Get Mc 3769 - Mc Vanderbilt

Filling out the MC 3769 - Mc Vanderbilt form is a crucial step in establishing the patient's resuscitation preferences. This guide will walk you through each component of the form to ensure clarity and accuracy in its completion.

Follow the steps to fill out the MC 3769 - Mc Vanderbilt form online.

1. Click ‘Get Form’ button to obtain the MC 3769 - Mc Vanderbilt form and access it in your editor.
2. Familiarize yourself with the policies regarding Do Not Resuscitate, Do Not Intubate, and Limited Cardiopulmonary Resuscitation as per the guidelines at Vanderbilt University Hospital. Discuss the available resuscitation options and the reasoning behind the chosen option with the patient, family, and/or surrogate. Document these discussions and the rationale on the Code Status Progress Note form (MC 3834).
3. Select the appropriate code status from the options provided: Do Not Resuscitate, Do Not Intubate, or Limited Cardiopulmonary Resuscitation. Ensure you clearly mark your choice.
4. For the Limited Cardiopulmonary Resuscitation option, specify any measures that should be withheld by marking the relevant options such as antiarrhythmics, defibrillation, or ventilation methods.
5. If applicable, sign and date the signature section where indicated for the resident, ensuring it is clear and legible. Remember that an attending physician must cosign within 24 hours.
6. Notify and explain the resuscitation status to the nursing staff, making sure they are aware of the orders placed on the form.
7. Re-evaluate the code status every 14 days or upon changes in the patient’s condition, ensuring updates are documented on the back of the form.
8. At the conclusion of the process, you can save your changes, download, print, or share the MC 3769 - Mc Vanderbilt form as needed.

Complete your documents online to ensure timely and accurate submissions.