The Partial Code Blue

Baumrucker, Steven J.; Hutchinson, Laura; Oertli, Rev. Karrie A.; Stolick, Matt; Adkins, Russell W.; VandeKieft, Gregg

doi:10.1177/1049909114540790

Cited by 1 publication

(9 citation statements)

References 4 publications

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“…The patient decided she wishes for no CPR or intubation, and the PC APRN updated her code status to DNR, which was shared with the medical team. [7][8][9][10] Case 6…”

Section: Casementioning

confidence: 99%

“…Patients may believe resuscitation can be provided in an "a la carte" menu and they can pick and choose parts of CPR; however, this may not be medically feasible and could result in nonbeneficial or even harmful medical care. 7,8,10 Some experts recommend that CPR not be offered in cases where CPR is considered ineffective or harmful. 1,8,11 Multiple studies have shown 0% survival in implementation of a partial code, which is concerning for the delivery of ineffective care.…”

mentioning

confidence: 99%

“…1,8,11 Multiple studies have shown 0% survival in implementation of a partial code, which is concerning for the delivery of ineffective care. [7][8][9][10] Patients experiencing cardiac arrest who do not consent to all necessary components of advanced cardiovascular life support interventions are at risk for suffering without the opportunity for successful resuscitation. 8,10 A shared decision-making model with provider recommendations based on benefit and risk of interventions is recommended.…”

mentioning

confidence: 99%

“…[7][8][9][10] Patients experiencing cardiac arrest who do not consent to all necessary components of advanced cardiovascular life support interventions are at risk for suffering without the opportunity for successful resuscitation. 8,10 A shared decision-making model with provider recommendations based on benefit and risk of interventions is recommended. [1][2][3][4][6][7][8][9] The definition of futility is a subject of debate.…”

mentioning

confidence: 99%

“…11,12 Terms may be considered controversial due to differences in provider and public opinions on perceived value of quantity or quality of life and the challenges of accurate prognostication for every patient. 1,10 The following are multiple definitions of futility useful for this discussion. Physiological futility is considered when medical treatments are not able to accomplish the intended physiologic outcome.…”

mentioning

confidence: 99%

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Demystifying Limited Code

Sabolish,

Pennartz

2023

J Hosp Palliat Nurs

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Upon admission to an acute care hospital, patients and families are faced with determining their cardiopulmonary resuscitation status during conversation with providers. Medical providers are tasked with providing education and options in the context of the patient's acute and chronic conditions. Misconceptions are common in the general public, and providers may struggle with providing guidance in high-stress situations. Literature review revealed a lack of national consensus on code status definitions. Electronic health records may include multiple options for code status orders, which may lead to confusion for patients and medical staff, resulting in provision of potentially ineffective or undesired medical care. The following discussion will examine multiple cases in a large health care system and a novel way of standardizing resuscitation options using Havelock's change theory. This quality improvement project was approved by the institutional review board.

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“…The patient decided she wishes for no CPR or intubation, and the PC APRN updated her code status to DNR, which was shared with the medical team. [7][8][9][10] Case 6…”

Section: Casementioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Demystifying Limited Code

Sabolish,

Pennartz

2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

show abstract

The Partial Code Blue

Cited by 1 publication

References 4 publications

Demystifying Limited Code

Demystifying Limited Code

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