{"id":14814,"date":"2025-07-10T14:47:22","date_gmt":"2025-07-10T14:47:22","guid":{"rendered":"https:\/\/training.nuth-itt.co.uk\/?page_id=14814"},"modified":"2026-03-16T09:03:31","modified_gmt":"2026-03-16T09:03:31","slug":"pre-existing-community-dnacpr-decisions-detailed-guide","status":"publish","type":"page","link":"https:\/\/training.nuth-itt.co.uk\/?page_id=14814","title":{"rendered":"Pre-existing community DNACPR decisions detailed guide"},"content":{"rendered":"

Pre-existing community DNACPR decisions<\/h1>\n

User guide for when a patient has come from another hospital and needs a DNACPR status recording.
\n

Instruction <\/div><\/p>\n
    \n
  1. Open the Patient record<\/strong>.<\/li>\n
  2. Click on the 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 and update them.<\/li>\n<\/ol>\n

    \"\"<\/p>\n

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

      \"\"<\/p>\n

        \n
      1. In the Escalation Plan<\/strong> page, complete field details:\n
          \n
        • \u00a0What is the resuscitation plan? \u2013 DNACPR<\/strong>.<\/li>\n
        • Is this a copy of an existing valid community\/paper DNACPR? \u2013 Yes<\/strong>.\n
            \n
          • Enter Date.<\/li>\n
          • Name of Original Responsible Clinician.<\/li>\n
          • Status.<\/li>\n<\/ul>\n<\/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<\/strong> 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

            <\/i> N.B. You do not have to complete the DNACPR Decision page <\/div>\n
              \n
            1. Click on Signing page<\/strong>, dependant on the counter signature selected, you will have additional
              \nmandatory fields to complete:<\/li>\n<\/ol>\n
                \n
              • \u00a0Junior Doctor \u2013 Will need countersignature<\/li>\n<\/ul>\n

                \"\"<\/p>\n

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

                  \"\"<\/p>\n

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

                    \"\"<\/p>\n

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

                      \"\"<\/p>\n

                        \n
                      1. Click on the refresh<\/strong> button.<\/li>\n<\/ol>\n
                          \n
                        • Key details from the form are now visible in the workflow page<\/li>\n<\/ul>\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.<\/li>\n<\/ol>\n
                              \n
                            • If countersignature is \u201cJunior Doctor \u2013 will need countersignature\u201d, the resus status will show:<\/li>\n<\/ul>\n

                              \"\"<\/p>\n

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

                                \"\"<\/p>\n

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

                                  \"\"<\/p>\n

                                  <\/i> If a countersignature is required, then senior clinicians will need to countersign the form\u0002follow the Countersigning a DNACPR decision user guide.<\/p>\n

                                  If no countersignature is needed Senior Clinician\u2019s will then need to access Document Creation to create a DNACPR form.<\/p>\n

                                  All patients must be asked their DNA preferences every time they are medically seen, this includes Inpatients, Outpatients, Day Case admissions<\/div>\n","protected":false},"excerpt":{"rendered":"

                                  How to record a pre-existing DNACPR decision<\/p>\n","protected":false},"author":15,"featured_media":1657,"parent":4207,"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-14814","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\/14814","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=14814"}],"version-history":[{"count":14,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/14814\/revisions"}],"predecessor-version":[{"id":21737,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/14814\/revisions\/21737"}],"up":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/4207"}],"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=14814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}