•我们确定的流行写心肺复苏政策在北卡罗来纳州疗养院根据预先确定的标准和评估他们的内容。问卷寄给236注册的设施。二百零九年疗养院(88.5%)对调查问卷;83%的公司有书面政策,一半(86疗养院)提供副本。九经常疗养院报道,心肺复苏术是表现在他们的机构,和类似的订单数量(92%)允许医生限制了心肺复苏术。书面政策系统相比,10模型标准。政策内容差异很大。超过一半的政策包含授权规定,知情同意,文档,能力,审查,无法自理的适用性。不到一半包含自主权,标准治疗方案,尊严和护理质量,病人识别。疗养院的书面政策更新、更大、和盈利性; had a greater proportion of skilled nursing care beds; and were more likely to have both Medicare and Medicaid certification. The variations in these policies place nursing home residents at risk for having important personal rights limited or ignored. Inclusion of these 10 policy criteria in a comprehensive cardiopulmonary resuscitation policy would represent an important step toward enhancing the quality of decision making by nursing home residents.
(地中海拱形实习生。150:121 1990;126)