DNR orders - page 6
After having once again witnessed a doctor ask a patient (this time a 91 YO) "if your heart stopped would you want us to do anything?" and then write orders for a full code without any further... Read More
Feb 1, '11I firmly believe that every.single.hospital should have an MD, an RN with ICU experience who has worked with the really bad "do everything" population, and a social worker to sit down with patients early on in the admission to talk about code status, palliative care, pain management and *realistic* options.
Nurses who have 6 other patients with each admission, and docs who are running around with their patient load don't usually have the time to sit down and spend the 30 minutes, an hour, or so to really explain things, learn about patients and their fears, etc...
I think it would be a fantastic program to have in every hospital.
Feb 2, '11I am again so greatful for my job and most of my colleagues after reading some of these posts. When code status is addressed, we have three levels of DNR. In explaining these, I think it helps so the patient/family understands the DNR doesn't mean do nothing/do not treat. We use DNR bands and the POLST is the first page under physician orders.
For those physicians who do not address code status, I will make this statement when I round with the physician "Dr. X, we need to address code status." That simple. No beating around the bush. I've yet had a physician complain or "report" me. What could they really say? "She made me talk to my patient about their wishes?"