DAB Upholds Citation for Failure to Perform CPR, Even Though CPR Was Against Family's Wishes

June 28, 2019 | Aging Services Risk, Quality, & Safety Guidance

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Because a nurse failed to perform cardiopulmonary resuscitation (CPR) on a nursing home resident whose do-not-resuscitate (DNR) order was not yet signed by his physician, the US. Department of Health and Human Services' Departmental Appeals Board (DAB) has affirmed a $10,000 civil monetary penalty against the facility.

The nursing home's CPR policy stated that "in the event of cardiopulmonary arrest of a resident/patient without a DNR status, life support measures will be initiated according to either the American Heart Association/American Red Cross guidelines or per State Guidelines." The nursing home's DNR policy stated that DNR orders "must be signed by the...

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