DNR Medallions

Fremont Regional Hospice offers DNR Medallions to patients, families and their physicians at no cost. 

Do Not Resuscitate Order Definition

A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating.

A DNR order is created, or set up, before an emergency occurs. A DNR order allows you to choose whether or not you want CPR in an emergency. It is specific about CPR. It does not have instructions for other treatments, such as pain medicine, other medicines, or nutrition.

The doctor writes the order only after talking about it with the patient (if possible), the proxy, or the patient's family.

 

Making the Decision

If you are near the end of your life or you have an illness that will not improve, you can choose whether you want CPR to be done.

  • If you do want to receive CPR, you do not have to do anything.
  • If you do not want CPR, talk with your doctor about a DNR order.

These can be hard choices for you and those who are close to you. There is no hard and fast rule about what you may choose.

Think about the issue while you are still able to decide for yourself.

  • Learn more about your medical condition and what to expect in the future.
  • Talk to your doctor about the pros and cons of CPR.

A DNR order may be a part of a hospice care plan. The focus of this care is not to prolong life, but to treat symptoms of pain or shortness of breath, and to maintain comfort.

 

How is a DNR Order Created?

If you decide you want a DNR order, tell your doctor and health care team what you want. Your doctor must follow your wishes, or:

  • Your doctor may transfer your care to a doctor who will carry out your wishes.
  • If you are a patient in a hospital or nursing home, your doctor must agree to settle any disputes within 72 hours so that your wishes are followed.

The doctor can fill out the form for the DNR order.

  • The doctor writes the DNR order on your medical chart if you are in the hospital.
  • Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings.
  • Standard forms may be available from your state's Department of Health.

Make sure to:

  • Include your wishes in a living will or health care power of attorney.
  • Inform your health care agent and family of your decision.

If you do change your mind, talk with your doctor or health care team right away. Also tell your family and caregivers about your decision. Destroy any documents you have that include the DNR order.

 

References: www.medlineplus.gov