Re: Sharon back in operating theatre
- From: ishman@xxxxxxxxxx
- Date: Fri, 06 Jan 2006 10:03:23 -0700
***Not at all like the Hollywood movies, eh?
On Fri, 6 Jan 2006 10:15:08 -0600, "Norma" <njb904@xxxxxxxxxxx> wrote:
>
>You are right, Susan, it can look chaotic, but to those of us who are on
>"Code" teams, it reflects a whole lot of things. The fact that he is the PM
>complicates things and there are so many extra people around, that it takes
>loud and clear communication to counteract the background noise. The
>people not involved in the process-- and it is many in this case--seems to
>automatically lean and press toward the bed instead of stepping aside. It
>is riveting and tense, but the team, if left to do their own thing, usually
>appear much more orderly. It is never neat when transporting a potentially
>dying or endangered patient. The clean up comes after the transfer is done
>from the room to the destination. The clock is watched and there is always
>a leader who has to have a good view to see that all is done and that safety
>of everyone is preserved. This leader is usually the primary physician and
>he/she is the one who has the final say in any decisions to be made about
>what to do and when to stop.
>
>ICUs are full of equipment and the patient has to be transferred to a
>monitored guerney that has all the devices in miniature. That takes time
>and if there are many lines into and out of the body, those have to be kept
>in place. Even though it is a controlled kind of chaos, as no code is like
>another, it looks disjointed to the observer in most cases. It is a
>definite process that is practiced and skills renewed every year, but the
>"real" situation is nothing at all like the practice lab. Time is of the
>essence, so often the team does do a slow run with the patient when it is
>established it is safe to proceed.
>
.
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