Lindsey Shelley FNPC United Regional Hospital Palliative Care What Is A n Out of H ospital D o Not Resuscitate OOHDNR A legal form that tells emergency medical professionals ID: 1045630
Download Presentation The PPT/PDF document "The Ins and Outs of Inpatient DNR and Ou..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. The Ins and Outs of Inpatient DNR and Out of Hospital DNR formsLindsey Shelley, FNP-CUnited Regional Hospital Palliative Care
2. What Is An Out of Hospital Do Not Resuscitate (OOHDNR)?A legal form that tells emergency medical professionals NOT to start or continue certain life-saving procedures. Resuscitation is when someone who has stopped breathing and whose heart has stopped beating is restored to consciousness.If you are not in the hospital and have a medical emergency that makes you unconscious, emergency medical professionals may be called to help.
3. 5 Procedures Listed In OOHDNR FormIf you have a valid Out-of-Hospital DNR, EMS will NOT use any of the five procedures listed in the Out-of-Hospital DNR form to revive you.Cardiopulmonary ResuscitationTranscutaneous Cardiac PacingDefibrillationAdvanced Airway Management Artificial Ventilation
4. Out of Hospital DNR (OOHDNR) TipsThere is a front and back side of the formThe form MUST have both sides completed to be validDO NOT make copies of document when patient is initially filling the form out; print from PDF file to make sure words are not blurred.If I am a healthcare professional, how do I fill out an OOHDNR form and make sure it is legal?
5. OOHDNR Form (Front Side)
6. OOHDNR Form (Front Side)Section A
7. OOHDNR Form (Front Side)Section B
8. OOHDNR Form (Front Side)Section C
9. OOHDNR Form (Front Side)Section D
10. OOHDNR Form (Front Side)Section E
11. OOHDNR Form (Front Side)Two Witnesses Section
12. OOHDNR Form (Front Side)Section F
13. OOHDRN Form (Back Side)
14. OOHDRN Form (Back Side)
15. Who Can Be A Witness For An OOHDNR?Witness 1Anyone NOT directly involved in the care of the patientEx: social workers, case manager, PICC nurses if they are not on the unit caring for other patients, one of the management team, diabetes educators, RN nurse navigators, diabetes APPs, other APPs in other areas, chaplains, people who provide nutrition services, charge nurse, and Palliative RN if not on the caseWitness 2Any competent adult
16. Inpatient DNR
17. What Is An Inpatient DNR?Texas Hospital AssociationSenate Bill 11-Implemented in 2017The Texas Hospital Association met in October 2018 at a summit to share questions about Senate Bill 11 and discuss how best to comply with requirements. Can be very confusing
18. Senate Bill 11Section 166.203 of Senate Bill 11 states that The ATTENDING PHYSICIAN must issue the orderTexas Senate Bill 11Act in effect starting April 1, 2018DNR order must be disclosed to the individual“A DNR order issued for a patient is valid only if the patient’s attending physician issues the order”“Before placing in a patient’s medical record a DNR order… the physician, physician assistant, nurse, or other person acting on behalf of a health care facility shall:Inform the patient of the order’s issuanceIf the patient is incompetent, make a reasonably diligent effort to contact…the patient’s known agent under a medical power of attorney or legal guardian”
19. URHCS Inpatient DNR Form
20. Do Long Term Care Facilities need an Inpatient DNR to abide by Senate Bill ?Inpatient DNR applies to Long Term Care Facilities, but does NOT apply to assisted living type facilities.An OOHDNR should be honored and sufficient at assisted living type facilities.
21. FactsAccording to the Texas Department of State Health Services, a person who wears a bracelet or necklace (called a device) does NOT have to carry the form with them; the DNR device shall be honored in lieu of a DNR form. However, we recommended that you have OOHDNR form with you at all timesRefrigerator
22. Examples of devices
23. Texas OOHDNR Device (1) An intact, unaltered, easily identifiable plastic identification OOH DNR bracelet, with the word "Texas" (or a representation of the geographical shape of Texas and the word "STOP" imposed over the shape) and the words "Do Not Resuscitate", shall be honored by qualified EMS personnel in lieu of an original OOH DNR Order form. OR(2) An intact, unaltered, easily identifiable metal bracelet or necklace inscribed with the words, "Texas Do Not Resuscitate - OOH" shall be honored by qualified EMS personnel in lieu of an OOH DNR Order form. https://www.dshs.texas.gov/emstraumasystems/dnr.shtm#devices
24. Examples of Approved Manufacturers of Vinyl OOHDNR BraceletsTexas Medical AssociationATTN: DNR form401 W. 15th StreetAustin, Texas 78701Order line: (512)370-1300Approved Manufacturers for Metal DevicesAmerican Medical Identifications, Inc.Suite 100949 WakefieldHouston, Texas 77018(800) 363-5985www.americanmedical-id.comMedicAlert Foundation, Inc.2323 Colorado Ave.Turlock, California 95382(888) 755-1448www.medicalert.orgCaring Advocates 2730 Argonauta StCarlsbad, California 92009(800) 647-3223http://caringadvocates.org/store/index.php?main_page=index&cPath=2StickyJ Medical ID10801 Endeavour Way #BSeminole FL 33777(866) 497-6265Email: CustomerService@StickyJ.comhttps://www.stickyj.com/category/dnr-jewelry-braceletsMUST send a copy of OOHDNR form to company that is providing an OOHDNR medallion
25. Frequently Asked QuestionsCan a DNR tattoo be honored in lieu of a Texas OOHDNR bracelet or completed OOHDNR form? NO
26. Questions
27. Helpful Resourceshttps://www.dshs.texas.gov/emstraumasystems/dnr.shtm
28. Referencesfile:///C:/Users/linds/Downloads/THA_Report_SB11_FINAL.pdfOut-of-Hospital DNR Order: Information and Answers. (2019, January 4). Retrieved from https://texaslawhelp.org/article/out-hospital-dnr-order-information-and-answersTexas Out of Hospital Do Not Resuscitate Program, EMS & Trauma Systems. (n.d.). Retrieved from https://www.dshs.texas.gov/emstraumasystems/dnr.shtm#devices