Code Status: When should we talk about it! - page 3
During the past month of my practicum on the neurosciences unit, I have seen and cared for numerous patients. Some have had do not resuscitate (DNR) orders; one had a compassionate terminal care... Read More
Dec 31, '08Very well written piece.
It is always within the nurse's scope of practice to discuss "code" status. In some states it is also manditory to have it entered into the hospital chart on admission along with POA information just in case. ( OHIO )
CPR is very brutal, gruesome and it doesn't always do any good.
If CPR saves just one life in 100 then I am happy to have practiced on the 99 so that a new mom can go home from the hospital with her newborn, or give that grandpa another hug on grandparents' day, or that coding teenager a chance to prove he does know how to drive, or give the transplant team time to find reciepients for the organs in the body of the one we couldn't completely save. If you save one life you might save 10 more you just don't know. So I will continue to do CPR if code status is not discussed because it is my job.
Dec 31, '08really great!!!!! it was so educational and informative...that medical practitioners should keep in mind especially physicians and nurses....i truly agree, we should treat our patients as human being in the very essence of the word and not just as bodies/commodities...dying is a part of life that everyone need to face and nurses had a great role in the process...congratulations and thank you for the enlightenment...
Dec 31, '08I always assumed that this was now addressed on hospital admission everywhere. It definitely should be. In home care we ask about this on admission for every patient, though often they say they have not thought about it and we give them additional info. about living wills. It is awkward, but I got much more comfortable discussing it when I worked in hospice and I think it is easier to ask when the patient is not facing imminent death.
Jan 1, '09Personally, I think Code status should be talked about at the time of admission if it is an admission on a short term
basis. If it is a long term basis, with in a month after an admission in order to get over the shock of putting some-
one into a long term setting. One nurse told me recently "doctors don't do death." I swear that's true. Some nurses
don't due it either. Unfortunately death is a fact of life like taxes are so we all better get use to it whether we like it
or not. When I had my hysterectomy at 39 years old, I told the nurse that I wanted to be a DNR, she told me to
discuss it with the doctor. I'm studying for my PhD and I'm close to doing my dissertation and I know that talking about code status will be an aspect of it.