Will area nursing home nurses perform CPR?
We sent the request to Steve Mould, who's a spokesman for the following nursing homes and assisted living centers in Erie County: Briarfield of Milan, Concord Care, Mill Manor, Parkvue, Providence Care Center, Commons of Providence and Portland House.
He provided the following answers:
• Ohio requires that Skilled Nursing Facilities provide CPR in the absence of a Do-Not-Resuscitate order issued by a physician.
• Residential care facilities are not required to have a nurse who is capable of providing CPR on the premises 24 hours a day, but Medicaid waiver providers requires that emergency care needs be met, including the provision of CPR.
• Independent living residences are not licensed as medical settings.
• If a center is licensed under Medicare or Medicaid, they are not allowed to have such policies in their buildings. That distinction is important. In a skilled nursing center, personnel are required by Medicare regulations to administer cardiopulmonary resuscitation if the person has not completed some form of advance directive asking that CPR be withheld.
• There are also case law precedents requiring skilled nursing centers to “protect a resident by (providing) CPR to a resident who was found unresponsive” if the person has not completed some form of advance directive asking that CPR be withheld.
• All families are encouraged to have a discussion about decisions regarding CPR and completing an advanced directive.
Erie County Care Facility acting administrator Donna Patrick also provided the response for the publucly maintained nursing home:
We have access to an automatic external defibrilator and 24/7 RN coverage with all nurses trained in CPR responder training. We respect and honor the individuals decision in the event of a life-threatening emergency and discuss with the resident and/or residents responsible party what actions they would wish to be taken in the event of a sudden life-threatening emergency.