muncieDON

All of the information above is totally on the money------however, my concern in LTC is that are we really updating, and checking whether a CPR status is appropriate for out residents. I'm a new DON (old nurse???) but was amazed to find that out of 60 some residents there were at least 15 "full code" residents??? CPR was never meant to jump start a 95 year old heart???? A little unrealistic I think. I've started re-evaluating all residents with the help of their physicians, families, social services, etc to get these records updated and explained. We recently had just this situation---with a CPR pt being found unresponsive, and obviously dead-------CNA's talked that he should have had CPR---(like they would know how to do it) and before it was done, we had state surveyors in the building on a complaint??? All has turned out well, and we do have new policies in the works. During this process I've learned alot, but DON's across the board need to be VERY INVOLVED in Advance directives----making sure they're updated------and knowing the laws in your state!!!!