ParamedicStudent
Forum Crew Member
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Hello. Since I can't get a clear answer in person, I just have some questions regarding DNR/DNI paperwork, and multiple opinions regarding so.
1) For comfort measures that does not include IV access, and/or no treatment including IV access, is it only in the case of cardiac arrest? For example, in the case of cardiac arrest with no IV access as well as DNR/DNI, obvious one would not perform IV access. However, with comfort measures only w/o IV access, you'll be withholding it. When in the case that grandma had a fall as is in severe pain, do you establish IV access to administer pain meds, or administer meds via a different route without IV access.
2) For the stroke or STEMI patient with a DNR/DNI, will it still be a code 3 return with treatments, excluding compressions and/or intubation? Obviously, I'd refer this to my medical director. I was in this situation once, contacted base physician, and was advised full treatment without lights & sirens. But what if you were in the case that base or medical contact could not be contacted?
3) Do you accept an electronic copy of the POLST form, as opposed to the physical copy? Example, patient was outside and away from their home when they had an arrest, but family has an digital copy. Do you honor that?
Thank you.
1) For comfort measures that does not include IV access, and/or no treatment including IV access, is it only in the case of cardiac arrest? For example, in the case of cardiac arrest with no IV access as well as DNR/DNI, obvious one would not perform IV access. However, with comfort measures only w/o IV access, you'll be withholding it. When in the case that grandma had a fall as is in severe pain, do you establish IV access to administer pain meds, or administer meds via a different route without IV access.
2) For the stroke or STEMI patient with a DNR/DNI, will it still be a code 3 return with treatments, excluding compressions and/or intubation? Obviously, I'd refer this to my medical director. I was in this situation once, contacted base physician, and was advised full treatment without lights & sirens. But what if you were in the case that base or medical contact could not be contacted?
3) Do you accept an electronic copy of the POLST form, as opposed to the physical copy? Example, patient was outside and away from their home when they had an arrest, but family has an digital copy. Do you honor that?
Thank you.