DNR bracelet with DNR written on it. HIPAA??? - page 4

by FireStarterRN

18,620 Visits | 87 Comments

I was at a committee meeting today. We discussed color coded bracelets that our hospital is considering. One of them is a blue bracelet for DNR patients. It was mentioned that they also want to write 'DNR' on it. I feel... Read More


  1. 0
    Quote from ayla2004
    pt will only have a max of 2 braclets
    white = id
    white/red id but the pt has an allergy which is in the notes
    orange= infection mrsa/c.diff being the most common. infection is not named on braclet
    Haven't seen a bracelet yet for isolation patients. Hmm..

    We also "band" our pediatric patients with the color that corresponds to their appropriate Broselow color.
  2. 0
    Quote from sjt9721
    We also "band" our pediatric patients with the color that corresponds to their appropriate Broselow color.
    I'm not too keen on being bracelet-happy and color-coding people for every little thing ... but if you're going to use bracelets ... I like this idea.

    I like it for the same reason that I don't have a problem with DNR on a bracelet -- these bracelets become functional in critical, time-dependent situations when seconds could make a difference. If the Broselow cart can be cracked & opened immediately with the step of laying the kiddo next to the Broselow tape already done, all the better.
  3. 1
    Quote from GregRN
    Not to be rude but...so what? What's wrong with patients making their wishes known to the entire world? I would think that's what the patient wants, that if they were to code in such a manner that required intubation or "heroic measures," they would want the world to know to let them go peacefully without the threat of trauma or lengthening their life with no added quality to it. If those were my wishes and my ability to make this decision while of sound mind were all I had left, and my will and legacy depended on it, I would want everyone to know it, regardless of whether they were part of a health care team or not.
    Here in MD we have a bracelet we place on pts. who are being transported to another facility that has written DNR in small lettering along with a legal document that states the same.

    One of the more frightening things for my dad (when he was alive) was something happen and he die out on the street and someone would try to resusitate him. He half laughingly talked about getting NCB or DNR tattooed on him.
    Sugar Magnolia likes this.
  4. 0
    Quote from JennyLR
    You have a good point that it isn't up to the passer by, we should all know the pt's code status... but what about when the patient is off the floor for say an xray or something, a bracelet would be good in this instance for someone who doesn't know the patient well, or sees numerous pt's over the course of the day.

    Well, at our facility the patient's chart goes with the patient for any testing - code status (if DNR or versions of such) are in front of chart when opened. ALso, computer would have status...and most likely if your patient was off floor for ultra sound - and a code blue is called - the RN or charge from our floor would respond to that area.

    It's not a perfect system-but it's a huge deal on our floor to know the code status of our patients since we see so many....unfortunately.
  5. 0
    Quote from MLOS
    I'm not too keen on being bracelet-happy and color-coding people for every little thing ... but if you're going to use bracelets ... I like this idea.

    I like it for the same reason that I don't have a problem with DNR on a bracelet -- these bracelets become functional in critical, time-dependent situations when seconds could make a difference. If the Broselow cart can be cracked & opened immediately with the step of laying the kiddo next to the Broselow tape already done, all the better.

    Even if we used a bracelet system like this for DNR on our unit we still MUST see the legal document in the chart - with the MD in charge and RNs confirming code status - legally even the DNR in the computer it still must be backed up with signed paper document.....in a court room the color of the patient's bracelet wouldn't hold up.

    We had a potential code this week - unpleasant in that not all of the family was comfortable with the DNR status completely and we spent a great deal of time going over the MD notes/DNR to make sure things were all legal- while we worked on patient and family stood outside room -- thanks to our rapid response and interventions short of intubation and drugs needed the patient survived to live another day.
  6. 0
    Have you ever seen a code run on a pt that a nurse forgot to put the DNR bracelet on? I have, and the hospital is still in litigation over this. A doctor's order says DNR, and two nurses sign the order and the bracelet, unless the nurse is negligent. This is very sad, and happens all the time.
  7. 0
    adding DNR to the bracelet would be a HIPPA violation---a color coded bracelet is all you need
  8. 0
    Quote from YellowFinchFan
    Well, at our facility the patient's chart goes with the patient for any testing - code status (if DNR or versions of such) are in front of chart when opened. ALso, computer would have status...and most likely if your patient was off floor for ultra sound - and a code blue is called - the RN or charge from our floor would respond to that area.

    It's not a perfect system-but it's a huge deal on our floor to know the code status of our patients since we see so many....unfortunately.
    It is a huge deal, I transferred a patient to regular floor one time, and 2 hours later they called a code for her room, I ran down the stairs before they could really get going...she was a DNR, they thanked me because "she just got here" and they didn't really know. I know I told the primary nurse

    I work in an ICU so if the patient is off unit, one of the nurses is with him/her. A bracelet would help if it was a pt coming from a regular unit. Usually if we are sending someone out of our facility, we send a copy of the chart (not the whole chart) because we use exclusively computerized charting, and if they were DNR they would also have a bracelet on (state regs)
  9. 0
    Speaking of DNR, Here in NH we have a portable wallet sized DNR card! It is hot pink and is signed by the doc and if you ask me the best thing to come along in a very long time!
  10. 0
    I found this link with great information on the portable DNR card and it recommends jewlery as an option. It has some good information!

    http://www.nhchurches.org/index.php?option=com_docman&task=doc_download&gid= 21


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