The Do-Not-Resuscitate Order in a Teaching Hospital

Considerations and a Suggested Policy

  1. STEVEN H. MILES, M.D.;
  2. RONALD CRANFORD, M.D.; and
  3. ALVIN L. SCHULTZ, M.D.
  1. Minneapolis, Minnesota

    Abstract

    We present a policy for implementing the do-not-resuscitate orders by medical residents in a teaching hospital, and discuss decision making, legal and ethical considerations, the primary physician's responsibility, and record documentation. The establishment of a policy and procedure for implementing do-not-resuscitate orders resulted in greater consideration of patient and family rights and improved communication and sensitivity in dealing with those concerned with the patient's medical care and welfare.

    Article and Author Information

    • ▸From the Departments of Medicine and Neurology, Hennepin County Medical Center, and the University of Minnesota Medical School, Minneapolis, Minnesota.

    • ▸Requests for reprints should be addressed to Alvin L. Schultz, M.D.; Department of Medicine, Hennepin County Medical Center; 701 Park Avenue; Minneapolis, MN 55415.

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