Business of Anesthesia & Fundamentals of Practice Management

Abstract Submission

Addressing Perioperative Do-Not-Resuscitate Orders: An Overlooked Necessity (1 Class A CE)

Speaker(s)

• 

  Adam Smith, MSN, CRNA

  CRNA
  University of North Carolina Chapel Hill
  Hillsborough, NC

The issue of a Do-Not-Resuscitate (DNR) order in the operating room remains controversial for many healthcare providers. For decades, healthcare providers automatically suspended DNR orders for patients scheduled for surgery. In some places, this is still the culture. However, patients have the right to autonomy when making decisions about their DNR code status, and other advanced directives, in the perioperative environment. Participants will gain an increased level of awareness regarding perioperative advanced directives and skills related to the required reconsideration of advanced directives prior to surgery.

Learning Objectives:

• List three possible outcomes of a patient’s advanced directives for the perioperative period, based on the AANA guideline "Reconsideration of Advanced Directives: Practice Guidelines and Considerations for Policy Development".
• Identify three barriers CRNAs encounter when addressing and implementing perioperative DNR orders.
• Explain strategies CRNAs can utilize when communicating to patients with advanced directives.