8-09 DNR Flashcards
What is the primary purpose of the guideline outlined?
a) To guide personnel on routine medical responses
b) To provide a guideline for obtaining patient consent
c) To provide information on obtaining a “Do Not Resuscitate Confirmation” (DNRC) during medical responses
d) To outline procedures for medical assessments
C
According to the guideline, who can provide the DNRC at the scene?
a) Only the patient
b) Only a family member
c) The patient, family member, or caregiver
d) Only the attending paramedic
C
What is the role of the Captain regarding the DNRC?
a) To decide whether resuscitation is necessary
b) To review and ensure the validity of the DNRC
c) To obtain the DNRC from the patient
d) To perform patient assessments
B
What are the required fields for a valid DNRC, as mentioned in the guideline?
a) Patient’s name, date of birth, and address
b) Patient’s name, serial number, tick box for one of the conditions, and a signature by a physician or nurse
c) Patient’s insurance information, emergency contact, and current medications
d) Patient’s height, weight, and blood pressure
B
What is the significance of the tick box on the DNRC?
a) It indicates the patient’s preferred treatment
b) It signifies that the patient is refusing all medical interventions
c) It is a reminder to check the patient’s vital signs
d) It confirms the patient’s identity
B
In addition to the tick box, what other information must be present on the DNRC for it to be considered valid?
a) Patient’s financial information
b) Patient’s preferred hospital
c) A signature by a physician or nurse, and the date the form was signed plus serial number
d) Patient’s emergency contact
C
What interventions or therapies can personnel provide if the DNRC is valid?
a) Advanced life support measures
b) Routine medical care
c) Interventions for comfort (palliative) care or pain alleviation
d) Surgical procedures
C
What action should personnel take if a valid DNRC is not presented, and the patient’s family refuses access?
a) Leave the scene immediately
b) Continue with routine medical care
c) Wait on the scene until an ambulance arrives to transfer care
d) Consult with the attending physician
C
How should the Captain document the event in the MAR upon return to the station?
a) In a separate incident report
b) In the patient’s medical history
c) In the remarks section of the MAR, including the serial number of the DNRC
d) By creating a new guideline
C
What information should personnel obtain regarding the patient’s medical history?
a) Only information related to the current medical response
b) All details about the patient’s past illnesses and surgeries
c) Information on the patient’s preferred hospital
d) Only the patient’s age and gender
B
What should personnel do if the DNRC is not valid?
a) Continue with resuscitation efforts
b) Inform the family that resuscitation is mandatory
c) Wait for further instructions from the hospital
d) Follow palliative care measures until ambulance arrival
A
When responding to a medical response involving a DNRC, what is the primary focus of personnel?
a) Resuscitation efforts
b) Ensuring the patient’s comfort and pain alleviation
c) Obtaining insurance information
d) Contacting the patient’s primary care physician
B
In the appendix, what is provided as an example of a DNRC?
a) A flowchart outlining the DNRC process
b) A sample medical history form
c) A template for recording vital signs
d) An example DNRC form
D
According to the guideline, who is responsible for being familiar with and following the provided SOG?
a) Only the Captain
b) Only personnel in the Divisions of Firefighting and Training
c) Only the Deputy Chief
d) All personnel in the Divisions of Firefighting and Training
D
What is the significance of the serial number on the DNRC?
a) It indicates the patient’s age
b) It is a reference for the patient’s insurance
c) It helps in tracking and documenting the DNRC event
d) It represents the patient’s medical record number
C
