Dream Factory by TruBridge Ideas Portal
DNR code status is a provider order. The patient banner should be able to automatically update code status when a physician orders the DNR. It should not require update by a nurse or registration staff in demographics.
Create Special Nursing Order Type for Code Status in 21.06.02
Users can now define code status specifically with an order. These orders can be individually predefined for each code status available (Full Code, Do Not Resuscitate, Do Not Intubate, Medications Only) or a generic code status order can be created and edited when placing the order. Once an order is used to address code status, the code status can only be changed via Order Entry.
Additional work to allow the code status field to default to blank is in progress.
Updating the code status from the order is great, however, we need options for DNR/DNI and Comfort Measures Only to also reflect the ordered code status for patients. The 4 hard coded options currently available do not meet all potential code status options which could lead to errors in patient care in a potential code situation. Leaving as assume full code is not a great option especially if patient is DNR/DNI.
The standard of care is to preserve life unless there is an order or documentation not to do so. Assume Full Code is our default to indicate that the code status has not been addressed. We discussed with customers and assuming a full code unless otherwise ordered or documented by a provider is what is done in practice. From that discussion, it was decided that the default of Assume Full Code was better than leaving the field blank.
Our next steps are to work on making orders smarter so a provider's code status order can update the demographic field and the ID Panel.
It must be able to update if the DNR is revoked - I agree that it should be blank if there is no order.
Agree that it should be blank if it has not been addressed.
The new banner will show it when updated in demographics. BUT what scares me the most, is if this is not addressed in demographics it is going to say: ASSUME FULL CODE. That is terrible, it should just be blank! this is with the 2105.00 update.
Highly agree.... This is a PATIENT CARE ISSUE
This is a HUGE flaw and needs to be fixed ASAP