The junior doctor’s task is to review the national guidance on DNACPR decision making.
NHS Scotland has a DNACPR policy for integrated documentation and communication of the decision: Cardiopulmonary Resuscitation (CPR) Decisions [PDF]
After reviewing the above framework, decide which of the following statements are true or false: (T/F quiz)
| Statement | Feedback |
|---|---|
| Once a decision on DNACPR is made, it is important that the team keep to this plan throughout the admission. | T: INCORRECT: Although it is important that the current order is well communicated, it is also appropriate that the decision is reviewed if the patient’s circumstances or condition changes.
F: CORRECT: : Although it is important that the current order is well communicated, it is also appropriate that the decision is reviewed if the patient’s circumstances or condition changes. |
| Where CPR is likely to be medically successful but is judged to have doubtful overall benefit for the patient, the patient’s wishes must be given priority if the patient has capacity. | T: CORRECT: Doctors cannot make DNACPR decisions for a patient who has capacity unless the patient requests they do so.
F: INCORRECT: Sensitive exploration of the patients wishes has to be made by the most experienced staff available. |
| Where CPR is likely to be medically unsuccessful and/or judged to have doubtful overall benefit for the patient, the next of kin should be involved in discussions about the decision. but the final decision rests with the clinical team. | T: CORRECT: The final decision rests with the clinical team.
F: INCORRECT: There should always be discussion with the family, and if possible with the patient, but the final decision rests with the clinical team. |
Page last reviewed: 08 Dec 2021
