CMS: Nursing homes may not establish blanket no-CPR policies

Nursing homes will face survey citations for facility-wide
policies that prohibit cardiopulmonary resuscitation for residents, according
to a recent Centers for Medicare & Medicaid Services memorandum. 

Research has shown that CPR is not very effective in the
elderly nursing home population, and some facilities have put in place general
no-CPR policies, the memo states. However, this does not comply with federal
regulations that guarantee the right of residents to formulate advance
directives. Therefore, nursing homes are prohibited from establishing and
implementing these blanket policies, according to CMS.

If an advance directive or do-not-resuscitate order is not
in place for a particular resident, staff must provide CPR if that resident
experiences cardiac arrest, the CMS document states. 

“Any limits on how a facility may implement advance
directives should be applied on a case-by-case basis, taking into consideration
a resident's preferences, medical conditions, and cultural beliefs,” according
to the memo, dated Oct. 1.

The document also notes that nursing homes are seeing more
short-stay and younger residents, for whom CPR is a more effective life-saving
measure. Research published last week shows that strokes are increasingly
common among people between the ages of 20 and 65, suggesting this trend of
younger residents will continue.

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