A caregiver training Physicians Orders for LifeSustaining Treatment A caregiver training WSMA Video to go here too long cannot attach here and email Before offering this training Establish a policy and procedures for medical emergency ID: 555885
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Slide1
Physician’s Orders for Life-Sustaining Treatment
A caregiver training Slide2
Physician’s Orders for Life-Sustaining Treatment
A caregiver training
WSMA Video to go here (too long – cannot attach here and email)Slide3
Before offering this training:
Establish a policy and procedures for medical emergency.Assisted Living Facilities: WAC 388-78A-2600
Provide clear directivesDetermine common location for each original POLST
Understand the POLST form cannot be requiredReview policy and procedure with staff as necessary!Slide4
Policy and procedures
Insert your facility policy and procedures onto this slide.Slide5
Learning Objectives
Purpose of the POLST Location of the POLSTPrivacy implications
Review Section A and Code StatusReview the remaining sections of the POLST and the caregiver’s related roles and limitations
Review policies and proceduresClarify the differences between “no code” and “no care”Slide6
What is POLST?
Physician’s
Order for
LifeSustainingTreatmentSlide7
Purpose of POLST, Section A
Standardized form that captures wishes related to end of life decisions.Slide8
Response to Emergency Situations
Follow your community’s policy and procedure related to emergency situations.Slide9
Medical Emergencies
Unresponsive resident who has stopped breathing and/or whose heart has stopped beatingFull code (CPR)No-code (DNAR)No decision
Hospice residentSlide10
Starting CPR when Resident is a DNAR
If CPR has been started and it is later discovered that the resident did not want CPR (a completed POLST form is discovered):
STAFF MAY STOP CPRSlide11
More on Your Policy
Please note that medical emergencies, such as choking, adverse reactions to medications, or other acute concerns must be responded to appropriately with immediate intervention
and notification of appropriate staff and/or agencies, regardless of code status.Slide12
Scenarios
ScenariosSlide13
Tony Marshall
Mr. Marshall, an 82-year-old resident with congestive
heart failure, is having lunch in the dining room of your assisted living community. You
notice that, after he takes a bite of his hamburger, he begins to choke. Mr. Marshall looks panicked and is unable to speak or breathe. You read his POLST form and in Section A, DNAR is checked. What do you do?MARSHALL, TONY
CONGESTIVE HEART FAILURE.
XSlide14
Helen Newman
Ms. Newman, an 80-year-old woman living in the assisted living,
enjoys having her breakfast in her room each morning. You deliver her breakfast on a tray and leave the room. When you return 10 minutes later, Ms. Newman is slumped over her breakfast tray and appears to be unconscious. You read her POLST form…
What do you do?NEWMAN, HELEN N.Type 2 diabetes and osteoporosisXSlide15
Lucy Evans
Ms. Evans, an 84-year-old resident lives in a small assisted living facility. Late
one evening her daughter came to visit, and found Ms. Evans in her apartment without a pulse and not breathing. The daughter frantically called for help; you are the only caregiver on shift and arrive a moment later. The daughter screamed, “Start CPR! She needs CPR!”
What do you do?EVANS, LUCY L.84 YEAR OLD FEMALE.XSlide16
John Jones
Caregiver Billy enters Mr. Jones’ room when he does not show up in the dining room for the noon meal. Billy finds Mr. Jones sitting in his favorite chair. He does not respond to verbal stimuli and when Billy tries to wake him, he finds Mr. Jones unresponsive and without respirations/pulse. There are no obvious signs of injury, choking or
trauma.
Billy
lowers Mr. Jones to the floor while radioing you to call 911 and that Mr. Jones is unresponsive and without respirations/pulse. Billy begins CPR.
After
calling 911, you rush into the room with Mr. Jones’ signed POLST form.
What do you do? What should Billy do?
JONES, JOHN J.
85 YEAR OLD MALE.
XSlide17
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