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View Diary: Nurse Follows Company Policy with Update x2 (90 comments)

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  •  Why Then, ... (6+ / 0-)

    didn't the nurse on the phone just say there was a DNR? It would have avoided a lot of drama. I listened to as much of the 911 call as was played on the radio, and at no point did the nurse explain the situation other than saying, "It's not our policy."

    "Facts are meaningless. You could use facts to prove anything even remotely true." -- H. Simpson

    by midnight lurker on Mon Mar 04, 2013 at 05:20:32 PM PST

    [ Parent ]

    •  I was thinking the same thing (1+ / 0-)
      Recommended by:
      OldDragon

      Would disclosing the existence of a DNR violate HIPPA? If so, we need to change that.

    •  The nurse might simply have forgotten to say so (2+ / 0-)
      Recommended by:
      mrkvica, AllisonInSeattle

      Or maybe she thought she did say there was a DNR order.

      The discussion above certainly shows what a hodgepodge of rules and laws there are about CPR.  
      A nursing home doesn't have to call EMS, but an assisted facility has to.  
      Maybe HIPAA forbids the nurse from saying the patient is DNR?  I hope not, but I've heard of quirks in HIPAA that are just as silly.

      I have some experience as a hospice medical director.  I got to the point of wishing all hospice patients would have a framed copy of their DNR order hanging at the bedside.

      We're all pretty strange one way or another; some of us just hide it better. "Normal" is a dryer setting.

      by david78209 on Tue Mar 05, 2013 at 06:51:57 AM PST

      [ Parent ]

      •  or she may have had personal reservations (3+ / 0-)
        Recommended by:
        CayceP, OldDragon, david78209

        about the DNR which she had not disclosed in her job interview...

        or perhaps she was a temp worker and not made well aware of the DNR.

        Many of us who are approaching this stage of life have signed DNRs with the full knowledge of our children and other relatives.

        My Mother had a DNR, but the available nurse's aides doing home care would never have agreed to it. So basically her death was prolonged against her will when she was no longer able to care for herself.

        Good for the family in this situation which seemed quite on the same page about their wishes.

        "There's nothing serious about a plan that claims to reduce the deficit by spending a trillion dollars on tax cuts for millionaires and billionaires." - President Obama

        by fhcec on Tue Mar 05, 2013 at 08:35:01 AM PST

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    •  DNR vs 911 (0+ / 0-)

      Do you imagine that 911 would respond at all if they were told that an 87 year old woman was having medical problems, and that she was under a DNR order?  That too would be confusing, and 911 would probably hang up, since the DNR would prevent emergency personnel from giving aid when they arrived.

      •  But the Nurse Called 911 in the First Place (0+ / 0-)

        If you listen to the call, she seems very detached from the whole situation. When she was asked if the woman was lying flat on the floor, she couldn't answer because she wasn't in the same room. When she did get the woman lying down, she scarcely provided any usable information about the woman's condition.

        I'm hearing now that some facilities require a resident to have a DNR on file before they will accept them. Don't need no "death panel" there.

        "Facts are meaningless. You could use facts to prove anything even remotely true." -- H. Simpson

        by midnight lurker on Tue Mar 05, 2013 at 09:02:21 AM PST

        [ Parent ]

        •  That's true, but you also are choosing (1+ / 0-)
          Recommended by:
          AllisonInSeattle

          to live in that facility. Frankly, it's a choice many people would make, to not worry about heroic measures and just die.

          You said the air was singing / it's calling you, you don't believe / These things you've never seen / Never heard, never dreamed.

          by CayceP on Tue Mar 05, 2013 at 09:42:50 AM PST

          [ Parent ]

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