Communication challenges with DNA-CPR discussions in the Covid-19 pandemic

As two junior doctors working in a small district general hospital with no escalation facilities for level 3 care, we regularly come across the need to establish our patients’ DNAR and escalation status soon after admission, as this directly influences their suitability for remaining as an inpatient at this site. During the current Covid-19 pandemic, if a patient has tested positive or is awaiting a result and is for full escalation they must be transferred from our hospital to a different one altogether. This has prompted an increase in the number of DNA-CPR discussions we are having with our patients.