Pre-existing community DNACPR decisions

1. Open the Patient record.
2. Click on the patient’s name in the blue bar to open the Advanced Care Planning window – this is the one place to easily access the latest details and update them.

3. From the Treatment Escalation and Resus Status component, click on the + button and select Treatment Escalation Plan and Resuscitation Status to open the form.

4. In the Escalation Plan page, complete field details:
   •  What is the resuscitation plan? – DNACPR.
   • Is this a copy of an existing valid community/paper DNACPR? – Yes.
     • Enter Date.
     • Name of Original Responsible Clinician.
     • Status.
   • What is the escalation plan?
   • Are there any other specific treatments which would or would not be appropriate for this patient?
   • Additional Documentation Details section – there are conditional fields which will produce mandatory fields dependant on the response to certain questions.
   • Is a Mental Capacity Assessment necessary?

5. Click on Signing page, dependant on the counter signature selected, you will have additional
   mandatory fields to complete:

•  Junior Doctor – Will need countersignature

• Countersign now

• No Countersignature required

6. Click green tick top left-hand side to sign the form.

7. Click on the refresh button.

• Key details from the form are now visible in the workflow page

8. Close the Advance Care Planning form and refresh the patient record, the Resus status in the banner bar has updated to be followed by today’s date.

• If countersignature is “Junior Doctor – will need countersignature”, the resus status will show:

• If countersignature is “Countersign now”, the resus status will show:

• If countersignature is “No countersignature required”, the resus status will show: