s*******8
发帖数: 118 | 1 作为CMG开始时很容易忘记询问code status.开始一定要养成好习惯，不要认为大家都
是full code.我见过三十几岁DNR/DNI,而九十几岁的full code.问得时候要有耐心，不
要用太多的医学语言。很多人不知道intubaiton,CPR,defibrillator是啥意思...问完
后马上写到note上。如果病人没法做决定，一定要设法找到POA或是next of the kin.
当然有的人会事先写好遗嘱。还有的人只是DNR,而同意intubation.我一般会尽量说服
患者成为dnr/dni.另外不要混淆DNR/DNI和 comfort care.DNR/DN并不是放弃治疗，当
然你可以和病人或家属讨论细节比如是否用pressors（ICU病人）。开始前最好问问你
的senior如何pronounce death,都需要哪些paper work...
祝大家工作顺利！ | L******R
发帖数: 23 | 2 Thank so much! Very important stuff. Hard to have it professionally and
nicely done, though. | a*****2
发帖数: 200 | | y***d
发帖数: 33 | 4 I cannot agree more. Code status and surrogate decision maker (name and
phone number) are two pieces of the most important information you can write
on your H&P. Below are my spiel if you do not already have one:
For everyone who comes into the hospital, we routinely ask 2 questions.
(for surrogate decision maker) One is: if for some unforeseeable reason you
cannot speak for yourself, like when you are under sedation or in a coma,
who would you want to speak on your behalf?
(for code status) The | D******e
发帖数: 1085 | 5 A spiel is not plural. For one reason or a couple of reasons.
It is actually simple. One apple is one apple. 2 apples are 2 apples.
So you say Compare apples to oranges.
write
you
【在 y***d 的大作中提到】
: I cannot agree more. Code status and surrogate decision maker (name and
: phone number) are two pieces of the most important information you can write
: on your H&P. Below are my spiel if you do not already have one:
: For everyone who comes into the hospital, we routinely ask 2 questions.
: (for surrogate decision maker) One is: if for some unforeseeable reason you
: cannot speak for yourself, like when you are under sedation or in a coma,
: who would you want to speak on your behalf?
: (for code status) The
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