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TERMINATION OF RESUSCITATION. Date: May 31, 2012. Page 1 of 1. MCA Name. Section 5-29. MCA Board Approval ...

How to fill out termination of resuscitation

How to Fill Out Termination of Resuscitation:

1. Obtain the relevant form: The first step in filling out the termination of resuscitation is to obtain the appropriate form. This form is typically provided by the healthcare facility or emergency medical services (EMS) personnel.
2. Provide patient information: Begin by providing the necessary patient information, such as the patient's name, age, sex, and any other identifying details required on the form. This ensures accurate documentation and prevents any confusion.
3. Document the date and time of resuscitation initiation: On the form, clearly state the date and time when the resuscitation efforts began. This information helps healthcare professionals understand the duration of the resuscitation attempt.
4. Detail the resuscitation efforts: Describe the specific resuscitation efforts that have been performed on the patient. This may include cardiopulmonary resuscitation (CPR), administration of medications, defibrillation, intubation, and any other interventions carried out during the resuscitation attempt.
5. Include any pertinent observations: Note down any relevant observations made during the resuscitation process. This might include the initial rhythm, response to interventions, changes in vital signs, or any complications encountered.
6. Indicate the resuscitation duration: Calculate and document the total duration of the resuscitation attempt. This includes the time interval between initiation and termination of resuscitation.
7. Document the termination decision: Clearly state the decision regarding the termination of resuscitation. This decision is typically made by an authorized healthcare professional based on clinical guidelines or specific situational criteria.
8. Record the time of termination: Indicate the exact time when the decision to terminate resuscitation was made. This allows for accurate documentation and ensures proper communication between healthcare providers.

Who Needs Termination of Resuscitation:

1. Patients with irreversible cardiac arrest: Termination of resuscitation is necessary for patients who have experienced an irreversible cardiac arrest. This means that despite all efforts, the heart is unable to regain sustained circulation and function.
2. Cases meeting predefined termination criteria: Termination of resuscitation is often based on specific predetermined criteria. These criteria typically include the absence of a shockable rhythm, duration of resuscitation beyond a certain time limit, or lack of response to interventions.
3. In line with medical and legal guidelines: Healthcare professionals follow medical and legal guidelines when determining the need for termination of resuscitation. These guidelines help ensure ethical decision-making in situations where further resuscitation is deemed futile.
4. When further resuscitative efforts are deemed inappropriate: Sometimes, it is determined that further resuscitative efforts would go against patient preferences, quality of life considerations, or medical futility. In such cases, termination of resuscitation may be necessary.
5. Decision made by authorized healthcare professionals: The decision to terminate resuscitation is made by authorized healthcare professionals, including doctors, nurses, and EMS personnel. They use their clinical knowledge and judgment to assess the situation and determine if resuscitation efforts should be ceased.

For pdfFiller’s FAQs

What is termination of resuscitation?

The termination of resuscitation is the decision to stop trying to revive a patient who has suffered cardiac arrest.

Who is required to file termination of resuscitation?

In most cases, healthcare providers such as doctors, nurses, and paramedics are required to file termination of resuscitation.

How to fill out termination of resuscitation?

The termination of resuscitation form typically requires information about the patient, the circumstances of the cardiac arrest, and the decision to stop resuscitation efforts.

What is the purpose of termination of resuscitation?

The purpose of termination of resuscitation is to make a decision about whether further resuscitation efforts are futile and to provide closure for the patient and their family.

What information must be reported on termination of resuscitation?

Information that must be reported includes the patient's identity, the time and location of the cardiac arrest, the resuscitation efforts that were made, and the reasons for ceasing resuscitation.

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