How do they post DNR in the patients rooms at your LTC

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Everywhere I have worked there is a place in the room where it states DNR. This facility posts a heart if they are a code. I would much prefer knowing a patient is a dnr without having to look for where ever the heart might be. Maybe if the hearts were all in the same place would help.

Also is there a specific spot in your facility where new orders are put?

Our dnr patients are given a purple wrist band.

melissa

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Ours wear a blue wrist band and we have an updated DNR list at the nurses station which isn't always up to date :chair: so it isn't really reliable. :o

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Everywhere I have worked there is a place in the room where it states DNR. This facility posts a heart if they are a code. I would much prefer knowing a patient is a dnr without having to look for where ever the heart might be. Maybe if the hearts were all in the same place would help.

Also is there a specific spot in your facility where new orders are put?

Our facility places a red dot sticker on the spine of their chart. Used to be quite a few DNR's. NOW if we find someone in full code, we have to check. I think it's a good idea to have a personal list of who is or isn't.....but of course, we have quite a turn over at times. :rotfl:

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Specializes in Gerontology, Med surg, Home Health.

We have a blue highlighter line through their name on the chart if they are a DNR. Since we have a sub-acute unit, we have quite a few patients who are full codes. Boggles the mind sometimes why a 96 year old person with bladder CA would want to be coded, but that's up to them to decide.

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It seems we, like most have the name bands. You don't have time to look at a chart if you found someone has coded. The name bands have name, doc, room #, etc. Black means full code, red means DNR. I feel very comfortable with this because I feel that it gives me quick access to this information

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We have a blue highlighter line through their name on the chart if they are a DNR. Since we have a sub-acute unit, we have quite a few patients who are full codes. Boggles the mind sometimes why a 96 year old person with bladder CA would want to be coded, but that's up to them to decide.

We did the colored dots on the door but then they decided that was a privacy violation. Wristbands never stay on and many don't want to wear them. So, colored dots on the chart. I used to make my own list of patients for my clipboard and put a highliter mark next to the ones that were full code.

As to why a 96 yo with bladder CA would want to be coded...my experience is that almost none of them do, but nobody takes the time when they are admitted to explain to them what will actually be likely to happen and what the likely consequences will be.

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Specializes in LTC, med-surg, critial care.

We have sheets that hang on the inside of the resident's closet door that lists everything: mobility, transfers, thick/regular liquids, where they eat, ect and it has a little box for code status. I guess since only staff, residents and family members open closet doors (and the occational confused resident but if they're that confused do they really notice?) it doesn't violate privacy.

You can also look at the spine of the chart and next to their name will either be blank (DNR) or have a red dot (full code).

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I think I will make a list of codes and dnr's for myself. We get new pts a lot and if it is the first time you work with them it is hard to know. We don't have stickers on the front of the charts, no name bands, and some of our sickest patients are codes. I will add my code status' to my personal report sheet. Thanks guys.

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Specializes in Gerontology, Med surg, Home Health.

Our residents for the most part won't keep their name bands on...especially on the dementia floor (and yes there are full codes there...and YES it has been explained what it means). We have it on the charts, and on the Med Sheets listed under Nursing Alerts...so if you're the med nurse, you have the info right there..if you happen to be lucky enough to be standing there when they code...or if THEY are lucky enough to have you standing there when they code. ME??? I'm getting DNR tatooed across my chest!

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Specializes in LTC, ER, ICU, Psych, Med-surg...etc....
Our residents for the most part won't keep their name bands on...especially on the dementia floor (and yes there are full codes there...and YES it has been explained what it means). We have it on the charts, and on the Med Sheets listed under Nursing Alerts...so if you're the med nurse, you have the info right there..if you happen to be lucky enough to be standing there when they code...or if THEY are lucky enough to have you standing there when they code. ME??? I'm getting DNR tatooed across my chest!

:roll :roll :roll

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our facility as several LOI (levels of intervention) but when a person is a full code we call 911 and wait.

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Specializes in Gerontology, Med surg, Home Health.
our facility as several LOI (levels of intervention) but when a person is a full code we call 911 and wait.

Don't you start CPR? Our state just mandated every LTC to have an AED. I've been asking to get one for years and was always turned down. Now that they are mandated we'll finally be getting one.

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