Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

DNR orders



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,702 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 3 1 23 >

Nov 13, 2005 07:16 PM

DNR orders


Do you know the DNR/full code status on all your residents off the top of your heads? Seriously. Forget the bracelets or other ways that indicate a DNR. (except the doc's order) You may think he/she is, but aren't quite sure. Our supervisor says all nurses should know the code status of each pt. In an emergency? ................
I'll be quite honest that out of 60 residents there are maybe 10 I can say right off the top of my head that I 100% know are DNR. BUT, is the order expired? I'm supposed to know this off the top of my head because running to the chart/computer is a waste of time in an emergency. Say the order wasn't renewed, pt expires. Now he's a full code. Pt/family doesn't want a full code. So if a pt has a DNR order, why does it have to expire? He should either be a DNR or not unless, of course, the pt/family changes their mind.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 3 1 23 >
Reply
29 Comments
No. 1
Old Nov 13, 2005, 07:26 PM

Default Re: DNR orders
they better come up with a better system than what they have or they will pay heavily when a family sues them for neglegence
Top
 
No. 2
from night owl
Old Nov 13, 2005, 07:32 PM

Default Re: DNR orders
You're telling me!
Top
 
No. 3
from Bird2
Old Nov 13, 2005, 07:39 PM

Default Re: DNR orders
I've never heard of a DNR expiring in LTC. They review the code status at each care plan meeting but I've never seen a family say Hmm Mom's been DNR for 2 years let's try her being a full code for awhile! How goofy!!!!
Top
 
No. 4
from night owl
Old Nov 13, 2005, 08:01 PM

Default Re: DNR orders
Originally Posted by Bird2
I've never heard of a DNR expiring in LTC. They review the code status at each care plan meeting but I've never seen a family say Hmm Mom's been DNR for 2 years let's try her being a full code for awhile! How goofy!!!!
At our facility, a DNR order is good for 90 days and has to be renewed or else it expires. The pt then automatically becomes full code because he/she doesn't have a DNR order. I just don't understand why this order has to be renewed period. Do other facilities have a straight DNR order that never has to be renewed unless the pt/family changes their mind? The Doc will ask an A&O pt about the DNR and he says "yes" then in a few days or so they may ponder and come back and change their mind and want to be a full code. If the family wants DNR, they rarely ever change their mind. But I'm wondering about this order and why it has to be renewed. It doesn't make sense to me that you have to renew it in 90 days or it expires.
Top
 
No. 5
from suebird3
Old Nov 13, 2005, 08:11 PM

Default Re: DNR orders
Originally Posted by Bird2
I've never heard of a DNR expiring in LTC. They review the code status at each care plan meeting but I've never seen a family say Hmm Mom's been DNR for 2 years let's try her being a full code for awhile! How goofy!!!!
Same here, fellow Bird.

SB
Top
 
No. 6
Old Nov 13, 2005, 08:52 PM

Default Re: DNR orders
I work in ICU and have at most three pts...so yeah...I know haha

but during clinical this past semester, my instructor made a comment during preconference (telemetry floor) that even if a DNR order was written in the chart, at the very least chest compressions and other non invasive measures would be done anyway for legal reasons...

can anybody explain this further to me...kind of confusing.
Top
 
No. 7
Old Nov 13, 2005, 09:19 PM

Default Re: DNR orders
Originally Posted by asoldierswife05
I work in ICU and have at most three pts...so yeah...I know haha

but during clinical this past semester, my instructor made a comment during preconference (telemetry floor) that even if a DNR order was written in the chart, at the very least chest compressions and other non invasive measures would be done anyway for legal reasons...

can anybody explain this further to me...kind of confusing.

On our Tele unit, if we did chest compressions on patients who had a DNR, we'd get sued. No suctioning, no chest compressions, nada. DNR means Do Not Rescusitate. CPR is a form of resuscitation.
Top
 
No. 8
from joyflnoyz
Old Nov 13, 2005, 09:29 PM

Default Re: DNR orders
We have an "Out of Hospital DNR" form-- I think it may be a "texas thing".
Resident signs <if competent>, more often family member who is MPOA signs.
2 witnesses, not related. physician signs. then they all sign again at the bottom of the page. physician then writes an "OOH-DNR" order. As far as I know, it never expires, although resident / family may change mind at any time.
Top
 
No. 9
Old Nov 13, 2005, 09:43 PM

Default Re: DNR orders
Originally Posted by Angie O'Plasty, RN
On our Tele unit, if we did chest compressions on patients who had a DNR, we'd get sued. No suctioning, no chest compressions, nada. DNR means Do Not Rescusitate. CPR is a form of resuscitation.
Well, that is exactly what I thought which is why I questioned her about it. She just kinda blew off my concern and said it was to cover their butts in case the family blamed them for neglectful care that lead to the pt going downhill in the first place...

so, it makes me nervous...what if I do and get sued and what if i dont and face backlash...glad i work in ICU and everything is soooo much clearer in this aspect
Top
 
Page 1 of 3 1 23 >
Reply




Thread Tools


Who's Online
267 members
1,692 guests
1,959

0

Four Lehigh Valley Health Network nurses accused of...

45

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

10

Woman charged with passing off prescription drug as...

23

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts



43

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

10

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

42

What Do Operating Room Nurses Do?

14

My Little Old Jedi

21

I love this job......

23

"I hear voices"

20

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: