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What Witnessing a Code Does to Us...

January 04, 2023 by Sarah Wells in advocacy, future nurse, mental health, nurse

By: Sarah K. Wells, MSN, RN, CEN, CNL

What is a Code: For the context of this post, a Code is a coordinated resuscitation effort to deliver ACLS or PALS care to a patient

Who is the “us”: Members of the healthcare team that are part of the Code response or who witness the Code response

How witnessing a Code impacts us: Codes are traumatic to witness, let alone participate in. The impacts on those healthcare team members involved can cause a range of emotions with the negative severe effects potentially being as serious as conditions such as PTSD, depression, SI, etc

Why am I talking about this?: The tragic incident of #damarhamlin receiving CPR and a potential defibrillation on the field during this week’s Bills vs Bengals game exposed millions around the world to a Code. People are reacting strongly. Players at the game walked off the field. Discussion is happening about how people are feeling after witnessing such an event.

Where does that leave HCWs?: While the world gets to discuss and feel for days or more about witnessing a Code online, on TV or live at the game, HCWs are going to work and participating in Codes as just another day or night at the office. We need to start discussing better preparation options for HCWs involved in Code response work in terms of management of the stress and trauma for those involved, increased mental health support for all HCWs, and continue the meaningful conversations about the society’s disparity of expectations for the public vs those that work in healthcare.

Bottom Line: We save lives for a job, but we must protect ourselves above all else because what happens when no one is left to respond to the next Code?


Reader: Are you a nurse or healthcare worker who has participated in a Code response? How have these experiences affected you? What helpful resources would you want other HCWs to know about?


About the Author: Sarah K. Wells, MSN, RN, CEN, CNL is an 11+ year nurse with over 10 years of that working in the Emergency Department. Sarah has helped with countless Codes and has experienced many mental health effects due to this work.  Sarah hopes to see more work being done to support nurses and other HCWs focused specifically on providing psychological safety and increasing their mental healthcare access.


January 04, 2023 /Sarah Wells
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The light in the dark of 2020

December 11, 2020 by Sarah Wells in advocacy, Corona Conversations, future nurse, inspiration, mental health, New Thing Nurse, nurse, nurse wellness, nursing

I have failed so many times this year.

I have failed to get out of bed on days where my body wouldn’t listen to me.

I have failed to be open with my family, friends, colleagues, and clients when the despair was too great to function.

I have failed to be as present as I could have been during this most unprecedented time – historical mostly due to failures in leadership, process, and procedure that have cost our country 289,000 deaths and counting as of the writing of this post.

But most of the time, I am able to do so much – get up, work, smile, speak, write, advocate, care, support, listen, live, be – and each action is a success that must be celebrated.  

These are the days that will define my life.

I was a high school student during 9/11, graduated college in 2008 during the Great Recession, and worked as an emergency and radiology nurse during disasters, epidemics, and the worst days in the lives of so many of my patients. But this pandemic, this year, these moments – these will be what I tell future generations about.

And while I will speak to them about working through PPE and supply shortages, not knowing what to do when others needed it most, shouting reassurances to patients through masks and goggles, managing the public misinformation, and drowning in cleaning supplies at work yet not being able to find basic hygiene products at home, there are other more important moments that I will share first and most frequently.

I will tell the future generations of nurses and other healthcare workers about the fear of others, fear of an unknown, and a fear of bringing an evil home that could harm or kill my loved ones. I will tell them about the loneliness – missing my family, my friends, and not knowing when it will be safe to be around them again. I will tell them about the isolation – not just the feeling of being alone but also the physical distance between people – eating lunches outside, not in the break room with my coworkers. About edging away from others because of the unease of being around people without a mask. And the feeling of fear that was not always of others, but of myself, not knowing if I was unwittingly passing on a novel evil to others.

I will tell them about the crushing weight of shame when I called out of work as an essential frontliner, not for COVID-19, but for anxiety and sadness that I could not get under control, no matter how much mindfulness, self-care, and therapy I sought out. I will tell them about the days when I couldn’t move without my husband physically hauling me out of bed and into clothes to get even the most basic things done.

I will tell them that even in the darkest, loneliest moments that I was still me.

I was still a nurse. And I was no less of a nurse because of my struggles. Every time I took a stronger dose of my SSRI - I was a nurse.  Every call to my therapist, appointment with a psychiatrist, and day I stayed in bed and streamed 12 hours of TV in an attempt at harm reduction – I was a nurse. I was nursing myself. I was nursing my mind and my brain chemistry. I was nursing chronic conditions called anxiety and depression that were exacerbated by the most unprecedented year in medical history.

And I never did it alone. I had my husband, my amazing partner in all things, who cared for me every day. I had my family and friends, IRL and online, who helped support me during my best and worst moments. I had my incredible nurse community – because we are a community that can withstand all things – who checked in, sent me packages, emails, texts, DMs, messages, and the most hilariously inappropriate memes to make me smile on days when I thought the world was ending. I will tell them that my nursing and healthcare people came together to support me because that’s what we do when the shit hits the fan – we roll up our sleeves and figure out how to fix it.

I want to tell everyone going into healthcare in the future that you are never alone.

You have generations of us - nurses, doctors, nursing assistants, techs, phlebotomists, imaging technologists, respiratory therapists, social workers, therapists of all varieties, and all the other medical roles that make up our incredible healthcare team – who have had those dark days, been in those paralyzing moments, and gotten through to the other side. We are here for you to lean on, get guidance, and receive all the wealth of our collective experiences. We are also here to represent those who have not made it. We know how impossible the work is, yet we continue to do it. Through the hardest moments, we are there to care for others, keeping them alive and comforted, making them better. 

But know that you will have dark, challenging moments too. And often those moments will be in your car, on the way home, or at 0400 when you are unsuccessfully trying to sleep. You will be replaying things in your mind, wondering what you could have done differently, or thinking about how all of it doesn’t matter anyways. You may despair. You may want to give up. And it’s OK. I want you to know that I have despaired. I have wanted to give up.

But I haven’t, and you shouldn’t either.

I have seen the dark, and yet I eventually got up out of bed again. I showered, grabbed coffee, and put my scrubs back on. I got my PPE. I grabbed food and my nurse bag and went to work. I put on my mask and goggles. I cared for others because that’s what I do because I am a nurse.

 When I tell others about 2020, I want to make sure they know all the parts.

And I want to make sure that no matter what year it is, the dark moments have happened and will happen again, but despite the darkness, there is so much light to be had. I show up every shift for the light. I am here to help you see it too.

Sarah @ New Thing Nurse

Click Here for Mental Health Resources

About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life. 

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December 11, 2020 /Sarah Wells
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