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Publication - Guidance

Decisions about Cardiopulmonary Resuscitation: Integrated Adult Policy

Published: 31 Aug 2016
Part of:
Health and social care
ISBN:
9781786524386

Guidance on cardiopulmonary resuscitation, reflecting feedback and changes to national good practice.

50 page PDF

1.2MB

50 page PDF

1.2MB

Contents
Decisions about Cardiopulmonary Resuscitation: Integrated Adult Policy
Reviewing the decision

50 page PDF

1.2MB

Reviewing the decision

The revised guidance clarifies that review of CPR decisions must be done on a clinically appropriate and individualised basis. A timeframe for review of the initial decision should reflect the variability of the patient's clinical situation. Patients, who are continuing to deteriorate with one or more irreversible conditions and with no prospect of recovery to a point where CPR might work, do not need to have the DNACPR decision reviewed.

Local clinical teams have a responsibility to ensure that CPR status is checked and clarified along with other aspects of anticipatory emergency care and treatment planning at every handover, safety huddle, ward round or multidisciplinary meeting.

When the lead clinician changes due to transfer or discharge, any DNACPR decision must be reviewed as soon as is reasonably possible, but it is assumed that the existing decision will remain valid meantime.

Where the team are notified of the appointment of a welfare guardian or welfare attorney after a DNACPR is in place, that person should be notified of the existence of the form, and consideration given to a review involving them.


Contact

Email: Elizabeth Gourlay, elizabeth.gourlay@gov.scot