Do Not Resuscitate (DNR) Standard

Question 1

According to the DNR Standard what interventions are you not allowed to initiate?

Answer 1

1. Chest compressions
2. Defibrillation
3. Artificial ventilation
4. Insert a OPA, NPA or supraglottic airway
5. Endotracheal intubation
6. Transcutaneous pacing
7. Advanced resuscitation drugs

Question 2

What is required for a DNR form to be valid?

Answer 2

1. Pre-printed 7 digit serial number
2. Surname and first name printed
3. One of the two required conditions have been checked off
4. Professional designation has been checked off
5. Professional name is printed and signed
6. Date form was signed must be the same or precede the request for ambulance services

Question 3

Would a copy of a fully completed original DNR form be valid?

Answer 3

Yes,

A valid DNR form may be a fully completed original, or a copy of a fully completed original.

Question 4

When may a Paramedic provide CPR for a patient who has a valid DNR form?

Answer 4

1. When the patient expresses clearly a wish to be resuscitated.
2. When the patient expressed a wish to be resuscitated, but the request a vague, incomplete or ambiguous such that the wishes of the patient is unclear.

Question 5

What interventions can a Paramedic provide for a patient that has a valid DNR?

Answer 5

Interventions that provide comfort or alleviate pain according to the patient’s clinical condition.

Question 6

Once it has been determined that death has occurred, the Paramedic shall…

Answer 6

1. Advise the CACC/ACS

2. Follow the Deceased Patient Standard

Question 7

In addition to Documentation of Patient Care Standard, the Paramedic shall…

Answer 7

Note and document the time at which the Paramedic confirms the patient was deceased.

Question 8

What does a MOHLTC DNR Confirmation Form look like?

Answer 8

Need to go online to print