DO NOT RESUSCITATE ORDERS

Question 1

DO NOT RESUSCITATE ORDERS

MFES personnel are obligated to provide emergency medical care to all patients who require it. What are the three exceptions?

Answer 1

• Patients displaying obvious signs of death
• A properly identified physician takes patient care
• A valid DNR is provided for the patient

Question 2

DO NOT RESUSCITATE ORDERS

When presented with a valid DNR, the Officer will notify communications of the following:

Answer 2

• Patient is VSA
• Valid DNR
• No resuscitation efforts being performed
• Request paramedics be updated

Question 3

DO NOT RESUSCITATE ORDERS

What are the three things that make a DNR form valid?

Answer 3

1) 7-digit serial number located on upper right corner of the form
2) Form filled out and signed by:
- Medical doctor (MD), or
- Registered nurse (RN), or
- Registered practical nurse (RPN)
3) The patient’s name matches the DNR

Question 4

DO NOT RESUSCITATE ORDERS

If requested to leave the patient or the premises, MFES personnel shall: (3)

Answer 4

1. leave the patient or premise
2. notify comms that patient access is denied
3. request police attend the scene
   * Comm will notify police, CO will update ambulance and police on their arrival

Question 5

DO NOT RESUSCITATE ORDERS

DNR form can be revoked when? (3)

Answer 5

• Patient wishes to have resuscitation efforts made (even if request is vague or uncertain)
• “Substitute decision maker” decides resuscitation effects be made
• a physician or nurse determines the plan of treatment now includes resuscitation efforts
• If DNR cannot be validated crews will err on the side of life