Can't a living will or Advance Directive be the same as the DNR? I don't really understand why you have to have a DNR, if you have an AD or LW. I had been gone for several days, and the day nurse did not report that this pt. was actively dying. I called the nurse on the eve. before and she told me to go by the hospital transfer sheet that said, DNR. But the DON says we can't use that? This eve. nurse said the pt. was actively dying on her shift, but was a re-admit, so the hospital dismisses her actively dying. It just does'nt make since to me. Here I am an hour or so into my shift, finding her dying, and have minutes to an hour and 15 min, to call the DPOA which was unavailable, then the AD says to not use CPR, along with the sister that I got ahold of on the phone, she says, she has a living will, do not resusitate her, so with all of this info. I did not do CPR. So is this a law that you have to have the DNR in the chart, is it my responsiblity to get it, I was just thinking with everything aboard, I was doing the right thing. I though MD records was surpose to have everything ready for the nurse, to quicky assess whether to resusitate or not to resusitate, there were no clues from the MD records not even an updated face sheet for information, and then I am called into the Don's office to make out a statement, and later reviewed it was a disciplinary form, which is being appealed by myself right now. The other nurse calls the state and they tell her all we need is the AD? I am so confused. Thanks if you can help.