I'm just curious as to how other nurses in the country deal with different levels of code status'. In my hospital (in Ohio), our patients are either a full code, DNR-CCA, or DNR-CC.
Full code: I'm sure that we can all agree on what a full code means!
DNR-CCA (Do Not Resuscitate-Comfort Care Arrest): You continue to treat the patient as a full code up until time the patient cardiac arrests. If the patient cardiac arrests, you stop all medical treatment. Unless the physician specifically indicates on the code status order form, the patient will be intubated. However, I find that in my unit, most patients who are a DNR-CCA are also a DNI (Do Not Intubate) which can be indicated on the form.
DNR-CC (Do Not Resuscitate-Comfort Care): The patient only receives care that promotes and offers comfort. Treating fevers if patient is uncomfortable, ativan/morphine, medications to dry up secretions, etc.
I am curious as to how many nurses are familiar with these levels of different code status'. It seems like they have phased out a simple "DNR" and in the hospital, at least, they make the physician clarify if the patient is a DNR-CC or DNR-CCA.