We’ve been here before.
During COVID-19, some providers issued blanket Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) notices without consulting patients or families.
Investigations revealed:
Decisions made withoutMental Capacity Actcompliance
Staff assuming all care home residents were DNACPR
Poor understanding of DNACPR and ReSPECT in real emergencies.
These are not isolated oversights – they are systemic governance failures.
It is fashionable for executives and boards to talk about “lessons learned” after tragedies.
But here’s the truth: if your governance system fails, it’s not just the frontline staff at fault – it’s you.
Whether policies and procedures are current and accessible
Whether statutory and mandatory training is scenario-based and relevant
Whether staff have real-time access to secure document repositories for emergency care plans
Whether digital compliance systems and Learning Management Systems (LMS) track workforce competence.
If these are missing, it’s a leadership choice, not an accident. 🔗 Read Full Article
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