Experiencing Your First Code

By Mark Dzwonkiewicz, FP-C, LI | Medically reviewed by Brenda Shih, PharmD on January 24, 2025

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Tips for your First Code
Summary

Article at a Glance

Every code produces anxiety, and for a new provider, it is helpful to know what to expect during the first code.
The new provider should observe during the first code if possible to see how it is managed.
Start with chest compressions and concentrate on making them high-quality.
Afterward, the provider should review the events and ask questions.

Tips for your First Code

Let me share some tips with you on what to expect during your first code. You’re supposed to be nervous, so here are a couple of tips.

First, it’s important to remember that nerves are natural during your first code. You’ll want to stand to the side and observe, as you’ll most likely not know your role. The event is overwhelming your clinical response, so stand back and watch the person directing the code. Analyze how they assign duties to people, and watch the flow and management of the code.

Related Video – Performing CPR with a Team

During your first code, you’ll want to observe.

Your first involvement with the code will probably be providing chest compressions. When you’re ready, let the team know you’re available to perform chest compressions. It’s most likely your entry to your first cardiac arrest opposed to other procedures like intubating or defibrillating.

Make sure to administer effective chest compressions. You should watch, learn, take notes, and review the events afterward to further learn about cardiac arrest. Eventually, as you become more comfortable with the management of the event, you’ll be responsible for more duties.

Read: General Stroke Care

Summary

Nerves are natural during your first code, so initially just stand back, watch, and learn. Your first responsibility during a code will most likely be chest compressions. Make sure to administer them effectively. After the cardiac event, review it to learn and be even more prepared for your next code.

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Editorial Note

ACLS Certification Association (ACA) uses only high-quality medical resources and peer-reviewed studies to support the facts within our articles. Explore our editorial process to learn how our content reflects clinical accuracy and the latest best practices in medicine. As an ACA Authorized Training Center, all content is reviewed for medical accuracy by the ACA Medical Review Board.

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