experience –
How does your hospital identify DNR?Rating: (votes: 0) Hello,1. We have to have an MD order first and foremost. 2. Then 2 RNs sign a sticker stating that we have verified the order with the time and date on it. This sticker is placed in the progress notes of the pt chart. 3. We then place a purple DNR/DNI band with the pt name on the pts arm. It just takes a few minutes and makes everthing clear to all staff. The last place I worked just required an MD order to place the DNR/DNI band. Hope that helps. Comment:
RED BRACELET WITH A C OR AN "A" ON IT. (DNR "CC" OR DNR "A"REST):gandalf:
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we have stickers all over the chart, it's written on the kardex, and the patient wears a green armband. we use the red armbands for drug allergies
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We don't identify patients who are DNRs in any special way. In my years in this facility it's never been an issue.
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None of the hospitals in my area, whether public or private, openly identify DNR patients. We are told in handover whether someone is DNR, and it might be noted on the handover sheet. Obviously the DNR request is documented in the notes, but we don't have anything that would allow a visitor to the ward to identify a DNR patient. It just takes a little bit of remebering, that's all.
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purple armband-DNRpink armband-limited resuscitationorange armband-fall riskyellow armband-allergies are noted on these
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[font="comic sans ms"]along with the usual dnr order in the orders/progress notes section of the chart, there is a sticker on the front of the chart and a special arm band on the patient. the sticker and order list whether the patient is a complete dnr or limited code and if limited, what efforts they want. the arm band is a different shade if the patient is a complete dnr versus a limited code.this is a fairly new policy, and i'm not sure what happened to change it, but it seems to work. i've never heard of a patient in my hospital system being resused when they didn't want to be. however, i do remember when i was a new grad in a different facility, one of the nurses on a floor where i worked sent a patient to dialysis where they arrested, and the dialysis staff didn't realize she was a dnr, so they resused her. the family was very unhappy. i don't know if the floor nurse forgot to tell them, or if she told one dialysis nurse who didn't relay the info, or if they just forgot......but it was a very big deal.
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Quote from otessayellow armband-allergies are noted on these
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After the written order from Doc, we place a yellow wrist band on the patient, a yellow sticker on the outside of the chart as well as flag the original order and a sticker on the id plate. then its noted in numerous places in kardex, nurse to nurse reports and assessment charting.
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nurses wanted id bands at our facility -- but docs vetoed. docs felt that patient would receive less care.
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Since code status is considered so-called 'protected health information' at my facility, it can be found only in the MARs and at the very front of the charts. The first page of every patient's chart will either be bright red and read "DNR", or bright green and read "FULL CODE."
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It is IN the charts in the front on a bright orange paper. Behind that are the orders (POLST or DNR/DNI paperwork or advanced directives). During report is the best thing, and we nurses typically write that in our personal pt notes.We did NOT go for bands because that is a subject of confusion and no need for a pt to have more than two bands at a time (people started to cut them off if more than two). And family members tended to cut off a DNR/DNI band if they didn't agree with a pts choice! So that was out!Front of a pts chart was considered a privacy violation...we don't even have names on the front, but initials now with the MD name. I don't like this much, but I hit the face sheet to make sure I have the right pt almost automatically now.It is also located in our kardex.
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