Does DNI mean no CPR? - page 2
Here is the defiinition on our md order for DNI: (Do Not Resuscitate) comfort interventions only. You will not receive cardiopulmonary resuscitation (CPR) treatment with electromechanical devices. ... Read More
Jun 9, '09Joined: Jan '05; Posts: 4,765; Likes: 2,554Quote from chenoaspiritIm just uncomfortable with it. If a patient wishes ONLY to not be intubated, but wishes to receive CPR...that isnt an option for the standing orders. I dont like the setup at all. I will discuss this with my manager tomorrow. I just dont feel comfortable with it.
My facility has a DNR form with a checklist of what they want or dont' want. Vasopressors, ACLS meds, CPR, feeding, hydration, Abx, intubation, etc.
It's all on the list, and the Drs check off what they want, or don't want. It's easy.
Jun 9, '09Occupation: Freelancing Specialty: 15 year(s) of experience in LTC, Med/Surg, Peds, ICU, Tele ; Joined: Jun '07; Posts: 5,292; Likes: 7,635Last time I had a DNI order I discussed it directly with the patient to find out exactly what her wishes were. She expressly did not want to be intubated. She was a severe COPDer who did not want to ever be placed on a ventilator. I explained to her that the most likely cause of her heart stopping would be respiratory failure and she understood that.
In that case, she would likely not have a shockable rhythm, I suppose meds could be tried as her heart slowed and stopped, although differential diagnosis might well rule that out, since resp failure would be the cause. If bagging and bipap failed, that's as far as she wanted to go.