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In medicine, a "do not resuscitate" or "DNR" , sometimes called a "No Code", is a legal order written either in the hospital or on a legal form to respect the wishes of a patient to not undergo CPR or advanced cardiac life support (ACLS) if their heart were to stop or they were to stop breathing. * The DNR request is usually made by the patient or health care power of attorney and allows the medical teams taking care of them to respect their wishes.
In 1991 Congress passed into law the Patient Self-Determination Act that mandated hospitals honor an individual's decision in their healthcare. Forty-nine states currently permit the next of kin to make medical decisions of incapacitated relatives, the exception being Missouri. Missouri has a Living Will Statute that requires two witnesses to any signed advanced directive that results in a DNR/DNI code status in the hospital.
In the U.S., CPR and advanced cardiac life support (ACLS) will not be performed if a valid written "DNR" order is present. Many US states do not recognize living wills or health care proxies in the prehospital setting and prehospital personnel in those areas may be required to initiate resuscitation measures unless a specific state sponsored form is appropriately filled out and cosigned by a physician.
State laws vary but typically emergency medical services personnel who are presented with a valid DNR form, signed by your doctor, or who identify a standard DNR bracelet on you, must comply with the DNR order.
DNR Bracelets If you would like to get a DNR bracelet, American Medical ID offers many styles of medical id jewelry bearing the traditional medical symbol on the front and DO NOT RESUSCITATE may be engraved on the ID. DNR bracelets alert emergency medical services personnel that a valid nonhospital DNR order is in effect. You can have a valid nonhospital DNR order without wearing a DNR bracelet - the bracelet is purely voluntary. A bracelet does not guarantee that medical personnel will abide by the order, so check with the laws in your state to assure yourself the best posibility that the DNR bracelet will be obeyed.
Always ensure that you or your loved one is wearing a diabetes bracelet before leaving the house. If necessary, pack an extra bracelet especially during special trips, particularly if you will be travelling alone. Always wear the bracelet where it can be spotted easily and avoid taking it off. It might cramp your style, but it can mean the difference between living a healthy life and suffering the consequences. Information on the DNR requirements and forms in the United States can be found for each state under the links below: Alabama
PDF Alaska
PDF Arizona
Link Arkansas
PDF
California
DNR FAQ
DNR Form PDF Colorado
Advanced Directives Info Connecticut
Info PDF
DNR Orders PDF Delaware
DNR Info
MOLSTForm Florida
DNR Info
DNR Order PDF Georgia
DNR Information
Hawaii
CCO-DNR Order Idaho
DNR Info
Note: Must obtain POST form from physician. Illinois
DNR Info
DNR Form PDF Indiana
PDF Iowa
DNR Info
DNR Order PDF Kansas
DNR Directives Info PDF Kentucky
DNR Info
DNR Info PDF Louisiana
DNR Information Form Maine
DNR Info PDF Maryland
DNR Info
DNR Order Form PDF Massachusetts
DNR Info
DNR Order Forms Michigan
DNR Policy PDF Minnesota
DNR Info
DNR Form PDF Mississippi
DNR Directive Missouri
DNR Info PDF
DNR Form PDF Montana
POLST DNR PDF Nebraska
Advanced Directive DNR PDF Nevada
DNR Application Form PDF New Hampshire
DNR Info New Jersey
DNR Guidelines PDF
DNR Order PDF New Mexico
DNR Form PDF New York
DNR Physicians Order North Carolina
DNR MOST Info
MOST/DNR Info Form PDF
North Dakota
DNR InfoPDF Ohio
DNR Info
DNR Form PDF Oklahoma
DNR Form Oregon
DNR Consent Form Pennsylvania
DNR Guide Rhode Island
DNR Comfort One PDF South Carolina
DNR Form 3462 Info
DNR Form PDF
South Dakota
DNR Info Tennessee
DNR/POST Texas
DNR Info
Instructions for DNR Order Form Utah
DNR/Life with Dignity/POLST Info
DNR Form PDF Vermont
DNR Form PDF Virginia
Durable DNR Info Washington
DNR Info PDF West Virginia
DNR Info Wisconsin
DNR Info Wyoming
DNR/Comfort One Info
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