Coworkers Respecting Each Others' Advance Directives and Code Statuses

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Note: This might seem like a strange topic, but seeing as how that is nothing new coming from the source, I'll go ahead anyway.  

As nurses, we are trained to do everything we can to save someone until it's no longer feasible or unless doing so would go against a patient's wishes, such as performing CPR for a patient with a a DNR/DNI.  

However, theoretically, anyone of us could "code" at anytime--and this includes at work. 

For those who are full codes, this wouldn't create any ethical issues.  You would simply perform CPR on your coworker as you would anyone else.  

However, for those who have DNR/DNIs, issues could come up if coworkers are unaware such orders exist.  How do we ensure that these coworkers have their wishes respected should the need come up? 

For example, I am legally a Full Code but am wanting to pursue a DNR/DNI.   Based on my age and no apparent health issues, I have a feeling most of my coworkers would automatically assume I am a Full Code should circumstances arise, however.  

What is the best way to inform my coworkers that under no circumstances should anyone provide CPR to me? 

For the rest of you, how do you ensure your coworkers' wishes for CPR or no CPR are ensured? Have you ever experienced such an ethical dilemma at work? 

11 hours ago, chare said:

My apologies for that.  As I opt not to receive notification when my posts are quoted or responded to, I was unaware that you would receive a copy of the post.  

Assuming your use "this site" refers to the information you referenced regarding the FL DNR, I have.  As I stated in my posts, I don't think that that section discussing EMS means what you think it does.  If I were practicing as a paramedic in FL, I would ensure that I was fully aware of what the intent was, and where it was valid.  And, as I have stated previously, unless my protocols or medical control directed otherwise, I would have no problem honoring your DNR if I was aware you had one.

This is the reason I deleted my post.  You are so personally involved in this that, in my opinion, you are unable to discuss this logically and civilly.  

I sincerely wish you the best.

ETA: Strikes colors and withdraws from field of battle.

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I linked the statute and cited the sections that clarify that yes even BLS providers and Registered Nurses are included in the definition for EMS. 

But again. You refuse to educate yourself. Well, I just hope you lose this above it all mentality at some point, because you can be sued and charged with battery for not adhering to the requirement of honoring a DNRO, and ignorance is not an adequate defense, no matter how often you want to keep trying to use it. 

"Well, I don't think..."

Well clearly you have simply just refused to do that. Even 12 pages into a discussion. 

And your little ad hominem trying to claim Im not being logical, despite the law being thoroughly cited,  is really just about YOU, refusing to acknowledge the laws and their intent. Thats on you. Not me. Thats about your illogical and personal issues. See logical people look and research and are clear on these matters. You glance, and then claim to be informed, and still refuse to even glance at a lanyard you would have to move anyways, doing only what you want, rather than what the law prescribes. 

Funny how not one person has rattled off their state name either. 

Really telling. Really disappointing. And really disrespectful, beyond belief. You just refuse to openly admit it. 

I wash my hands of you. 

Specializes in Private Duty Pediatrics.
18 minutes ago, Gillyboo said:

I linked the statute and cited the sections that clarify that yes even BLS providers and Registered Nurses are included in the definition for EMS. 

But again. You refuse to educate yourself. Well, I just hope you lose this above it all mentality at some point, because you can be sued and charged with battery for not adhering to the requirement of honoring a DNRO, and ignorance is not an adequate defense, no matter how often you want to keep trying to use it. 

"Well, I don't think..."

Well clearly you have simply just refused to do that. Even 12 pages into a discussion. 

And your little ad hominem trying to claim Im not being logical, despite the law being thoroughly cited,  is really just about YOU, refusing to acknowledge the laws and their intent. Thats on you. Not me. Thats about your illogical and personal issues. See logical people look and research and are clear on these matters. You glance, and then claim to be informed, and still refuse to even glance at a lanyard you would have to move anyways, doing only what you want, rather than what the law prescribes. 

Funny how not one person has rattled off their state name either. 

Really telling. Really disappointing. And really disrespectful, beyond belief. You just refuse to openly admit it. 

I wash my hands of you. 

You are really unhappy, right? And you seem to want to argue. A lot. 

Is it because any attention is better than being ignored? 

(I'm about to get sand-blasted, right?)

Specializes in Psych (25 years), Medical (15 years).
6 hours ago, Gillyboo said:

Funny how not one person has rattled off their state name either. 

Illinois.

Now: Does that make me unfunny?

Specializes in Med-Surg, Developmental Disorders.
6 hours ago, Gillyboo said:

Funny how not one person has rattled off their state name either.

I have indicated at least twice in this thread alone that I am living in New Hampshire. 

I think I'll do it a third time- why the heck is it snowing in the middle of April? I think I might almost think about sort of starting to miss Texas maybe. 

Specializes in Med-Surg, Developmental Disorders.
12 minutes ago, Davey Do said:

Illinois.

Now: Does that make me unfunny?

Your sense of humor isn't dead yet, Davey Do. You have about 10 years of jokes left in you, followed by another 15 years of wry observations about the weather and Midwestern culture. 

3 hours ago, Davey Do said:

Illinois.

Now: Does that make me unfunny?

 

Anyway when are you moving to Cincinnati to take up that radio DJ job? ???????

Specializes in Psych (25 years), Medical (15 years).
9 minutes ago, sideshowstarlet said:

Your sense of humor isn't dead yet, Davey Do. 

My Sense of Humor doesn't have a DNR, either.

It wants resuscitation no matter what.

Specializes in Med-Surg, Developmental Disorders.
12 minutes ago, Davey Do said:

My Sense of Humor doesn't have a DNR, either.

It wants resuscitation no matter what.

Okay, but if your physical body passes away and your sense of humor is still alive, I'm opening the window to let it out, no matter how cold the weather gets!

Specializes in Med-Surg, Developmental Disorders.
2 hours ago, Curious1997 said:

 

Anyway when are you moving to Cincinnati to take up that radio DJ job? ???????

I must have missed that post, but giraffes are highly controversial. I once saw a nature documentary referring to giraffes as "Tall blondes." One can only imagine the jealousy-driven NETY-ness that the young giraffe nurses' conventional good looks inspire among the bitter/biter crusty old bat nurses. 

Specializes in Psych (25 years), Medical (15 years).
21 minutes ago, Curious1997 said:

Anyway when are you moving to Cincinnati to take up that radio DJ job?

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15 minutes ago, Davey Do said:

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My parents used to watch it and I caught it a few times. Very funny show and a great character that DJ ??

Specializes in Psych (25 years), Medical (15 years).
1 minute ago, Curious1997 said:

My parents used to watch it and I caught it a few times. Very funny show and a great character that DJ

I would like to resuscitate an old story that doesn't have a DNR:

A couple of young nurses at Wrongway Regional Medical Center were active members on allnurses at at one time, referred to themselves as rock star nurses. I asked one of them, Sissybee, "If you're a rock star nurse, what does that make me?"

She replied, "Some burned out '70's DJ like Dr. Johnny Fever!"

So, for years Johnny Fever was may avatar. In fact, Sissybee gave me the Johnny Fever T-shirt for my birthday that I'm wearing in that above meme.

 

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