Do Not Resuscitate (DNR) New York
- Document Name
- “Nonhospial Order Not to Resuscitate”
- Where do you get the form
- Only a licensed physician can complete the form. and he or she. should have a copy of the DNR Order. If you need to provide a for to your physician, click here: http://tinyurl.com/djekqu
- Who signs the form
- The physician and the patient can consent to a DNR order orally or in writing, if two adult witnesses are present. When consent is given orally, one of he witnesses must be a physician affiliate with th hospital.
- Patient Identification
- New York EMS will honor the DNR Order form or a DNR bracelet issued by Medic Alert.
- How do you obtain a DNR bracelet
- Once the DNR form is signed, you can obtain a bracelet Medic Alert.
- Revoking a DNR
- You, or anyone who consents to a DNR order on your behalf, can remove the order by telling doctors, nurses or others about the decision. This need not be done in writing. Once informed of your wishes, your physician must record the DNR revocation in your chart, cancel the DNR order and make diligent efforts to retrieve all copies of your DNR form, as well as your DNR bracelet.
- Photocopy
- A photocopy is recognized as an authentic DNR form.
- State info link
- http://tinyurl.com/cksdvz
http://tinyurl.com/dna9dm - Other link
- http://www.vialoflife.com/
- DNR Bracelet links
- DNR bracelets may be obtained from most companies that sell medical identification bracelets, provided they have a copy of your New York DNR form (DOH-3474) on file. Some bracelet sources include:
- Appomattox Drug Store, PO Box 489, Appomattox, VA 24522. Telephone 1-800-330-7225 ex. 102, or order on-line at http://tinyurl.com/cf5jdq
- Medic Alert Foundation International, Attn DNR, 2323 Colorado Avenue, Turlock, CA 95382 Phone: 1-888-633-4298, 3, 1 or ask for DNR. http://tinyurl.com/dlkluh
Medical Identification Jewelry (on-line orders only) at http://tinyurl.com/dk3yun or http://tinyurl.com/cs983u
- Special Notes
- Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR has been prepared and can be found in your refrigerator.
