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DNR or "Do Not Resuscitate" Information

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

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

Kentucky
DNR Info PDF

Louisiana
DNR Information Form

Maine
DNR Info PDF

Maryland
DNR Info
DNR Order Form PDF

Massachusetts
DNR Info
DNR Order PDF

Michigan
DNR Policy PDF

Minnesota
DNR Info

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 Fact Sheet

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
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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