Working In The Emergency Room

Decent Essays
Working in the emergency room, I am often presented with advanced directives and patient DNR’s. These forms of paperwork can been seen from a routine patient visit to a patient who is in cardiac arrest. In house educational training regarding these two topics is performed annually to keep nurses up-to-date with paperwork changes and knowledgeable on how to properly adhere to them.
When a cardiac arrest is brought into the hospital and the patient’s family is able to provide a DNR, or MOLST form, the forms are verified and then adhered to whatever will is dictated by the form. In the case of a DNR, all resuscitative measures are stopped. With a MOLST form, only procedures that the patient wishes to have done are performed. Advanced directives

Related Documents

  • Improved Essays

    This short case study has a significant range of legal and ethical principles which contribute to the outcome of the outcome if Marion will continue or abandon treatment. The team who is treating Marion must refer to the Advance Care Directive and ensure they follow this carefully to ensure Marion’s best wishes. This is because an Advance Care Directive is a legal form for adults over the age of 18, in scenarios in which a person has impaired decision-making capacity, the Advance Care Directive will have instructions, vales and wishes for future health care (Advance Care Directives 2014). Marion’s parents state that she has an Advance Care Directive however, the treating team are unable to take their word and must obtain a copy to ensure the information is correct.…

    • 1110 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Bailey Article 2: ACLS medications and intent Summary Advanced Cardiac Life Support (ACLS) is the name given to a set of guidelines and recommendations produced by the American Heart Association to standardize healthcare provider response to cardiac arrest (Pozner, 2015). As time and research have progressed, ACLS guidelines have changed. Current recommendations, as of 2010, emphasize high quality chest compressions and early defibrillation, and that the evidence supporting these two interventions leads to higher survival rates (Pozner, 2015). Minimizing CPR interruptions is also highlighted, meaning that delaying or interrupting CPR for intubation or intravenous access is discouraged (Pozner, 2015).…

    • 429 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Nursing considerations for these periods of mourning would be to allow the family (or community) either access to the room where the patient died and prepare…

    • 1531 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Dnr Research Papers

    • 453 Words
    • 2 Pages

    DNR means do not resuscitate. This is one of the first things a medical professional looks in a patient’s chart, as this tells the client’s status and their wishes. It is really important to know as a nurse, doctor, respiratory therapist and certified nursing assistance, etc to know your patient’s code status. As a team we all need to know our patient’s code status, that way we are all on the same page and one is not trying to resuscitate a patient who requested to be a DNR. Just like the scenario, the nursing assistant provided CPR to the patient she was caring for, as she was unaware of the patient’s code status.…

    • 453 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The nurse may not always agree with their patient’s choices, but they can make sure they have all the information required to help them make the right decision for themselves. Respect does not always mean agreement, most Americans feel that their end of life choices should be theirs, and not the governments or medical professionals (Altmann, T & Collins,S., 2007). This fact leads me to believe that more states will follow in passing laws legalizing PAS and that means that nurses have to be up to date on what is going on in their states. They should ask themselves how they feel about PAS and if they could be involved in the…

    • 738 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Advance Directives Essay

    • 451 Words
    • 2 Pages

    Health care advance directives have been the primary legal tools to communicate for individuals for over 40 years. Advanced directives are a person’s written commands about his or her future medical care if there is an incident where he or she is unable to make those decisions. Formal advance directives are put in place to ultimately protect the patient’s autonomy and are also referred to a living will or a durable power of attorney for health care (Sabatino, 2010). The living will includes treatments that one wants or does not want like cardiopulmonary resuscitation. A medical power of attorney is someone who will make sure the patient’s wishes are carried out and/or can make decisions about medical care if the patient is unable to.…

    • 451 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    A living will is a document that sets out a patient's wishes regarding health care and how they want to be treated if they become seriously ill and unable to make or communicate their own choices. Living wills are also called active declarations. Such a document may be helpful to relatives and to medical professionals in the case of a seriously ill and incapacitated patient. Living wills are a part of planning what to do in the event of serious illness or disability. The phrase has been used as a handy media label to such an extent that many people focus on the document itself, rather than the actual process of advance care planning.…

    • 119 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Being A Paramedic

    • 347 Words
    • 2 Pages

    being in the health field is science if you want to be a paramedic your going to need to know how to keep the body alive till the doctors are able to. being a paramedic you're going to need to know how much medicine your patient needs or how the patient will still be alive when they get to the doctor. Anything in the health field is science. if you wanted to be in diagnostic services that would involve treating a problem through monitoring problems and following up on any abnormalities like watching someone's blood pressure for cardiorespiratory diseases. science means knowing what the body is chemically and knowing how to heal and keep the body healthy.…

    • 347 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Dnr Experience

    • 512 Words
    • 3 Pages

    I believe that the most important teaching/learning aspect that the caregivers, both medical and family, needed to understand when caring for patient #17 was the concept of AND. To put it into perspective, it isn’t unusual for the elderly population to put DNR on their advanced directive – they are elderly and no longer want to be in pain/suffering. However, it is unusual to see a pediatric patient with an AND order. AND, meaning to allow natural death is something that individuals with chronic illnesses will put in their advanced directives. This particular patient requested that no chest compressions or cardiac medications be utilized in the case of distress.…

    • 512 Words
    • 3 Pages
    Decent Essays
  • Superior Essays

    “Every single day you learn something new,” Nurse Medina says, “ and if you look at everything there is usually never a double moment.” Medina works in the Emergency Room (ER) at Lenox Hill Hospital where she experiences different situations that occur in the department. Nursing isn’t as simple as it sounds. Working twelve-hour shifts with different scenarios every day is arduous for the nurse practitioner that manages the ER. Working in the ER to save a life may sound a bit cliche, “But when you can really save a life that is worth saving what I mean of worth saving is that the person will have a good outcome.…

    • 1670 Words
    • 7 Pages
    Superior Essays
  • Decent Essays

    When I worked in acute unit, I had medical error because of interruption and under staffing issues. We were busy but had not enough staff. During medication administration, I was called for an emergency for my other patient. He went to respiratory failure, so I had to stop during my administration and ran to other room. Luckily, he was okay…

    • 88 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The nursing profession is fortunate enough to hold an immeasurable amount of the public’s trust during their most vulnerable moments, in the hope of receiving optimal client centred care. A recent survey discovered that nurses are second to firefighters in a list of most trusted occupations (CNA, 2007). Moreover, nurses have the privilege of being in a self-regulated and self-governed profession. This means that the Canadian government believes that Ontario’s nursing regulatory body, College of Nurses of Ontario (CNO), is best qualified to appropriately define its own members’ norms of practice and boundaries (Schiller, 2014). It is incumbent upon nurses to continuously justify that they are deserving of this honour by delivering uncompromised…

    • 794 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    In this document, PAD was termed as medical-assisted dying as it involves nurse practitioners (NPs) not only physicians; which means administering medications that can cause patient’s death. In addition, CNO discussed that registered nurses (RNs) and registered practical nurses (RPNs) can only partake in the process by providing assistance to the NP or physician who will provide the medical assistance in dying. It was emphasized that no other clinicians could administer such medications other than the NP and physician…

    • 1312 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Nursing Shortage

    • 921 Words
    • 4 Pages

    A current issue nurses are facing is shortage of nurses in health care facilities (Lazaruk, 2015). There is currently a chronic shortage of nurses, with hospitals relying on nursing overtime to function (Lazaruk, 2015). This chronic issue resulted in 70 million dollars of overtime pay in British Columbia in 2014 (Lazaruk, 2015). Gayle Duteil, B.C’s Nurses union president states that sixteen-hour shifts have become the new norm for nurses (Lazaruk, 2015). This raises concerns about burnout and sickness for the nurses (Lazaruk, 2015).…

    • 921 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Family presence during cardiopulmonary resuscitation has been a topic of intense debate within the medical community. Medical professionals have concerns regarding the efficiency of the code process as well as the safety for all parties involved when family is allowed to stay for resuscitation. In contrast, family members desire to remain close to their loved ones, in what may be the last moments of their life. Meeting the psychosocial needs of the patient as well as their family members is at the center of nursing care and evidence is mounting that there is physiological and psychological benefit from family presence during emergency procedures and life-saving events. Topic in the Literature…

    • 1935 Words
    • 8 Pages
    Great Essays