Provider Quick Tips: Code Status StarForm within StarPanel
Accessing the Electronic Code Status Form in StarPanel
Click on Code Status
banner in header of
patients chart
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Click on Code Status in header (will
only display if Code Status form
needs your signature (attending's)
From Forms:
• Open pt
chart
• Click Forms
yellow tab
• Type code
in search
field
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3
Click on any blue ACTIONS for patient
From menu:
• Click Code Status form to start new
form
• Click Code Status Hx to display history
of code status for patient
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Definitions of Code Status
Code Status
DNR
DNR/DNI
FULL
Cardiopulmonary Deterioration
Before Arrest
Provide all medically appropriate
care not refused by the
patient/surrogate/family
Do not intubate but provide all
other medically appropriate care
not refused by the
patient/surrogate/family
Provide all medically appropriate
care not refused by the
patient/surrogate/family
Pulseless Cardiopulmonary
Arrest
Do not attempt resuscitation
Do not attempt resuscitation
Provide all medically
appropriate care not refused
by the patient/surrogate/family
****Please note that if a patient is found in a pulseless cardiopulmonary arrest, DNR and DNR/DNI are
the same, do not attempt resuscitation. The difference between DNR and DNR/DNI is highlighted only
when a patient is experiencing cardiopulmonary deterioration before arrest (e.g. actively declining).
For the actively declining patient, DNR/DNI confers the ability to not intubate a patient (e.g. lung
cancer, end stage COPD) but provide all other care.
Rev. 2/2012
Completing the Code Status Form (formerly known as DNR/DNI)
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Completing the Code Status Form:
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1.
Previous Code Status Displays
2.
Click for links to policy & definitions
3.
Select Code Status
4.
Select Reason(s)
5.
Select one for decision making capacity
6.
Check all who were present for discussion
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(type in “other” or name if not patient)
7.
Check all providers participating in
discussion (may specify names)
8.
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If attending – select “I am attending
physician” if other than attending–
type/select attending name from box
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9.
10.
Free text box for additional comments
Save as Final or Cancel & Exit (no option to
save as draft
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Code Status Order Automatically generated in HEO/Wiz
Must go to StarPanel to
modify Code Status
(i.e. change from DNR
to Full Code)
3 Ways for Attending to access Code Status to Review & Sign
1.
Message alert displays upon
signing into StarPanel
a.
Click OK - list of all
Code Status forms
needing confirmation
by provider will display
b. Click Review to open
form
c
c.
Click Mark as
Confirmed
a
b
Once marked as
confirmed –
indicator changes
to reflect a
confirmed status
2. Click yellow or red indicator from patient list in StarPanel
a. Form Opens
b. Click Mark as Confirmed
3.
Click Code Status at top of
StarPanel – list of all Code Status
forms needing confirmation by
provider will display
a.
Click Review to open form
b. Click Mark as Confirmed
Change the Approving Attending to Another Attending
1.
Go to All Documents list in StarPanel
a.
Search for Code Status forms
by typing Code in search field
b. Click on form name to open
c.
Click Send to a different
attending to approve
d. Type name of attending/select
from list & click Send
e. Message displays Re-routed
to (attending name)
StarPanel Indicators for Code Orders
Code Status displayed as “unconfirmed: (last code status) (date)”- (see screen shot below)
• If Code Status established on prior admission and not reestablished on current admission
• IF Code Status established and not signed by an attending within 48 hours
• Charge Nurse will monitor indicators & and alert team if attending signature needed
• Hover over indicator for details
• Click on indicator to open most recent Code Status Form
Code Status Downtime Procedures
•
•
•
If StarPanel Downtime :
Obtain paper Code Status Form from medical receptionist or nurse
Complete all sections of form including signature section
If completed by Houseofficer/APN/PA - must designate attending & obtain signature
After downtime
•
For the indicators and electronic notifications to work, this information must be entered into
StarPanel once downtime is over.