Complaint Investigation Report

inhalation of secretions. Staff 1 reported they provided the DNR to the paramedics when they responded. Administrator stated the paramedics stated that R1 had to be transported to the hospital and R1’s family was upset that 911 had been called. Per Orange County Fire Authority Incident Report, there is no mention of DNR paperwork being provided and/or knowledge of R1’s DNR status. Records obtained from Saddleback Hospital, do not show that documentation of DNR was received by the paramedics. Hospital records document that the hospital became aware of DNR status from R1’s spouse who verbally advised them of R1’s DNR upon arriving at the hospital. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D. Exit interview conducted and a copy of the report provided as well as appeal rights.