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Implementation strategies for a do-not-resuscitate program in the prehospital setting

D P Sosna¹, M Christopher, M M Pesto

¹Johnson County Med-Act, Olathe, KS.

Annals of Emergency Medicine

|May 1, 1994

Summary

A do-not-resuscitate (DNR) program was implemented in prehospital care in Kansas City in 1989. This paper details the strategies used to successfully establish this important patient care initiative.

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Area of Science:

Prehospital care
Medical ethics
Public health policy

Background:

Standardized do-not-resuscitate (DNR) forms are crucial for end-of-life care decisions.
Ethical considerations in emergency medicine necessitate clear protocols for patient autonomy.

Purpose of the Study:

To describe the implementation strategies for a prehospital DNR program.
To outline the process of introducing standardized DNR forms in emergency medical services.

Main Methods:

A consortium of ethics committees developed a standardized DNR form.
The program was implemented in the greater Kansas City area starting in January 1989.
The paper focuses on the procedural and logistical aspects of program rollout.

Keywords:

Death and Euthanasia

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Main Results:

The implementation of a standardized DNR program in prehospital settings was initiated.
The study focuses on the *strategies* for implementation, not patient outcomes.

Conclusions:

Successful implementation of prehospital DNR programs requires careful planning and standardized documentation.
The described strategies provide a framework for other regions seeking to establish similar initiatives.