Document Detail


Development of a statewide protocol for the prehospital identification of DNR patients in Connecticut including new DNR regulations.
MedLine Citation:
PMID:  10424934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article describes the development and implementation of a standardized protocol for the prehospital identification of terminally ill "do-not-resuscitate" (DNR) patients. This pilot program was initiated by members of the Connecticut College of Emergency Physicians and instituted on a voluntary basis statewide in July 1991. Key components of the program are discussed, including developmental rationale, formation of a DNR Coalition, educational rollout, and implementation activities. The second phase of this initiative involved passage of state legislation and development of new DNR regulations, which went into effect in July 1997. The regulations successfully addressed the limitations and difficulties encountered in the pilot program. Major modifications included applicability of the bracelet program to a broader group of DNR patients, development of a uniform system for interfacility transfer of DNR patients, and mandatory compliance by health care personnel.
Authors:
M D Leon; E M Wilson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  34     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-08-19     Completed Date:  1999-08-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  263-74     Citation Subset:  AIM; IM    
Affiliation:
Department of Traumatology and Emergency Medicine, University of Connecticut Health Center, Farmington, CT, USA. leon@nso1.uchc.edu
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MeSH Terms
Descriptor/Qualifier:
Connecticut
Emergency Medical Services* / legislation & jurisprudence
Emergency Medical Tags*
Equipment Design
Humans
Patient Identification Systems
Pilot Projects
Resuscitation Orders* / legislation & jurisprudence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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