Following a code, the nurse assigned to the client will document the events. Which items should the nurse include along with the written documentation of the event?
Select all that apply.
1. The rhythm strip
2. The form used to record the medications and interventions that occurred during the code
3. The DNR record
4. Notification of the family
5. Client response and transfer location, if indicated
Correct Answer: 1,2,4,5
The rhythm strip can be mounted or attached to the record, depending on facility policy. Most agencies have a form used during the code allowing the staff to document medications, procedures, lab values, and other data performed or obtained during the code, and this should be signed and included in the medical record. If a code was performed, there should not be a DNR, or do-not-resuscitate, record. The nurse should document what support people were notified and their response, as well as the disposition of the client.
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