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? 

Specializes in ER.

I don't know why people have to tell others to get psychiatric help because they post a creative thread on allnurses.com.

Specializes in Psych (25 years), Medical (15 years).
9 hours ago, dream'n said:

 I find it strange to worry (especially as your healthy) that you'll code at work and your coworkers would initiate BLS.

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SilverBells is an artist who manipulates her media in order to achieve a desired response, as she "explores alternatives to conventional notions".

SilverBells is also a sacramental lamb in that she doesn't generically refer to an individual or situation, but is specific that she is the individual and this is the situation. She presents a specific controversial subject in which she is the main character. SilverBells  vulnerates herself and is open to be attacked.

8 hours ago, SilverBells said:

Certainly, nobody has to participate in code status discussions if they do not wish, and it’s not something I would just ask anyone.  
 
However, people can and do code anywhere.  It’s actually happened at my workplace, so it’s possible a person’s code status wishes could come into play at the workplace.

 

As I've noted in other threads regarding SilverBells' modus operandi, after being attacked, she reinforces the attacker's premise, then introduces a conjunction to negate the premise.

SilverBells, you have my respect and admiration.

Would you please consider changing your username to "SensationalisticBells"?

4 minutes ago, macawake said:

You’re posts are worded in a way that are likely to elicit a strong emotional response in people who are empathetic.

I know! 

Isn't she good?!

Specializes in Psych (25 years), Medical (15 years).
3 minutes ago, Emergent said:

I don't know why people have to tell others to get psychiatric help because they post a creative thread on allnurses.com.

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6 minutes ago, Emergent said:

I don't know why people have to tell others to get psychiatric help because they post a creative thread on allnurses.com.

Don’t you think that’s what empaths or any medical professional really, will likely do if they fear that a person might be actively harming themselves? I think it’s to be expected that many posters here would respond that way. 

Specializes in ER.
Just now, macawake said:

Don’t you think that’s what empaths or any medical professional really, will likely do if they fear that a person might be actively harming themselves? I think it’s to be expected that many posters here would respond that way. 

I think it is condescending and disrespectful to the creator of the thread. 

My opinion is, if you don't like a thread go to a different one. Some of the sanctimonious posters here need psychiatric help in my opinion, with their intolerance of creativity.

Specializes in Psych (25 years), Medical (15 years).
8 minutes ago, Emergent said:

I don't know why people have to tell others to get psychiatric help because they post a creative thread on allnurses.com.

We all need to feel as though we have power and are in control of our environment. Therefore, if another presents a notion alternative to our own consensual and conventional notion, we feel as though we must squash it. 

When we publicly display our integrity, we are in essence saying, "Hey everybody I'm okay"!

8 minutes ago, Davey Do said:

As I've noted in other threads regarding SilverBells' modus operandi, after being attacked, she reinforces the attacker's premise, then introduces a conjunction to negate the premise.

Oh, I’ve noticed. And called it out. It’s an effective way to frustrate people. For a moment they think that they might be getting through to the person, only to find out that they aren’t. 
 

11 minutes ago, Davey Do said:

I know! 

Isn't she good?!

Yes and no, I guess...

I’m posting because I suspect that some posters are drawn in and might not see this for what it is. Hopefully most posters have a healthy internet ”emotional self-defense shield” in place so that they’re only engaging on a clinical level, rather than emotional.

Specializes in Psych (25 years), Medical (15 years).
2 minutes ago, Emergent said:

My opinion is, if you don't like a thread go to a different one. 

I know!

It's like people have to set the record straight, no matter what.

I do not visit threads that hold no interest for me. You will not see me frequenting threads about pregnancy, children, or anything to do with OB or L&D.

We visit and comment on threads we find interesting!

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

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You seem sure that these accounts are fictional. I don't have the experience to consider this thread art, so I'll look at it as a case study

As a long-time psych nurse, what differences do you see between someone posting about (possible) depression, self harm, and passive suicide (the poor diet and working 18-20 hour shifts, along with wanting to ensure that nobody does CPR on her if she, a young physically healthy person aside from caffeine-induced palpitations, should keel over at work) and writing to entertain/get attention/socialize on AllNurses? 

Specializes in Psych (25 years), Medical (15 years).
43 minutes ago, macawake said:

I’m posting because I suspect that some posters are drawn in and might not see this for what it is.

I too have been accused of having a Messiah Complex.

Specializes in ER.
1 minute ago, Davey Do said:

I know!

It's like people have to set the record straight, no matter what.

I do not visit threads that hold no interest for me. You will not see me frequenting threads about pregnancy, children, or anything to do with OB or L&D.

We visit and comment on threads we find interesting!

Eccentric threads are helpful to increase Forum traffic, which is financially beneficial. 

There are plenty of boring threads about how to do a job interview, or other mundane subjects. It's nice to see something a little more lively. 

I'm sure every one of us here has some stupid show they watch on TV, or other ridiculous way to kill time. Why not post a creative question on all nurses? How is that any more problematic then reposting memes on facebook that are inane?

Specializes in Psych (25 years), Medical (15 years).
Just now, sideshowstarlet said:

You seem sure that these accounts are fictional. I don't have the experience to consider this thread art, so I'll look at it as a case study. 

Good perspective, sideshowstarlet!

I am not stating that these accounts are fictional, per se.

"Sensationalised."

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