Legal & EthicalQuestion 197 of 200
A resident with a valid DNR/POLST collapses in the dining room. Bystanders call out for someone to start CPR. The CNA should:
a.Not start CPR (because of the DNR), summon the licensed nurse immediately, stay with the resident, provide privacy and comfort, and follow facility post-arrest protocol
b.Start chest compressions until the family is contacted
c.Wait until the resident is officially pronounced dead before doing anything
d.Ignore the DNR if a bystander insists
Explanation
A valid POLST/DNR (CA Probate §4780 et seq.) is a physician order that must be honored. Initiating CPR against a valid DNR is unwanted treatment, may constitute battery, and violates resident rights under 42 CFR §483.10(c)(6). The CNA's correct steps: do not begin CPR, summon the nurse immediately, provide privacy and dignity (clear bystanders, drape if needed), and follow facility post-arrest protocol (nurse pronouncement or physician notification, family notification, post-mortem care). Bystander pressure (d) does not override a valid medical order.
Law Reference: 42 CFR §483.10(c)(6); Probate §4780Practice all 200 questions free — no signup required.
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