Special Resuscitation Orders

Question 1

Advance Care Directive

Answer 1

Intervention Notes
- Establish that the pts’ advance car directive is clear and valid

Action
- Follow the pt’s wishes as outlined in the directive

Question 2

Expected Home Death - DNR w/ pt

Answer 2

Interventions Notes
- Pt has a physician order or a signed “No CPR” form or a “No CPR” bracelet

Action
Do not resuscitate

Contact CliniCall if unsure of appropriateness of DNR

Question 3

Unexpected Home Death in the presence of a terminal illness

No DNR

Answer 3

Intervention Notes
- Perform basic life support procedures until a determination of viability can be assessed

Action
- Start CPR and immediately determine the medical history

Consult CliniCall

Question 4

Obvious Death - examples

Answer 4

• Prolonged down time
• Decapitation
• Trans-section
• Evidence of tissue decomposition, including rigor mortis and/or lividity

Question 5

Obvious Death

Answer 5

Intervention Notes

• Permanent cessation of all vital functions
• The final and irreversible cessation of perceptible heart beat and respiration

Action
Non-viability is obvious, CPR is not initiated

Question 6

CBRNE related death

Answer 6

Intervention Note
- These situation are unique and require special training

Action

• Contact CliniCall
• these pts have to be managed as a contamination hazard until otherwise determined