Widow sues nursing home over misplaced DNR order

  1. who's gonna get blamed in this case! only 1 guess allowed.

    widow sues nursing home over misplaced dnr order
    ap/orlando sentinel, jan. 12, 2005

    a jacksonville, fla., widow is suing an orange park nursing home, saying a "do not resuscitate" order meant for her husband's roommate was mistakenly placed in her husband's file, resulting in his death.
    Last edit by NRSKarenRN on Jan 19, '05
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  2. 43 Comments

  3. by   Blackcat99
    The nursing home is at fault and the widow is going to win this case.
  4. by   Fluesy
    Absolutely!! I would be surprised if it goes to court.
  5. by   RNKITTY04
    This is the very same nursing home that my husbands Granmother died at 2 days before Christmas (last month) due to (IMHO) neglect.
    We had a Birthday party for her in Oct and not 1 day later every single item that she recieved as a gift was stolen.
    I hope the widow sues the crap out of them and they shut down the place.
  6. by   UM Review RN
    Wow.

    So what they're saying is that someone arrests and they have to go run up the hall to LOOK AT THE CHART to see if the patient has a DNR????!!

    There IS a better way.
  7. by   Blackcat99
    In the "old days" the LTC would have ID bracelets in a certain color for residents who were a DNR. Nowadays, they don't allow ID bracelets for LTC residents period. So yes at my LTC facility you do have to run to the chart first if you don't know for sure if someone is a DNR or not.
  8. by   UM Review RN
    Quote from Blackcat99
    In the "old days" the LTC would have ID bracelets in a certain color for residents who were a DNR. Nowadays, they don't allow ID bracelets for LTC residents period. So yes at my LTC facility you do have to run to the chart first if you don't know for sure if someone is a DNR or not.
    *said sarcastically* And we all know that privacy's the most important issue when someone's arresting.
  9. by   UM Review RN
    Quote from NRSKarenRN
    Who's gonna get blamed in this case! Only 1 guess allowed.
    The clerk or nurse who was supposed to put the DNR into the chart.

    But you're right, there are several issues lurking here.

    Suppose my DNR relative arrests, do they start CPR till someone gets the chart and looks in it, possibly successfully reviving the patient? This is what appears to have happened in this case. What about the right of the REAL DNR to NOT have CPR performed at all?
  10. by   Blackcat99
    Quote from Angie O'Plasty, RN
    *said sarcastically* And we all know that privacy's the most important issue when someone's arresting.
    :chuckle Yes I figured you were just being sarcastic. Yes we all know that privacy is the most important issue.
  11. by   Blackcat99
    Quote from Angie O'Plasty, RN
    The clerk or nurse who was supposed to put the DNR into the chart.

    But you're right, there are several issues lurking here.

    Suppose my DNR relative arrests, do they start CPR till someone gets the chart and looks in it, possibly successfully reviving the patient? This is what appears to have happened in this case. What about the right of the REAL DNR to NOT have CPR performed at all?
    Yes you are suppose to check the chart before you do CPR at my LTC facility. Many years ago I had the other nurse go check his chart while I got things ready in case he was to have CPR. The other nurse said we had to do CPR because he did not have anything in his chart about being a no code. So we did all the emergency stuff and the paramedics rushed him to the hospital. I then started charting and found the "DNR order" after the fact. The man died anyway so we didn't get sued.
  12. by   Town & Country
    So what they're saying is that someone arrests and they have to go run up the hall to LOOK AT THE CHART to see if the patient has a DNR????!!
    [font=Garamond] Unbelievably, I have worked at a couple of LTC facilities that did this.
    [font=Garamond] Their "rationale" was if they used the ID bracelets, it would cause skin tears.
    [font=Garamond] Well..................DUHHHHHHH!!
    [font=Garamond]
    [font=Garamond] SURELY they could find another means of identifying patients that wouldn't cause skin tears. Come on....
    [font=Garamond]
    [font=Garamond] ...can you imagine someone going into cardiac arrest and having to run up the hall to see if you can do CPR?
    [font=Garamond] Luckily, never happened on my shift!
  13. by   Fiona59
    We used to have red circles (those stick on paper ones) on the bedside careplans for CPR's. Impossible to keep up to date or on the visual plans because people would peel them off.
  14. by   snowfreeze
    We have printed forms with every patients name and doc and other info for report and to use through each shift, a Heart next to the patients name means a full code. Most dementia units don't have many full codes but our sub-acute unit does. This is very helpful as the nurse aids use the same papers. Also on this info sheet is how they transfer, special dietary considerations like thickend liquids and needs fed, tube feeds, trachs, ventilators, picc and midlines, dentures;glasses;hearing aids, colostomy, foley. I does help as a quick reference sheet during the shift.

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