A retirement home in California has defended a nurse who refused pleas by an emergency call operator to perform CPR on an elderly woman who later died.
At the beginning of the call, the nurse - who did not give her full name - asked for paramedics to come and help the woman, who had collapsed in the home's dining room and was barely breathing.
In a tape of the conversation, dispatcher Tracey Halvorson is heard pleading for the nurse to perform CPR, and after several refusals asks her to find a resident, a gardener or anyone not employed by the home to get on the phone, take her instructions and help the woman.
"Is there anybody that's willing to help this lady and not let her die," Ms Halvorson says on the 911 recording released by the Bakersfield Fire Department.
"Not at this time," said the nurse, who added that the home's rules prevented her from giving medical help to the woman, who has been named in reports as Lorraine Bayless, 87.
Glenwood Gardens in Bakersfield, California "Can we flag someone down in the street and get them to help this lady?" Ms Halvorson went on.
"Can we flag a stranger down? I bet a stranger would help her."
Ms Bayless was later declared dead at Mercy Southwest Hospital, officials said.
The executive director of Glenwood Gardens, Jeffrey Toomer, defended the nurse's actions, saying she had followed policy.
He said in a statement: "In the event of a health emergency at this independent living community our practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives.
"That is the protocol we followed."
Mr Toomer offered condolences to the woman's family and said a "thorough internal review" of the incident would be conducted.
He told KGET-TV that residents are informed of the policy and agree to it when they move in.
He said the policy does not apply at the adjacent assisted living and skilled nursing facilities.
Police in Bakersfield are investigating whether there was any criminal wrongdoing.
CPR, or cardiopulmonary resuscitation, is a first-aid technique involving chest compressions and sometimes rescue breaths that can be used if a person is not breathing properly or if their heart has stopped.
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