Dnr

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I'm doing some research for a class of mine regarding DNR and had a question...

How many of you have done CPR on a patient that you knew had a written DNR?

How many of you have done CPR on a patent that had a written DNR that you where unaware of at the time?

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Additionally, if anyone knows where I can find studies that have been done on this (I'm coming up empty) that would be great.

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On a known DNR pt, never.

On a pt that we didn't have info on at the moment, several. As soon as we found out, we stopped efforts.

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Specializes in MPCU.

ditto above, since ur looking for numbers.

I would wonder how many MD's have placed a person on a modified code, knowing the effort was futile in the first place. Or for that matter on a full code when the situation was definably futile.

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I think modified codes are always for the family's sake, not the doc's. Isn't the yay or nay part of the decision to be a full code up to the pt, not the doc?

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Specializes in LTC, Psych, Hospice.
On a known DNR pt, never.

On a pt that we didn't have info on at the moment, several. As soon as we found out, we stopped efforts.

Same here.

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Specializes in Med/Surge, Private Duty Peds.

No CPR on a DNR. CPR stopped after for a DNR that was unknown at the time.

Once a pt was being transfered form ED to the floor, as we were moving the pt from the ED stretcher to the bed pt stopped breathing called a code, doc shows up yells stop he is a DNR. Did know that cause we weren't told when getting report from ED and hadn't had a chance to read the orders. But family says do something, tell the doc, who yells start CPR, then stop CPR he is a DNR.

Boy was that ever confusing!!

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If the family says Do something, the DNR is no longer effective.

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Specializes in Med/Surge, Private Duty Peds.
If the family says Do something, the DNR is no longer effective.

Yeap that is true, but doc talked to family ( they were just outside the room down the hall a couple of doors away) and they said OH no NO NO! NO CPR or putting a tube in HE didn't want that done!! It was a complete total mess.

Afterwards, the family explained that yes the pt was a DNR, they meant the " do something" was in reference to getting the pt from the stretcher to bed safely and NOT CPR. Thank goodness things finally got worked out.

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Specializes in ICU.
No CPR on a DNR. CPR stopped after for a DNR that was unknown at the time.

Once a pt was being transfered form ED to the floor, as we were moving the pt from the ED stretcher to the bed pt stopped breathing called a code, doc shows up yells stop he is a DNR. Did know that cause we weren't told when getting report from ED and hadn't had a chance to read the orders. But family says do something, tell the doc, who yells start CPR, then stop CPR he is a DNR.

Boy was that ever confusing!!

:typing Order for a patient: Not for Resus (DNR) Not for Ventilation, Not for Intubation, Not for Haemofiltration...BUT FOR a shockable rhythm.

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have had a patient whee as the fly member the md decided that pt was a dnr status, id not confer with pt or rest of family. pt was lucid but was terminal with another disorder

AN ABSOLUTE NIGHTMARE

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If the family says Do something, the DNR is no longer effective.

So... if the client has a DNR on record, and the family tells you to do CPR, you do CPR? I haven't read this anywhere... help me out, can you give me more info on this?

You ladies (and guys) are great!

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Specializes in ICU, PICC Nurse, Nursing Supervisor.

but we are talking poa here right not uncle larry's second cousins wifes first husbands grandmas bothers wife 3rd cousin 15 times removed....

if the family says do something, the dnr is no longer effective.
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