Ever see "FULL LET" for code status?

[shygoofyone]

We had a new Doc start yesterday in the ER and for a patient with a uniform DNR order, he wrote "Code Status: Full LET" None of us, including nurses with over 30 years experience, have ever seen this term. We asked him what it meant, and he said "that's what you write..." then sat down to try to find the damned meaning on Google! I'm terrified that he's going to be working alone on 24 hour shifts....talk about handholding! Aside from that...has ANYONE ever seen this?

[tokmom, BSN, RN]

So what are the limitations? Full is a let'm die no matter what>

I wonder if they have partial LET.

[traumaRUs, MSN, APRN]

Come on. I've worked in Chicago and have never heard of this.

[Mulan]

So one university hospital uses it and the rest of the country is supposed to know

what it means?

[noyesno, MSN, APRN, NP]

So one university hospital uses it and the rest of the country is supposed to know

what it means?

Haha, I think so...

[A&OxNone, MSN, RN]

This thread is educational on many levels....

I live in the south. We don't have fancy words for this stuff.

[kellyc034]

In the last year and a half or so the Advocate system in the Chicago area has gone to the "LET" system rather than DNR. I left about a year ago, so I can't remember exactly what the term means, but limited emergency treatment comes to mind.

When they did this, they had training and extensive explanation as to why it was changing, etc. but I was a tech then and didn't attend the class. I do know it is one of those things that they are planning on doing everywhere eventually, getting rid of the DNR status bands for pt's.

Hope this helps. At least you know it is a REAL term. Has an order set and paperwork attached, just as a DNR.

Kelly

[Esme12, ASN, BSN, RN]

Well now I want to know what the LET stands for AND want to know what a johnny is!!

I'm sorry........................Patient Gown!!!!

[xtxrn, ASN, RN]

Even Limitation of Emergency Treatment is too vague to really follow- too many ways to interpret. I wouldn't follow it- tell the doc to get a better pen to write the whole order, or get ready for a page when the patient codes. Good grief. For some "limitation" means seeing that someone has no HR or resp and closes the door to go get coffee....for others, it means call everyone but the National Guard. Nah.... wouldn't accept that one at all

[xtxrn, ASN, RN]

Let's hope this pt keeps on breathing so the OP doesn't have to find out the hard way what LET means.

I have no clue...none.

Johnnie is a gown? Never would have guessed that one.

In the PNW, a pop is a soda. People use both.

Pop is THE word for soda in IL (at least in the northern end).... when I moved to TX, if I asked for a 'pop' I could have been slugged. It was all 'soda' there, and a "coke" applied to anything carbonated without alcohol

[Esme12, ASN, BSN, RN]

http://www.uic.edu/nursing/forms/Clinical_Site_Requirements/Advocate/ChristFacultyHandbook2010.pdf

Well I'll be darned.....learn something new every day......:)

[0402]

We have DNR and DNR/ LT. I think of it this way- if I come in and the heart is not beating, I'm not doing anything (meaning no CPR). BUT, DNR does not mean Do Not Treat. However, DNR/ LT designates what is not to be treated- i.e.- do not treat arrhythmias, do not treat hypotension, do not call rapid response, do not shock, do not intubate, etc. I believe there are 5-6 boxes to be checked on our form.

[xtxrn, ASN, RN]

So one hospital on the planet uses this, and it's "good" anywhere ? Did the doc do his residency there, and not know it wasn't the center of the medical universe?

Still needs a lot more than LET, even by the handbook definition.