-How will you comply with "Meaningful Use Criteria?"

Friday, July 30, Noon
Auditorium

RSVP to Lesley Bradley (lesley.bradley@sharp.com) or 740-4145

Several members have requested clarification regarding the discussion of DNRs that appeared in the September 15 E-Bulletin.

In the absence of a substitute decision-maker in a mentally incompetent patient, treatment may proceed for an emergency medical condition as long as the physician documents that such an emergency medical condition is present.

Policy 01829: Section III. TEXT, H.: In the case of a medical emergency, treatment may proceed without the patient's consent so long as no evidence exists to indicate that the patient or the patient's representative would refuse treatment (such as religious beliefs or a relative's statement regarding the patient's wishes).

1. the medical determination that an emergency exists shall be documented by the physician.

a. The physician shall not sign the consent form on behalf of the patient, but shall document in the medical record that an emergency exist.

b. The treatment provided shall be limited to that which is needed for the emergency condition.

c. The emergency exception is not applicable when a patient has validly refused treatment and the emergency arises because of this refusal.

The decision to suspend a pre-existing DNR order in such a case would need to be documented by the physician.

If the DNR order is suspended peri-operatively, an order needs to be written.

It would be prudent for the surgeon to discuss whether or not to suspend the DNR order peri-operatively with the anesthesiologist and/or other physicians involved in the care of the patient.

A random group of the SGH Medical Staff will be receiving a survey from Press Ganey. It's in the mail! If you receive the survey, please take a moment to complete it. Your input is so valuable!!!!

Wednesday, August 11
5:45 pm
San Pasqual Winery (La Mesa)
$10 per person

Please RSVP to Lesley Bradley at lesley.bradley@sharp.com or 740-4145.

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