DNR bracelet with DNR written on it. HIPAA??? - page 9

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. 1
    Hey guys,

    I'd like to revisit this issue for a bit. I'm a doctoral student in nyc and want to do a paper on ineffective communication of DNR status, to prevent wrongful resuscitation by nurses who are unaware of the patient's status due to it being the wrong patient/nurse.

    This is NOT about a nurse not knowing her own patient's code status! That is entirely different. This is about a unit-wide policy that should be in place to prevent resuscitations on patients who are found unresponsive when the nurse is not around, on break, or off the unit. (This does extend to patient admissions from other facilities, or transfers to other floors or facilities.)

    However, I am running into trouble doing research on this particular aspect of DNR's. It seems I'm not talking about a rare situation, though, because in 8 pages of this topic, nurses seem to indicate that a need for communication (signs, wristbands) are necessary.

    Anyone have any info that may be of help? Even search terms that may yield results? Every try simply gives me some study about effective communication about DNR's between physician and patient, blah blah blah.
    lamazeteacher likes this.

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  2. 0
    What does your legal department have to say about it? We had to go thru ours and we have preprinted bands that we use that say DNR-CC, etc. We even post them on our isolettes. They said that is the along the same line as their ID band with their info on it.
  3. 5
    I don't think it's a violation. Patients have their names, birthdays and account numbers on their bracelets.
    Hygiene Queen, JZ_RN, KimberlyRN89, and 2 others like this.
  4. 0
    Wouldn't having a specific color be good enough without putting the letters on it? With punches as WSU Ally mentioned for the 3 types.
  5. 1
    I thought that the national DNR color was purple? At least that's what the last 2 hospitals I worked at have said. The bracelets still say DNR on them, though.
    Sugar Magnolia likes this.
  6. 0
    I did not read all 9 pages, but just like posting isolation signs, posting a DNR sign bracelet etc in no way identifies the patient with any identifying information, and if it is attached to them...
  7. 0
    While procrastinating next to a pile of laundry in need of ironing, I came across a great article: DNR in the OR: A Goal-directed Approach : Anesthesiology I agree that there must be a much better way to communicate a DNR order than a bracelet. There should be a way to communicate effectively among different staff, units, and agencies caring for a patient.
  8. 0
    Those who wear bracelets or other jewelry to identify a health issue, have made the choice to have that information on their person. It is their decision to have that information easily available for anyone to see in the event of an emergency.

    I have had family members request we "not put all those stickers all over the place in the room" when their loved one had a DNR or AND status. As one lady stated "we know Momma is going to die, we just don't want it to be the first thing everyone sees when they come to visit." In our facility, DNR/AND stickers are posted with the chart and on the assignment sheet at the nursing station (well out of public view). In the ICUs those stickers are posted at the charting desk outside each room.

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