Analysis of Design Form “Do Not Resuscitateâ€

Abstract

Do Not Resuscitate (DNR) is an instruction/ for health
care professionals not to conduct heart resuscitation on
the case of cardiac arrest and/or respiratory arrest. There
had been 1051 DNR decision out of 4182 patients in all
healthcare facilities in Massachusetts from 2001 to 2007.
However, there has not been explicit regulation to control
DNR practice in Indonesia. Approval medical consent
which is commonly known as informed consent is one
of the required procedure before DNR decision is taken.
Inadequate informed consent may cause grievance from
the patient and their family members, or worst, lawsuit
against the doctors. This study aims to analyze the DNR
form design in terms of clarity and consistency of the
content in one of the public hospitals in Indonesia. This
study utilizes observation research method to analyze
the form and refer the analysis to the existing references.
The result found several obscurities and inconsistency
of the form content which might potentially cause
misinterpretation. Besides, DNR form has not been
complemented with the filling instruction nor Standard
Operating Procedure (SOP). As a result, it might possibly
lead to legal dispute in the future. Thus, it is suggested
that the form design needs revision, filling instruction is
crucial to formulate, and the SOP is critical to produce.