Help! Confused about DNR status!

In the state I used to work in we had full code or DNR which was simple. Now I'm working in a state where we have Full code, DNR CC (comfort care), and DNR CCA (comfort care arrest). I'm in orientation and have asked several nurses about this and either get vague or conflicting answers. Do you call a code for the DNR CCA? I know you can't intubate them but one said they can get chest compressions and one said they can do whatever it takes up until they arrest and then you stop-no compressions. Does anyone know for sure? I find this so confusing!
Quote from Nurse ABCIn the state I used to work in we had full code or DNR which was simple. Now I'm working in a state where we have Full code, DNR CC (comfort care), and DNR CCA (comfort care arrest). I'm in orientation and have asked several nurses about this and either get vague or conflicting answers. Do you call a code for the DNR CCA? I know you can't intubate them but one said they can get chest compressions and one said they can do whatever it takes up until they arrest and then you stop-no compressions. Does anyone know for sure? I find this so confusing!

Ok-that helps. Now it's starting to make sense. Thank you!!

I am not sure which state you are from, so the following might not apply as it pertains to Ohio. In Ohio, when a DNR order is initiated, it can either be written as a DNR Comfort Care (DNRCC) or DNR Comfort Care - Arrest (DNRCC-A). The option selected determines when the DNR becomes effective. The DNRCC becomes effective when it is signed. The DNRCC-A becomes effective when the patient presents in either cardiac and/or respiratory arrest. At the time the DNR becomes effective, none of the following interventions are to be initiated: Start chest compressionsInsert an artificial airwayAdminister resuscitation drugsDefibrillate or cardiovertAdminister respiratory assistanceUse resuscitative IV linesInitiate cardiac monitoringLikewise, all of the following interventions can be initiated at any time: Suction the airwayAdminister oxygenProvide pain medicationsPosition for comfortSplint or immobilizeControl bleedingProvide emotional support; contact other health care providersContrary to popular opinion, a valid DNR order does not equal a "do not treat" order. What this means, however, is that medications and treatments for chronic medical conditions are maintained. If new conditions arise, they will likely be treated as well.If you are in Ohio, the Ohio Department of Health website contains an information page pertaining to the Do Not Resuscitate Comfort Care program. There is also a frequently asked questions page that might answer many, if not all, of your questions.

Thank you! I looked that up and it helped as well. We actually had a patient with a dr's order that said he was a DNRCCA with chest compressions. That really confused me! So unless it states otherwise, no codes with DNR's. I think that's a dangerous order for the pt!