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.Start chest compressions until the family is contacted
b.Wait until the resident is officially pronounced dead before doing anything
c.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
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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