pts are ACLS and i'm like - seriously??!! she's falling apart in our hands, and you WANT to keep her alive for YOU??<br />selfish people.mistyhttps://www.blogger.com/profile/12252480667870116472noreply@blogger.com