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DO NOT ATTEMPT CARDIOPULMONARY RESUSCITATION (DNA CPR)
FILE IN SECTION 1
Please complete in black ball point write patient details or affix
Identification labelmate and time of DNA CPR prehospital
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How to fill out do not attempt cardiopulmonary

How to fill out do not attempt cardiopulmonary
01
To fill out the do not attempt cardiopulmonary (DNACPR) form, follow these steps:
02
Begin by incorporating the patient's personal information, such as their name, date of birth, and hospital identification number.
03
Provide details about the patient's current medical condition, including any relevant medical history and diagnoses.
04
Clearly state the reason for considering a DNACPR order and provide supporting documentation if available.
05
Document any discussions held with the patient or their family members regarding the decision to implement a DNACPR order.
06
Include information about the healthcare professionals involved in the decision-making process.
07
Specify the actions that should be taken in the event of a cardiac or respiratory arrest, such as avoiding resuscitation attempts or providing comfort measures only.
08
Date and sign the form, ensuring that all relevant individuals involved in the decision-making process also sign and date it.
09
Ensure that copies of the completed DNACPR form are appropriately distributed to the patient's medical team and healthcare facility.
10
Remember to review and update the DNACPR form as necessary based on changes in the patient's condition or wishes.
11
It is important to consult local guidelines and involve a healthcare professional experienced in DNACPR decision-making when filling out this form.
Who needs do not attempt cardiopulmonary?
01
The do not attempt cardiopulmonary (DNACPR) form is typically relevant for individuals who meet specific criteria, such as:
02
- Patients with advanced or terminal illnesses who have expressed their wish to avoid cardiopulmonary resuscitation
03
- Those with severe comorbidities or frailty where the chances of success from resuscitation are highly unlikely
04
- Individuals who are at risk of cardiac or respiratory arrest and have chosen to focus on comfort care rather than aggressive medical intervention
05
- Patients with conditions that may lead to complications during resuscitation attempts
06
It is essential to involve healthcare professionals, including doctors and nurses, when determining whether someone needs a DNACPR form.
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