questions about doing CPR

Feb 02, 2007 01:09 PM

by ajaxgirl

Where I work, if someone is a full code (nsg home) we do CPR only if the cardiac arrest is witnessed.

YOu wouldnt do CPR if they were found dead in bed.

Is your policy the same?

bill4745 · Feb 02, 2007, 01:21 PM

Re: questions about doing CPR

No, everyone is coded, even if cold and stiff. (I work in a hospital.)
It seems to me that if you fail to do CPR on a pt without a pulse then you are declaring death, which your nurse practice act probably does not allow you to do.

tvccrn · Feb 02, 2007, 01:23 PM

Re: questions about doing CPR

I don't think it matters where you work, a full code is a full code. That means if you find the person unresponsive and not breathing, no pulse, you start CPR.

I would think your facility is setting itself up for legal action if a patient is full code and nothing was done for resuscitation.

tvccrn

ajaxgirl · Feb 02, 2007, 03:50 PM

Re: questions about doing CPR

Originally Posted by tvccrn

I don't think it matters where you work, a full code is a full code. That means if you find the person unresponsive and not breathing, no pulse, you start CPR.

I would think your facility is setting itself up for legal action if a patient is full code and nothing was done for resuscitation.

tvccrn

It's a nursing home, LTC facility. I dont know if I was clear about that.

fultzymom · Feb 02, 2007, 04:38 PM

Re: questions about doing CPR

At my facility we do CPR regaurdless. If someone is a Full Code, you have to try to resuscitate them. We have had nurses that refuse to do it but we just get another nurse to help et they have to deal with the consequences of that after the situation.

wtbcrna · Feb 02, 2007, 04:56 PM

Re: questions about doing CPR

Originally Posted by ajaxgirl

Where I work, if someone is a full code (nsg home) we do CPR only if the cardiac arrest is witnessed.

YOu wouldnt do CPR if they were found dead in bed.

Is your policy the same?

I understand your facilities policy and I wouldn't tryto do CPR on someone that was cold/dead and probably stiff too. I used to work LTC and certain patients don't have to be checked on every couple of hours, so it could be the next morning 7-8hrs later before someone knew that they were dead.
Now that I work in hospital the situation is totally different, but nursing homes are considered a patient's residence in a lot of ways.

I can't get the mental picture out of my head of trying to do CPR on patient where rigormortis had already started to set in....

RunnerRN · Feb 02, 2007, 05:43 PM

Re: questions about doing CPR

People aren't dead until they're warm and dead......people who are stiff, however, are deader than dead (generally). If the patient is a full code and they're code and pulseless, I would still CYA and call a code. Just because your facility's policy says otherwise doesn't mean you're covered under the law.

*ginger58* · Feb 03, 2007, 12:14 AM

Re: questions about doing CPR

Originally Posted by ajaxgirl

Where I work, if someone is a full code (nsg home) we do CPR only if the cardiac arrest is witnessed.

YOu wouldnt do CPR if they were found dead in bed.

Is your policy the same?

If someone is found dead in bed there is a hospital policy in place that allows the nurse not to do CPR.

joyflnoyz · Feb 03, 2007, 03:07 AM

Re: questions about doing CPR

Unless we have a signed Out of Hospital DNR form(a legal form sign by pt or RP, 2 witnesses and the physician) they are a full code.

I really HATE having to do CPR, and when the families are emphatic about it, usually a gently detailed explanation changes their minds (my residents are usually in the 80's and 90's) Of course the explanation is given berfore CPR is necessary so we have the correct documents on the chart.

CapeCodMermaid · Feb 03, 2007, 06:04 AM

Re: questions about doing CPR

Originally Posted by bill4745

No, everyone is coded, even if cold and stiff. (I work in a hospital.)
It seems to me that if you fail to do CPR on a pt without a pulse then you are declaring death, which your nurse practice act probably does not allow you to do.

If the resident's code status is anything but DNR, we initiate CPR if we find them pulseless...we try really hard not to let things get to that point and ship them off to the ER before they get that bad.
P.S. The nurse practice act in Massachusetts allows RNs in a skilled facility to pronounce people dead.

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questions about doing CPR

questions about doing CPR

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