DNR policy

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I am just going to jump in enough to say, from a nursing perspective, that I
have seen too many "modified DNRs" that just don't make sense. When we
treat resuscitation guidelines like an ala carte menu, we erode our position
of expertise and guidance.
For example, when the provider orders "Medications but no compressions" I
have a hard time believing that the burden for "informed consent" was
reached. Keeping in mind that we are talking about a pulseless patient,
medicating the basilic vein does little to improve outcomes. We know that.
Perhaps we have underexplained comfort measures.

If I were able to design the form, I would steer more towards a table
d'hote, with choice of "All Efforts", "Limited Efforts" or "Comfort
Measures" with each explained for clarity.

jed

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