Implementation of the New York State DNR Law at a Community Hospital
Ellis Hospital is a large community hospital with 352 acute care beds and 82 skilled nursing beds. Since the inception of the New York State Do-Not-Resuscitate (NYS DNR) law in 1987, the staff has grappled with a wide variety of issues and questions on interpretation of the law. This case history will demonstrate how far awry things can go when an attempt is made to apply rigid rules to an area calling for judgment, compassion, and tolerance of individual differences. Since the question of initiating CPR arises in widely varying situations, and since there is a felt need to protect the public from potentially unscrupulous behavior by health care workers, ethical dilemmas surrounding this treatment arise with surprising frequency.
KeywordsNurse Manager York State Department Rigid Rule Undue Hardship Large Community Hospital
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