code placement

Dramatic ‘Code Placement’ Captured on Tape

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code placement

AUSTIN, TX – In breaking news, GomerBlog has received word of a dramatic “Code Placement” captured on tape on Unit 4E at Austin Medical Center yesterday afternoon.  In this chilling transcript below, a heroic multidisciplinary team of health care practitioners risks it all to place the incredibly stable patient Martha Lockhart in a rehabilitation facility.

Nurse (RN) Brad Franklin:
(Intense.)  Dr. Black, I think you need to see this.  (RN Franklin passes the patient’s chart to Dr. Black.)

Doctor (MD) Alissa Black:
(Glancing over chart, tense and worried.)  Damn it, this isn’t good.  Not good at all.

RN Franklin:
I know, I know.

MD Black:
(Slams the chart down.)  You mean to tell me she’s been waiting on placement for a week now?!  How are her vitals?  NOW!  What are her vitals?

RN Franklin:
(Fumbling through his papers.)  Afebrile.  Vital signs: blood pressure 120/74, heart rate 75, respiratory rate 16, and oxygen saturation 99% on room air.

MD Black:
I knew it!  Brad, great catch.  Call a code!  And d/c vital signs, STAT!

The code is called overheard: “Code Placement, Room 4E16.  Code Placement, Room 4E16.”  Seconds later, additional help appears in the form of social services (SW), physical therapy (PT), occupational therapy (OT), and speech therapy (ST).

Physical Therapist (PT) Paul Terrys:
Oh no, not again, Mrs. Lockhart!  Don’t do this to me now!  Alissa, you need a quick assessment?

MD Black:
Yes, please, thank you!  (PT & OT perform a rapid assessment.)  How is she?

PT Terrys & Occupational Therapist (OT) Angela Snow:
(Together.)  Not good.

OT Snow:
Yeah, she’s not progressing as we would like.  We thought acute rehab, but this looks more like subacute rehab.

PT Terrys:
I agree.

MD Black:
(Slightly flustered.)  Wow, didn’t see that coming.  (Towards SW.)  How are the referrals?  Can you detect any open beds?

Social Worker (SW) Lindsey Gourdough:
(On the phone.)  I have a faint pulse on Our Lady of Perpetual Placement…

RN Franklin:
(Towards SW.)  Don’t lose that pulse!  (Towards PT & OT.)  Don’t let up on the exercises!  Keep going for another cycle until we say stop.

Speech Therapist (ST) Jeff Cousins:
Guys, what can I do to help?  Anything?

RN Franklin:
Her speech and swallowing are fine.  Remember?  You signed off last week.  Thank you for coming, though!  We got this.  (ST exits.)

Patient Lockhart:
(Pleasant and smiling.)  I’m hungry…

MD Black:
Damn it, she’s hungry!  Where’s the nutritionist?  Get this poor lady a biscuit!  (Dining services rushes in to deliver a warm biscuit, much the delight of Mrs. Lockhart.)  Strong work!  (Towards SW.)  Time is of the essence!  Have you got anything?!  Anything at all?!  (SW shakes her head, “No.”  Twenty long, nerve-wracking seconds pass.)  Okay, okay, hold PT/OT.  What’s the referral status?

SW Gourdough:
(Giving a thumbs up.)  We’ve got a bed!

Everyone:
YES!

SW Gourdough:
But waiting on insurance authorization.

Everyone:
(Deflated.)  Ohhh…

MD Black:
(Towards RN.)  Brad, those last vitals were stable, right?

RN Franklin:
Yes.  And I stopped checking them.  No more abnormal findings.

MD Black:
Perfect.  Labs, did we d/c those too?

RN Franklin:
Yes, normal and d/c’d!

MD Black:
All right!  (Pleading with SW.)  Lindsey, this is our window of opportunity!  She’s stable.  Who knows how long she’ll stay like this.  This is no joke.  We need a bed and we need it now!  Otherwise she’ll be here forever…

SW Gourdough:
(Excited.)  She’s been approved!

The entire team cheers, with high-fives going all around.

MD Black:
(Screaming over the cheers.)  Calm down, guys, calm down!  We’re not out of the woods yet.  Transfer of care forms?

SW Gourdough:
Check!

MD Black:
Transportation?

SW Gourdough:
Check!

MD Black:
Med rec?  (Everyone looks at each other with blank stares.  Ten seconds of silence.)  Guys, we need a med rec!  I did it last week, someone print it!  (Bodies scurry to find a free computer.  A minute later, a med rec is handed to SW.)  BAM!  Lindsey, can I write a discharge order?

SW Gourdough:
Yes!

Dr. Black writes a discharge order and within seconds an ambulance crew arrives and gets Mrs. Lockhart ready to go to rehab.

RN Franklin:
(Everyone is cheering, congratulating one another.)  BRAVO!  Great job, everyone!  Dr. Black, do you want to call it?

MD Black:
Time of placement: 2:45 PM.  Thanks everyone!  Thank you, thank you, thank you!  Solid, solid work!

End transcript.

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  • Show Comments

  • Avatar
    Debi Wong

    Sad but true!

  • Avatar
    Helen Aanstoos

    But what about her 5th vital sign?

  • Avatar
    Michelle Wegener

    Ha very funny Lillian

  • Avatar
    Shelia Gregory

    Heather Keys Kami Courtney

  • Avatar
    Dide Collins

    I hope Mrs Lockhart is continent…or she ain’t going nowhere.

  • Avatar
    Heather Hillman Overvold

    This would be awesome!! Lol, stop checking vital signs!! Lol

  • Avatar
    Lynn Heilman Lawson

    That’s awesome

  • Avatar
    Kimberly N. Donny Hiestand

    Love it!!! yep, 20 more reps!!! Don’t stop those exercises!!! LOL

  • Avatar
    Susan Lang Greenough

    Love this!! James Elmer Davis Buddy Gager Lynn Heilman Lawson Tracy Byrd Kimberly N. Donny Hiestand Heather Hillman Overvold Heather Versiga Price We need this team!!

  • Avatar
    Rachel N

    If only it worked like that in real life….

  • Avatar
    Codie Borsboom

    If only

  • Avatar
    Randy Smith

    These exist. When they’re throughput oriented and done by front line clinical staff, they’re called “Hospital Huddles”. :)

  • Avatar
    Bogey Behr

    Nice gig if you can get it. I’m sure they only work on Fridays to clear out the M/S floor and procrastinate on starting up the new therapy orders for 72 hours.

  • Avatar
    Marietta L. Welch Morhardt

    We need this! Kim Wilken Kim Stoddard Janes Pam McCall

  • Avatar
    Ryan McConky

    James Daly is this how it works?

  • Avatar
    Roy Rannila

    Jeffrey Greco, Peggy Singletary Martin

  • Avatar
    Kristina Sutton Nicolellis

    Just another day at work, saving lives one placement at a time.

  • Avatar
    Katie Watt-morgan

    Any skin issues?!? Quick do another skin check!

  • Avatar
    Tracy McDonald

    So true it hurts

  • Avatar
    Judy Bruns

    Can I lead that team?

  • Avatar
    Janna Green

    Jackie Ward

  • Avatar
    Rebecca Slatter

    Lol Takako Hihara

  • Avatar
    Nikki Herber McClure

    Ashley Smith

  • Avatar
    Joanie Sapienza

    Bags hahahhahw!

  • Avatar
    Angie Stratton

    Great stuff, except someone forgot to double check on the date of the pt’s last BM.

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