{"id":13445,"date":"2025-05-15T10:44:44","date_gmt":"2025-05-15T10:44:44","guid":{"rendered":"https:\/\/training.nuth-itt.co.uk\/?page_id=13445"},"modified":"2026-03-16T10:27:43","modified_gmt":"2026-03-16T10:27:43","slug":"dnacpr-decision-3","status":"publish","type":"page","link":"https:\/\/training.nuth-itt.co.uk\/?page_id=13445","title":{"rendered":"DNACPR Decision"},"content":{"rendered":"

DNACPR Decision<\/h1>\n

The following detailed guide will show how to access the DNACPR forms within PowerChart and show all the new features.<\/p>\n

Instruction<\/div>\n
    \n
  1. Open<\/strong> a Patient\u2019s record within PowerChart.<\/strong><\/li>\n
  2. Click Treatment Escalation Plan<\/strong> in the blue menu to open the Advanced Care Planning window<\/strong> – this is the one place to easily access the latest details and update them.<\/li>\n<\/ol>\n

    \"\"<\/p>\n

      \n
    1. From the Treatment Escalation and Resus Status component<\/strong>, click on the + button and select Treatment Escalation Plan <\/strong>and Resuscitation<\/strong> Status to open the form.<\/li>\n<\/ol>\n

      \"\"<\/p>\n

        \n
      1. In the Escalation Plan page<\/strong>, complete field details:\n
          \n
        • What is the resuscitation plan? \u2013 DNACPR.<\/li>\n
        • Is this a copy of an existing valid community\/paper DNACPR? \u2013 No.<\/li>\n
        • What is the escalation plan?<\/li>\n
        • Are there any other specific treatments which would or would not be appropriate for this patient?<\/li>\n
        • Additional Documentation Details section \u2013 there are conditional fields which will produce mandatory fields dependant on the response to certain questions.<\/li>\n
        • Is a Mental Capacity Assessment necessary?<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

          \"\"<\/p>\n

            \n
          1. Click on the DNACPR decision page<\/strong>, and complete details for sections:\n
              \n
            • Reason for DNACPR decision<\/li>\n
            • Has there been…<\/li>\n
            • Court Involvement<\/li>\n
            • Transferring information<\/li>\n
            • DNACPR Discussion<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
              <\/i> N.B. No need to document the TEP discussion in the form however this section can be completed if
              \nTEP discussion takes place at the same time.<\/div>\n

              \"\"<\/p>\n

                \n
              1. Click on Signing page<\/strong>, dependant on the counter signature selected, you will have additional
                \nmandatory fields to complete:<\/p>\n
                  \n
                • Junior Doctor \u2013 Will need countersignature<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                  \"\"<\/p>\n

                    \n
                  • \n
                      \n
                    • Countersign now<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                      \"\"<\/p>\n

                        \n
                      • \n
                          \n
                        • No Countersignature required<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                          \"\"<\/p>\n

                            \n
                          1. Click the green tick<\/strong> at the top left-hand side to sign<\/strong> the form.<\/li>\n<\/ol>\n

                            \"\"<\/p>\n

                              \n
                            1. In the workflow page, click on the refresh<\/strong> button. Key details from the form are now visible.<\/li>\n<\/ol>\n

                              \"\"<\/p>\n

                                \n
                              1. Close<\/strong> the Advance Care Planning form and refresh<\/strong> the patient record, the Resus status in the banner bar has updated to be followed by today\u2019s date.\n
                                  \n
                                • If countersignature is \u201cJunior Doctor \u2013 will need countersignature\u201d, the resus status will
                                  \nshow:<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                  \"\"<\/p>\n

                                    \n
                                  • \n
                                      \n
                                    • If countersignature is \u201cCountersign now\u201d, the resus status will show:<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                      \"\"<\/p>\n

                                        \n
                                      • \n
                                          \n
                                        • If countersignature is \u201cNo countersignature required\u201d, the resus status will show:<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                          \"\"<\/p>\n

                                          <\/i> If a countersignature is required, then senior clinicians will need to countersign the form, follow the Countersigning a DNACPR decision user guide.<\/em><\/p>\n

                                          If no countersignature is needed Senior Clinician\u2019s will then need to access Document Creation to create a DNACPR form<\/em><\/div>\n","protected":false},"excerpt":{"rendered":"

                                          DNACPR Decision The following detailed guide will show how to access the DNACPR forms within PowerChart and show all the new features. Open a Patient\u2019s record within PowerChart. Click Treatment Escalation Plan in the blue menu to open the Advanced Care Planning window – this is the one place to easily access the latest details […]<\/p>\n","protected":false},"author":15,"featured_media":1657,"parent":4172,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"detailed-guide.php","meta":{"inline_featured_image":false,"footnotes":""},"categories":[14,15],"tags":[],"class_list":["post-13445","page","type-page","status-publish","has-post-thumbnail","hentry","category-erecord","category-powerchart"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/13445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13445"}],"version-history":[{"count":11,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/13445\/revisions"}],"predecessor-version":[{"id":21755,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/13445\/revisions\/21755"}],"up":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/4172"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/media\/1657"}],"wp:attachment":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13445"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13445"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}