In Webclient, in the demographic section, there is a code status drop down list that includes DNR and DNI. However, often times our providers order BOTH, DNR and DNI. This only lets you select one option. Is there anyway that we can update the list with a DNR/DNI option or allow us to select more than one option?
The Modified Code status which allows the selection of life saving measures during Order Entry went out on the 22.00.00 release.
We have an item to work on for placing an order for Modified Code Status. This will allow the provider to select which life saving measures the patient does or does not want used on them. The life-saving measures are Chest Compressions, Defibrillation, Intubation and ACLS medications and the provider will be able to choose more than one of these measures during Order Entry. With this change, we are also adding a new Code Status of DNR-Comfort Care.
We need the code status options to reflect Ohio codes. DNR-CC DNR-CCA and the like. We can't use this function as it is now and have to tell staff to ignore the "assume full code" on the ID panel. This could be a major safety issue.
We are having the same issue as well. Our providers need the options for DNR/DNI and comfort measures. If we could have the ability to add options that would be ideal. Our current workaround is just having a miscellaneous nursing order for them to free text the code status.
Modified code is used frequently, if you aren't going to expand for multiple options, the least you could have is modified code so they can look deeper in the chart for the full code status. This can lead to running incorrect code when all the details are not readily available for staff to see.
Agreed, the new functionality to update the code status via order entry is a great concept, but the options to choose are the same from the code status drop down menu in demographics.
I would like to see a free text field in the code status dropdown area in nursing order set up that will pull to the demographics code status.
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.
We have many patients with a modified code, "No shock, CPR okay" or "No CPR, medication/shock okay" , "CPR/Medication only" There are many variation possibilities, we would like to reflect the actual code status of our patients.