CPR policies under increased scrutiny
"No-CPR" policies or low use among those who offer the procedure are more common among long-term care facilities, according to a recent survey.
University of Wisconsin, Madison researchers discovered that 27% of Wisconsin long-term care facilities had a no-CPR policy during a recent survey and telephone interview process.
No-CPR policy the result of failed attempts?
The majority of facilities attribute the reason for a no-CPR policy to poor success at CPR in the long-term setting and the perception of CPR as being unnecessarily brutal. Survey results were published in the February issue of Journal of the American Geriatrics Society.
Use of CPR in facilities with a policy was low or not reported in the previous year. While response time is an important factor in CPR success, few facilities with CPR policies considered emergency medical technician response time when developing the policy, the researchers concluded.
Almost half the long-term care facilities offering CPR assigned a social worker to discuss advance directives with patients.
• Subacute Care 97: Evolution or Revolution Strategies for Change May 7-9, 1997. Orlando, FL. Contact: National Subacute Care Association, Registration Center, Dulles International Airport, P.O. Box 17413, Washington, DC 20041. Telephone: (800) 765-7616.
• Transitioning Long-Term Care Into Managed Care May 19-20, 1997. Washington, DC. Contact: Global Business Research, 151 W. 19th St., Eighth Floor, New York, NY 10011. Telephone: (800) 868-7188. Fax: (212) 645-4490.
• Managed Home Care Congress Subacute Care Provider Track. June 11-13, 1997. Nashville, TN. Contact: National Managed Health Care Congress, 70 Blanchard Road, Suite 4000, Burlington, MA 01803. Telephone: (617) 505-8000.
• Methods and Tools of Quality Improvement Oct. 13-15, 1997. Boston. Contact: Institute for Healthcare Improvement, 135 Francis St., Boston, MA 02215-9808. Telephone: (617) 754-4800. Fax: (617) 754-4848.