How does your hospital identify DNR?

Published

I am wondering how other facilities identify thier DNR patients, all we do is place it on the Kardex and in the chart. Do any of you place it on armbands?

Specializes in Education, Acute, Med/Surg, Tele, etc.

It is IN the charts in the front on a bright orange paper. Behind that are the orders (POLST or DNR/DNI paperwork or advanced directives). During report is the best thing, and we nurses typically write that in our personal pt notes.

We did NOT go for bands because that is a subject of confusion and no need for a pt to have more than two bands at a time (people started to cut them off if more than two). And family members tended to cut off a DNR/DNI band if they didn't agree with a pts choice! So that was out!

Front of a pts chart was considered a privacy violation...we don't even have names on the front, but initials now with the MD name. I don't like this much, but I hit the face sheet to make sure I have the right pt almost automatically now.

It is also located in our kardex.

Up Vote Up Vote ×
Specializes in Med/Surg/Bariatrics.

Yes, it's a purple clip on the armband, it's placed in the front of the chart with a sticker on the outside.

Up Vote Up Vote ×

Same, purple clip on armband.

Up Vote Up Vote ×
sorry to be a bit off-topic, but has anyone else noticed the allergy arm band falling out of favor? they have completly disappeared where i work, and i miss them. i like being able to glance at my patient's wrist and know what the allergies are.....especially if they are confused or sedated. somehow it isn't as reassuring looking it up in the chart.

yes. i miss them too. as far as i can tell, they are falling out of favor because of privacy reasons. hospitals are moving towards color coded bands or clips but no written information about what the patient is actually allergic to.

y'know, i get the spirit of hipaa but i am lol-ing at the idea of a patient getting embarrassed and indignant that their family accidentally found out that they were allergic to shellfish

Up Vote Up Vote ×
Specializes in Oncology.

Just says it next to their name in the EMR.

Up Vote Up Vote ×
Specializes in Oncology.
Yes. I miss them too. As far as I can tell, they are falling out of favor because of privacy reasons. Hospitals are moving towards color coded bands or clips but no written information about what the patient is actually allergic to.

Y'know, I get the spirit of HIPAA but I am lol-ing at the idea of a patient getting embarrassed and indignant that their family accidentally found out that they were allergic to shellfish

It's one thing if it's Shellfish... It's another if it's a drug to treat HIV and they didn't tell their son yet.

Up Vote Up Vote ×
Specializes in ICU.

A tattoo.

Just kidding.

I think I want one when the time comes so my no one can rescind it on my dying a$$.

The sticker on the chart and on the arm band besides the obvious order is what is used.

Up Vote Up Vote ×
+ Join the Discussion