What should be done when resuscitation is withheld due to a valid DNR?

When resuscitation is withheld due to a valid Do Not Resuscitate (DNR) order, documenting the time of the decision in the Patient Care Report (PCR) is crucial for several reasons. First, it provides a clear and accurate record of the patient's wishes and the actions taken by the medical team in accordance with those wishes. This documentation serves as a legal safeguard for the medical personnel involved, confirming that they acted in compliance with the patient's directive.

Additionally, proper documentation enhances continuity of care, particularly if the patient is transferred to another facility or if their case is reviewed later. It ensures that all team members have access to the patient’s DNR status and the time the order was acknowledged, reinforcing the approach taken in the management of the situation.

While notifying the patient's family and discussing alternative care procedures are important actions, and seeking legal counsel may be warranted in specific complex situations, by prioritizing accurate documentation in the PCR, EMS providers maintain a professional standard of care and a legal record that supports the decision made.