Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) - integrated adult policy: guidance

APPENDIX IV: Patients with Implantable Cardioverter Defibrillators ( ICDs)

All Health Boards should have an Implantable Cardioverter Defibrillator ( ICD) policy in place that provides guidance about the decision-making process involved in deactivation of such a device. Discussion about deactivating the ICD device should take place as early as possible in the context of appropriate anticipatory end of life care planning for patients to avoid unnecessary distress. Prior to making a DNACPR decision for a patient with an ICD the local ICD policy should be consulted so that an appropriate plan may be put in place.

The Arrhythmia Alliance have an information leaflet which provides helpful guidance for healthcare professionals and patients/relevant others.

http://www.ncpc.org.uk/download/policy/icd/ICD%20Deactivation%20Leaflet.pdf