I can understand the frustration, our DNR orders have the following that can be checked;
1. Limited DNR= no intubation
, can do cpr :uhoh21:
2. DNR = Care & Comfort with the following, labs, antibiotics, vasopressers, blood products, nutrition, etc, etc.
3. DNR= Care & Comfort measures only.
So we have a couple of docs that will check #2 and want everything done and if the pt's bp starts going down, then send them to the unit for specialty drips. Then this causes the unit to use up a bed and the units nurses get pissed and the cycle continues.
I really wish they would come up with different forms to make it a little less confusing. Plus we get these docs that never check the form, just sign the name at the bottom where it says physicians signature. That just makes it worse, cause when I come in at 11pm and check my pt's code status, I only see the DNR form with just a name.:trout:
So now I have to do research, inform the charge nurse, who has to let the house supervisor know and that usually means having to call the doc inthe middle of the night and listening to him rant and rave. Yet, they wonder why we nurses get sooo frustrated.
Ok, off my soap box,!!