Quote from CaringGerinurse525
Our DNR's are not always do not hospitalize. I was just using the hospice patient as an example. We would send a hospice patient out if they fell and we suspected a fracture. This is the situation the family was concerned about because he has a hx of falls.
I just meant in general. If a hospice patient is near the end and there isn't anything that would be gained by an ER eval or admission hospice recommends a DNH.
My dad wasn't a DNH until the last month or so. In the beginning he was a DNR, then DNR/DNI, finally DNH. In the end if my father fell it would be a big issue as he was non ambulatory and someone either dropped him or didn't follow safety measures.
Your example would be demonstrating DNR does not equal " do not treat" and staff/family education needed to ensure proper paperwork on file if EMS needed. Hopefully hospice nurse or social worker is proactive and ensuring proper paperwork in place before EMS or hospitalization needed.
In my father's case I was former EMS plus his hospice nurse was AWESOME and ensured all paperwork was in place for DNR in facility, EMS, and if transferred to hospital. The hospice nurse also ensured his facility staff knew the correct paperwork & parameters to send dad out if appropriate. (Even though one sent him out for a UTI without checking with even family first ) Unfortunately it seems this is not the norm.