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----- Original Message -----
Sent: Monday, February 09, 2004 1:52
PM
Subject: Re: Help, quick question about
full codes
I am an America Red Cross CPR for the
professional rescuer instructor. Many facilities have it a part of their code
policy that CPR will not commence unless the arrest was witnessed. We
have such a policy and when the patient is admitted to this facility, this is
reviewed with them prior to their DNR decision. They may change their
mind on this decision at any time. If they are unable to make an
informed choice and have no one as their POA, we treat them as a full code
until other legalities are handled. We really try to work with our
nurses to watch for changes in condition and summon EMS for changes. EMS
is expected to sustain any resuscitation attempts begun in the community,
however, most advanced EMS are able to send strips to the physician in the
hospital and then can have the Dr. pronounce based on the resuscitation
protocol and lack of the patient's response to interventions. We have
added a defibrillator in our facility, but again, we try to get EMS into the
building before it becomes a code.
The last statistics I have regarding CPR
is that only 3% of community arrests survive to be discharged from the
hospital back into their community setting.
Sara Hayden RN,C
St. Mark's Lutheran
Home
Austin, MN
----- Original Message -----
Sent: Monday, February 09, 2004 1:33
PM
Subject: Re: Help, quick question about
full codes
I would be very interested to hear what a
certified CPR instructor would have to say about this. Anyone out
there certified to teach CPR? (Every class I have ever taken has
emphasized that CPR must be started unless the patient has a properly
documented No CPR or equivalent order, and CPR continues until someone else
takes over or until the rescuer is too exhausted to
continue.)
Rena
Rena R. Shephard, MHA, RN, FACDONA,
RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: RE: Help, quick question about full codes
Date: 2/9/04 11:16:15 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to:
[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the
Internet
I would appreciate a copy also. Thanks, Betty
H (863)453-0769
Julie Thomas
<[EMAIL PROTECTED]> wrote:
I
would like a copy of your policy.
254-445-3960
Thank you,
Julie Thomas RN
BSN
-----Original Message-----
From: Connie L.
Frank [mailto:[EMAIL PROTECTED]
Sent: Friday,
February 06, 2004 9:38 AM
To:
[EMAIL PROTECTED]
Subject: RE: Help, quick question about full
codes
I will fax if I have
your number. I do not have it in my computer files and I am unable to
scan to email.
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Libby
Cawthorn
Sent: Friday, February 06, 2004 9:06
AM
To: [EMAIL PROTECTED]
Subject: RE: Help, quick
question about full codes
Would you mind
sharing your policy?
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Connie L.
Frank
Sent: Friday, February 06, 2004 8:56 AM
To:
[EMAIL PROTECTED]
Subject: RE: Help, quick question about full
codes
I would base it on your
facility policy and if you don't have one....write one. Our policy is
that we only code WITNESSED last breaths....
-----Original
Message-----
From: Davina Demerritt
[mailto:[EMAIL PROTECTED]
Sent: Friday, February
06, 2004 8:38 AM
To: [EMAIL PROTECTED]
Subject: Help,
quick question about full codes
If a resident is
a full code and you do not know when they took their last breathe,
then you still start a code, correct? I need this in writing
please.
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