An Impromptu Code Team on the Rugby Pitch

Eighteen months ago, I wrote about my experiences being a COVID-19 ICU nurse during the height of the pandemic, while also training as a member of the USA Rugby Women’s National Team. I focused on the connection between nursing and rugby by discussing the importance of the backline of defense in both the hospital setting and on the pitch.

Much of what I wrote there was driven home for me in a new way one day last fall at a local rugby field in New Jersey. It was a beautiful fall day and I was spending my last weekend home watching my brother’s playoff game before I would be heading to Colorado for a set of international rugby games with Team USA.

Credit: KJ Feury.

It was a typical men’s club division 2 playoff game, where the score was back and forth, and big plays were being created by both teams. It was nearing the end of the game when the away team had a scrum in their half of the field. Their #12, a player who had been making big hits and runs all game, made the decision to kick the ball out of their half to relieve pressure and reset play.

After […]

2022-02-15T08:54:27-05:00February 15th, 2022|Nursing|0 Comments

Not Your Grandma’s Simulation Anymore

Photo © Melanie Stetson Freeman / Christian Science Monitor / The Image Works.

In 1958, after pulling his drowning son from water and clearing his airways, Norwegian doll manufacturer Asmund S. Laerdal was asked to develop a manikin to teach others how to perform mouth-to-mouth resuscitation. The doll became known as “Resusci Anne” […]

A Detailed Look for New Nurses at What Happens During a Code

Photo by Ashley Gilbertson / The New York Times / Redux.

There’s an article in the July issue that I highly recommend to all new graduate RNs—or to anyone who is returning to acute care. The article, one of the offerings in our Transition to Practice column, which is geared to new nurses, is “Surviving Your First Code.” It offers a detailed look at what happens during a code and the various responsibilities of the resuscitation team.

You never forget your first code.

I clearly remember my first code—and I bet every nurse does as well. I had seen cardiac arrests before, but that was when I was a nurse’s aide and my job during a code was essentially to get out of the way. It’s very different when you are a nurse and play a role.

It was my fourth day as a new graduate nurse working in the ED. We heard the sirens coming from a long way off. When the ambulance arrived, the stretcher came crashing through the ED doors with the paramedics yelling that the patient had just arrested as they arrived.

My role that day was to be the crash cart nurse, so I put myself in front […]

Measuring a Nurse’s Career Through BLS

Julianna Paradisi, RN, OCN, is an oncology nurse navigator and writes a monthly post for this blog.

ParadisiBLSCertificationCardI was a child when I first heard the term CPR. My father, a volunteer fire captain in our community, had newly certified that day at drill. From the head of our dinner table he proclaimed, “It’s a terrible thing to have to do, but everyone should know how.”

He was right.

It feels as though I’ve known basic life support (BLS; sometimes still referred to as CPR) all my life, but I believe I was 16 years old when I first took a provider course, long before I knew I’d become a nurse.

Since then, as a former pediatric intensive care nurse, I have performed a lot of CPR, and a related professional compliment received during a pediatric resuscitation rests bittersweetly in my heart.

It was one of those codes that begins in the ED, and transfers into the PICU because survival is unlikely. The cause was cardiac. As I did compressions, and my colleague, a respiratory therapist, hand-ventilated the child, blood gases were drawn. The attending cardiologist looked over the results, and told us, “It’s too bad a perfect blood gas isn’t enough to save a life. The two of you are performing superb CPR.”

He was right. It wasn’t enough.

That was nearly 20 years ago. Basic life support recertification is required every two years. Now […]

Whose Child Is This?

And I would do it again, but set down
This set down
This: were we led all that way for
Birth or Death? There was a Birth, certainly,
We had evidence and no doubt. I had seen birth and death . . .

—Excerpt from “The Journey of the Magi,” by T. S. Eliot

Painting: Untitled. Oil on Linen, 10" x 8" by Julianna Paradisi 2012-2013 Painting: Untitled. Oil on Linen, 10″ x 8″ by Julianna Paradisi 2012-2013

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology. The illustration of this post is by the author.

There is a nurse who loves running for exercise through a downtown park. And lo, it came to pass, one very cold day last year in December, that she came upon a host of people gathered around an unconscious man as he lay in the cold, wet grass.

Among them, three Wise Men were on their cell phones, calling 911.

These are my criteria for lending nursing skills to strangers:

▪    I witness the accident

▪   I’m the first one on the scene of an accident

▪    Others are first on the scene of the accident, but they don’t know what to do or are doing it wrong

This unfortunate man’s situation clearly fell […]

2016-11-21T13:05:52-05:00December 11th, 2013|career, nursing perspective|7 Comments
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