A state agency and a hospital industry group are considering whether Kentucky should use color coded armbands to alert staff to patient wishes and medical conditions. The Lexington Herald-Leader reported Jefferson Manor nursing home in Louisville was cited in March after employees attempted to resuscitate a 95-year-old resident, despite a "do not resuscitate" order for her.
Not a bad idea really.
What about it Virginia? Wouldn't the use of armbands by nursing homes and hospitals help prevent screwups with medications, diet, and resuscitating a resident who didn't want resuscitation efforts?
Thursday, May 07, 2009
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This has been tried. The problem is that it is a direct violation of HIPPA as anyone who sees the patients will then have knowledge of the patients medical condition. We have been fighting this a long time. The problem is when there is a code, you have to find the chart to know the medical status and code status of the patient.
Now of course there is the push for electronic medical records, so in the code, you have to long into the computer. Go through all the pricavy act screens, past the HIPPA screens to get to the data. Of course the POA will not be there as it has not been digitized so you have to call the floor in the hope the unit clerk can find it. Then you hope that the family has not changed their mind as they often do when things happen.
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