What is the most appropriate action when a patient expresses a desire not to be resuscitated but is listed as a full code?

When a patient expresses a desire not to be resuscitated while being designated as a full code, it is essential to address the patient's preferences regarding their care. Discussing code status with the patient and then following up with the provider is the most appropriate action. This allows for a respectful conversation that honors the patient's wishes, ensuring they understand what being a full code entails and empowering them to make informed decisions about their treatment options.

Furthermore, initiating this conversation provides an opportunity to clarify any misconceptions the patient may have about resuscitation and allows the healthcare team to address any concerns. Following up with the provider is crucial because any change in the patient's code status needs to be formally documented and communicated within the healthcare team to ensure that everyone involved in the patient's care is aware of and respects their wishes.

While documenting the patient's statement is important, it does not substitute for having a dialogue about their preferences and following the proper channels to update their code status. Ignoring the patient's statement could lead to distress and a violation of their autonomy, and informing the nursing supervisor without discussing the matter with the patient first does not appropriately prioritize the patient's rights and wishes.