Coworkers Respecting Each Others' Advance Directives and Code Statuses

Nurses General Nursing

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macawake, MSN

2,141 Posts

14 minutes ago, Emergent said:

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.

Are you trying to pick a fight Emergent ?

After more then a decade of dealing with criminals and the mind games many of them play, I have a pretty well-developed radar when it comes to people trying to manipulate other people’s emotions. 

If we take the facts presented by OP at face value, do you think that it’s healthy for a person in their early thirties without any morbidities to be adamant about wishing to be DNR and choosing to share that on the internet? Perhaps that’s creativity to you. I see it differently. 

Specializes in Med-Surg, Developmental Disorders.
3 hours ago, CharleeFoxtrot said:

Sadly, those are not valid in my state. The only "enforceable" DNR (outside of a facility) is the hardcopy paper the doctor signed.  I do have a drawing for a nifty tattoo that reads "DNR" no matter how you look at it that I plan to have inked on my sternum when that time f life approaches ?

That tattoo sounds like a great idea! 

Davey Do

10,476 Posts

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

Perhaps that’s creativity to you. I see it differently. 

However, we are both being entertained, because we don't have to be here, and we are not being monetarily reimbursed for our time and services. 

Emergent, RN

4,243 Posts

Specializes in ER.
2 minutes ago, macawake said:

Are you trying to pick a fight Emergent ?

 

❤definitely not with you my friend. 

I am, however, calling out whoever it was who suggested that the original poster get Mental Health help. 

All of us here that are regular posters are probably a little addicted to the site. An argument could be made that we all need help.

We have all adopted personas online to post on nursing website. Silver Bells is just a little more creative. We don't know too much about her life, or whether her posts are exaggerated or not.

If posting creative questions on all nurses is a good outlet for Silver Bells, all the more power to her.

Davey Do

10,476 Posts

Specializes in Psych (25 years), Medical (15 years).

 Emergent is, I'm proud to say, my allnurses wife!

macawake, MSN

2,141 Posts

1 hour ago, Davey Do said:

I too have been accused of having a Messiah Complex.

?

I’m sure there might be a component of that involved... But it’s mostly the consequence of having experienced ad nauseam, people being hurt or used by other people with certain psychological errr... peculiarities... 

macawake, MSN

2,141 Posts

7 minutes ago, Emergent said:

❤definitely not with you my friend. 

I’m glad, because I do like and appreciate your posts here ?

Davey Do

10,476 Posts

Specializes in Psych (25 years), Medical (15 years).
40 minutes ago, Davey Do said:

I too have been accused of having a Messiah Complex.

 

21 minutes ago, macawake said:

I’m sure there might be a component of that involved...

In other words, my premise has been reinforced.

22 minutes ago, macawake said:

 But it’s mostly the consequence of having experienced ad nauseam, people being hurt or used by other people 

And, as per SilverBells' systematic approach, a conjunction is used to negate the premise.

25 minutes ago, macawake said:

people with a certain psychological errr... peculiarities... 

This premise is an opinionated perspective, not necessarily based in fact.

In order to make this premise based in fact, actual examples need to be presented. Otherwise it's...

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guest1163268

2,215 Posts

17 hours ago, SilverBells said:

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? 

I find it amazingly arrogant that you actually feel that you know what you want at this stage in your life! 

I hope you are aware that your circumstances as well as your perspective changes as you get older and learn more. Therefore your decisions will change. By initiating a discussion of such a strange topic with your colleagues, aren't you running a risk of them judging you and changing your current relationships with them? Surely that is something only your immediate family and legal representative should know about. 

Consider how you are viewed in this forum? Caffeine consumption and erratic sleep and work schedules. Now I am a person who pays no attention and remembers practically nothing about anyone, except for a very few people here, but you stand out. 

Get my point? You maybe defined wrongly with the subsequent consequences if you broach a DNR with your colleagues. 

guest1163268

2,215 Posts

1 hour ago, Davey Do said:

I too have been accused of having a Messiah Complex.

Is that a typo? You meant messy complex, didn't you Davey ????

guest1163268

2,215 Posts

1 hour ago, Davey Do said:

 Emergent is, I'm proud to say, my allnurses wife!

Oh Oh. Is this a Mormon diversion? Is there going to be talk of long underwear and Missouri garden of Eden? Is Mitt Romney going to make an appearance ????

macawake, MSN

2,141 Posts

46 minutes ago, Davey Do said:

This premise is an opinionated perspective, not necessarily based in fact.

In order to make this premise based in fact, actual examples need to be presented. Otherwise it's...

Your point being? It may well be based in fact but in order to prove that I or any other poster, would have to get very personal and identify and name certain traits displayed that indicate a certain pathology. That’s not something I want to do and it probably violates ToS as well. Being vague in this particular case is a deliberate choice on my behalf. You are of course free to think of it and interpret it as you see fit. 
 

 

13 minutes ago, Curious1997 said:

Is that a typo? You meant messy complex, didn't you Davey ????

I have both ?

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