Nursing home resuscitation policies and practices for residents without DNR orders

The purpose of this study was to explore the policies and practices of nursing homes with respect to the resuscitation of residents who do not have a do-not-resuscitate (DNR) order. Responses from a survey of 36 facilities revealed that most residents had DNR orders and most facilities were capable...

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Bibliographic Details
Published in:Geriatric nursing (New York) 1998-11, Vol.19 (6), p.315-321
Main Authors: Ryden, Muriel B., Brand, Karen, Weber, Eileen, Oh, Heeyoung Lee, Gross, C.
Format: Article
Language:English
Subjects:
Advance Directives
Aged
Bioethics
Cardiopulmonary Resuscitation - education
Cardiopulmonary Resuscitation - methods
Certification
Humans
Nursing
Nursing Homes - organization & administration
Nursing Staff - education
Nursing Staff - legislation & jurisprudence
Organizational Policy
Surveys and Questionnaires
United States
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Summary:The purpose of this study was to explore the policies and practices of nursing homes with respect to the resuscitation of residents who do not have a do-not-resuscitate (DNR) order. Responses from a survey of 36 facilities revealed that most residents had DNR orders and most facilities were capable of providing basic cardiopulmonary resuscitation (CPR). Less than 30% had performed CPR in the past 6 months, and 22.8% had no written CPR policies. More facilities required CPR in witnessed arrests of non-DNR residents (79.3%) than in unwitnessed arrests (24%). Methods for identifying CPR status need improvement to enable accurate identification and prompt resuscitation of residents who want CPR.
ISSN:0197-4572
1528-3984
DOI:10.1016/S0197-4572(98)90117-3