Where can the DNR Order be used?
The DNR Order can be used anywhere in North Carolina -- in the hospital, at
the patient's place of residence, or anywhere in between.
What care will EMS offer to a patient with a DNR Order?
A DNR Order applies only to CPR. This does not mean that all other care
stops. Emergency Medical Services and other health care providers will
continue to provide all other appropriate care. If the patient is dying, every
effort will be made to make the patient as comfortable as possible, such
as measures to stop pain or ease breathing. If the patient requires
transportation or treatment other than CPR, Emergency Medical Services
will provide such services.
What are the patient's rights in obtaining a DNR Order?
The patient has the right to control his or her medical care, including whether
or not to have a DNR Order. If the patient is not able to make health care
decisions, the patient's representative may make health care decisions on
behalf of the patient. The patient, or the patient's representative, has the right
to ask questions and receive answers about DNR Orders from the patient's
physician and to discuss the patient's wishes regarding a DNR Order with
family, friends, minister, lawyer, etc. The patient, or the patient's representative,
may revoke (cancel) a DNR Order at any time. The patient, or the patient''s
representative, and the physician will decide the date on which the DNR takes
effect and the date it will expire. A DNR Order must be re-authorized at least
once a year.
Who is involved in completing a DNR Order?
Both the physician and the patient, or the patient's representative, must
agree that a DNR Order is appropriate before the physician will write a
DNR Order. A DNR Order must be signed by a physician.
Is a DNR Order the same as a Living Will, Health Care Power Of Attorney,
or other advance directive?
No. Advance directives such as a Living Will or Health Care Power Of Attorney
are directions written by an individual about his or her health care wishes.
A DNR Order is an order written by the patient's physician. A DNR Order may
be based on an advanced directive, if the patient has a written one. But a
patient who has not written an advanced directive may still have a DNR Order.
What should the patient, family, or friends do if someone wants to call
Emergency Medical Services (EMS)?
Sometimes the patient, family, or friends may want to call EMS because the
patient's condition has worsened or because transportation or other
emergency care is desired. When the patient's condition has worsened, it
may be very hard for family and friends not to call EMS, even when they know
the patient does not want CPR. If the patient and family discuss this situation
in advance with the patient's providers and a plan is agreed upon, everyone
may feel better when the situation arises. If transportation is needed, EMS
should be called even though there is a DNR order. If possible, tell EMS of
the DNR Order when a call is made. In all cases, present EMS with the
original DNR Order upon there arrival.
Where can I get additional information about DNR Orders?
Contact Brunswick County EMS at (910) 253-5383 or your private physician.