CMS SC Regarding CPR

Hayden Parker

In October 2013, CMS issued a Survey & Certification letter on the topic of CPR. KDADS survey team are looking closely at the policies and procedures within skilled nursing homes during their inspection process. Please review the following summary from CMS as well as the Survey & Cert letter to make sure your home is in compliance. Additionally, homes must be sure they are aware of a resident’s “code status” at all time so that the appropriate interventions can occur that are in line with the resident’s wish. Recent surveys have resulted in IJ situations based on this issue.

Initiation of CPR - Prior to the arrival of emergency medical services (EMS), nursing homes must provide basic life support, including initiation of CPR, to a resident who experiences cardiac arrest (cessation of respirations and/or pulse) in accordance with that resident’s advance directives or in the absence of advance directives or a Do Not Resuscitate (DNR) order. CPR-certified staff must be available at all times. • Facility CPR Policy –Some nursing homes have implemented facility-wide no CPR policies. Facilities must not establish and implement facility-wide no CPR policies. • Surveyor Implications - Surveyors should ascertain that facility policies related to emergency response require staff to initiate CPR as appropriate and that records do not reflect instances where CPR was not initiated by staff even though the resident requested CPR or had not formulated advance directives.

CMS S&C CPR Letter