World International
Published May 1, 2003
Zana
4 Posts
Which health care members are involve in the decision making when it comes to withholding or withdrawing treatment within the ICU setting?
Who is the Senior member of the team who takes responsibility for the decision with rationale.
Grace Oz
1,294 Posts
More often than not, it's the treating doctor/s.
There usually has to be consultation with the patient's NOK.
In some cases, a court order obtained.
Nurses only carry out the orders, not make the decisions.
In most instances, nurses, by law, do not make diagnosis nor decisions on whether to withhold treatment or not. That is not the role of the nurse. Certainly in Australia anyway.
If there's any discrepancy to this, I stand corrected.
Tookie
469 Posts
I am not sure quite where you are heading with this question
The recent court decision in Melbourne re the woman with MS and have a gatric feeding tube will have an affect l think in regard to some cases but l do not beleive in the ICU situation - however with the advent of medical and living wills this maybe ultimately taken out of medical personal 's hands - any other thoughts out there.
teeituptom, BSN, RN
4,283 Posts
Its all in Gods hands anyway
donmurray
837 Posts
Not necessarily...........
Maxwell Smart
6 Posts
Would that be the hospital God, the doctor God, the administrator God, the Right Honourable Justice God, the political statesman God, the political leader God, the head of state God or the plebian voter God?
allways_garnet
5 Posts
gwenith, BSN, RN
3,755 Posts
We rarely have anyone with a pre-written Advanced Health Directive and when it comes to the final decision it is often done by the consultant after prolonged discussion with the family. We have had one case of a patient who refused further treatment - asked ETT and vent be withdrawn and we allowed him to day goodbye to the family the way he wanted to.