Candice, welcome back to another episode of One to One Nursing. How you doing?

I'm good. I'm good. How are you? I'm good. I got bitten by a dog and you have a tackle football injury. So we're not at our best, but we're still persevering for this episode.

We are a hot mess if we get combined. You're down a leg. I'm down a hand. Together, we function ultimately.

Yes, we have one functional body between us, but we're not as bad as the topic of this episode,

which is the poor patience and cardiac arrest. So no matter how bad we get, we're not going to be

that bad in the course of this episode. No. My favorite topic,

cardiac arrest. All right. So we've had a lot of requests for this one. People want to hear

about the nurse-led code, which surely we're going to hit and a whole bunch of other topics

in the course of cardiac arrest. So let's dive right in. I guess the place to start is EMS brings a patient in cardiac arrest.

We'll talk about the ones that happen in the ED afterwards.

But let's talk about an out-of-hospital arrest brought into the ED.

So for me, if you have the time for a pre-brief because you get the notification call from EMS, then that's a perfect time

to really gather your team, to get some supplies, and to get everyone in the right mindset.

So when this call comes in, Candace, what on the nursing side goes on when we have a pre-brief

opportunity? So we want to identify who is going to use the mechanical CPR device,

who is going to administer medications, and who is going to be the nurse code leader, right?

So those are three distinct roles.

And while I think if you're in a smaller place, you can combine the mechanical CPR person and the med person.

But if you, it's most optimal to have those as different people so that you can close the loop in giving out instructions during the resuscitation. Now, let's say you are in a smaller hospital,

Candace. Do you think we could combine the nurse code leader and the medication? Just put that cart right

in front of the nurse code leader and have him or her hand medications to someone to actually

administer. Obviously, the nurse code leader can't leave where they're standing to administer the meds, but could they actually be the person taking them out of the cart?

...