DNR bracelet with DNR written on it. HIPAA??? - page 7

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... Read More

  1. by   lorabel
    Good point. and YES a verbal order! I called the doc because the son was in earlier and said he wanted his dad a DNR. Son had to leave and couldnt wait for doc to call me back. So..the doc called me, I explained the situation and gave the doc the son (who is POA) cell number. the doc called the son and confirmed he wanted his dad a DNR. So the doc gave me a verbal order to make pt a DNR, I had to have another nurse confirm and we signed the form like a verbal order. The doc came in the next morning and signed off on it. Its a mid-size hospital..about 365 beds. Its part of a large network of hospitals.
  2. by   mandykal
    Quote from jlsRN
    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 strongly that this is a violation of patient privacy. It advertises to any visitor that the patient has made the decision to be a DNR. I was very vocal about my feelings regarding this. I was the only bedside nurse in the meeting. I think this is basically 'outing' the patient to the world. Many members of the public know what DNR means. It can cause dissension between family members, it can cause people with more extreme views regarding extension of life to make trouble for decision making family members, and it's making visable to any visitor the private information of the patient.

    I feel strongly that a blue bracelet should suffice to communicate with members of the healthcare team and that adding DNR to the bracelet is wrong.

    Any imput on this would be appreciated.

    All these color coded stuff going around. I like what we did. One color, white. client's name, room # and DR. ...reason for that is that code status may change and what if someone forgets to update the bracelet.
  3. by   bmarcusrn
    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.
  4. by   NicuGal
    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.
  5. by   SkipBeat
    I don't think it's a violation. Patients have their names, birthdays and account numbers on their bracelets.
  6. by   Whispera
    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.
  7. by   sapphire18
    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.
  8. by   sauconyrunner
    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...
  9. by   mariebailey
    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.
  10. by   lilajan
    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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