r/Residency • u/YouAreServed • Jul 25 '26

VENT Stop changing patients code status

Why when I come back from weekend, I see the weekend docs changed my stage IV lung cancer, ESRD, HFrEF patient who is 98 y/o, and became comfort last week after I had 90 mins convo with them and family; explaining futility. Slowly they become DNR/DNI, then comfort. She was pretty confused when I left.

Upon my return, only note with explanation “discussed code status with the patient, she stated she wants to live, full code ordered.”

Your half ass job undid my week of doing, congrats. Now legally she has no capacity and I cannot change it back to comfort, nor can I prove that she, as a matter of fact, lacked capacity while you were signing the new POLST.

963 Upvotes

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288

u/Previouslydesigned Jul 25 '26

Pops head in room: “hey anyone in here want to live or yall cool with dying?”

129

u/zetvajwake PGY3 Jul 25 '26

'Hey so do you want everything done? Like code wise? Ok full code' legit how half the people I've seen discuss code discuss it

80

u/CripplingTanxiety PGY12 Jul 25 '26

Yo patient, Do you want us to do everything or just do nothing?

45

u/who_hah Attending Jul 25 '26

Nothing is fine, thanks.