Addressing Perioperative Do-Not-Resuscitate Orders: An Overlooked Necessity

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Class A Credits: 1

Format: Video

Run time: 53 mins

Course Launch Date: 8/17/20

Course Expires: 8/16/23

A do-not-resuscitate (DNR) order may precipitate one of the most controversial dilemmas in healthcare.  A DNR order indicates a patient’s wish not to receive cardiopulmonary resuscitation in case of cardiac or respiratory arrest.  DNR orders in the perioperative environment must be managed according to national and institutional guidelines; however, Certified Registered Nurse Anesthetists may be unfamiliar with the guidelines and unsure of their role in reevaluating a DNR order prior to surgery.  Education and discussion surrounding perioperative DNR orders is needed.  Participants will gain an increased level of awareness regarding perioperative advanced directives and skills related to the required reconsideration of advanced directives prior to surgery.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • List three possible outcomes of a patientu2019s advanced directives for the perioperative period, based on the AANA guideline
  • Identify three barriers CRNAs encounter when addressing and implementing perioperative DNR orders.
  • Explain strategies CRNAs can utilize when communicating to patients with advanced directives.

Adam C. Smith, MSN, CRNA

CRNA, University of North Carolina Chapel Hill

Adam C. Smith MSN, CRNA, spent close to four years as a University of North Carolina (UNC) Chapel Hill nurse in the Surgery/Trauma ICU where his interest in clinical ethics developed, specifically issues surrounding informed consent, preference of patients, futility disputes, family dynamics, DNR orders and interdisciplinary healthcare team communication with patients and families.  After completing his nurse anesthesia training at Duke University in 2015, Adam joined the UNC Department of Anesthesiology as a CRNA.


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