User Guide — Resuscitation Code Status

athenaOne for Hospitals & Health Systems

You can create a "code status" order to add or update a patient's resuscitation code status. You can track each time you discuss resuscitation preferences with a patient or patient proxy, or update the resuscitation code status, which is required by the Centers for Medicaid and Medicare Services (CMS).

 

The patient's resuscitation code status appears in the patient banner, discharge letters, Chart Export, and Order Entry. You can click the resuscitation code status in the patient banner to view additional information, including:

  • The unabbreviated resuscitation code status
  • Any related notes
  • The physician who approved the status and when
  • A link to order entry

 

To order a resuscitation code status, you must have these permissions:

  • Inpatient Clinicals: Edit Orders
  • Inpatient Clinicals: Enter Orders

 

 

Note: If you add more than one code status order, athenaOne automatically updates the patient's code status with the most recent order, and sets previous code status orders to "Completed." Code status changes are listed in the order view's in the Recent Changes section, under the Code Status heading.

If you discontinue the active code status order, by clicking the icon on the order, athenaOne updates the patient's code status to "Code Status: Unconfirmed" until you add a new code status order.

  1. Display the Order Entry page: In the patient chart, click the arrow in the green workflow menu (at the upper right) and select Go to Orders. (The options available in the green workflow menu depend on your user role.)
  2. Click the plus icon next to ORDERS to add a new order.
  3. Enter "code status" in the search bar and select it from the list.
  4. Click the order to expand the details.
  5. Ordering provider — Select the ordering provider if different from who automatically appears.
    Note: This field appears if you are a nurse.
  6. Order type — Select an order type, for example, verbal, phone, written, or fax.
    Note: This field appears if you are a nurse.
  7. Code Status — Select a code status from the menu.
  8. Note — Enter notes about this order.
  9. Click Enter Order (as a nurse) or Sign Order (as a physician).
    Note: If you select Other for the code status and enter text in the text field, "Code Status: See Order" appears in the patient banner to notify you to view the extended status in order view.

 

  • Full Code — All interventions
  • AND — Allow Natural Death
  • DNR — Do not resuscitate
  • DNI — Do not intubate
  • DNR/DNI — Do not resuscitate/Do not intubate
  • DNAR — Do Not Attempt Resuscitate
  • CMO — Comfort measures only
  • Other — Free-text description in order notes
    Note: If you select Other for the code status and enter text in the note box, "Code Status: See Order" appears in the patient banner to notify you to view the extended status in order view

 

 

By default, active orders are discontinued automatically after a patient is discharged. Upon request, you can prevent lab and radiology orders from automatically closing after a patient is discharged. This allows results that are received after the patient is discharged to be tied to the order placed during the stay.

 

Note: To access the Hospital Order Sets page, you must have the Inpatient Admin role.

 

 

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