Under what circumstances does a surrogate chosen from a hierarchy list make decisions for DNR?
The physician must determine the lack of utility of cardiopulmonary resuscitation to a reasonable degree of medical certainty. The physician must indicate all pertinent circumstances that apply in Step 3 of the “Supplemental” Documentation Form for Adults: • The patient/resident has a terminal condition. • The patient/resident is permanently unconscious. • Resuscitation would be medically futile. • Resuscitation would impose an extraordinary burden on the patient/resident in light of the patient/resident’s medical condition and the expected outcome of resuscitation.
