Tag Archives: do not resusitate

Do Not Resuscitate (DNR) Illinois

Document Name:
Illinois Department of Public Health (IDPH) Uniform Do-Not_Resuscitate (DNR) Advance Directive
Where do you get the form
To obtain a copy of the IDPH Uniform DNR form, you may request one from your health-care professional or facility. Copies also are available on the Illinois Department of Public Health’s Web site located at http://www.idph.state.il.us/public/books/advin.htm or by calling 217-785-2080
Who signs the form
The form is signed by the physician, the patient, and one witness.
Who can request a DNR

An adult or an emancipated minor who does not wish to have CPR attempted when his or her heart and/or breathing stops may have a DNR order.

Patient Identification
There is no requirement for a patient to wear a DNR identification bracelet. EMS will honor a DNR form signed by a physician, patient and one witness.
How do you obtain a DNR bracelet
The IDPH does not specify any specific company from which to purchase the bracelet.  You should ask your physician for a recommendation when meeting to discuss the DNR form.
Revoking a DNR
The DNR order can be revoked in a variety of ways, such as by writing “VOID” in large letters across the front of the form. If you revoke a DNR order, you also should tell your family members, as well as each health-care professional and provider that has received a copy of the order. You may then choose not to have a DNR order, or you may choose to complete a new DNR order reflecting any changes you wish .
Photocopy
Photocopies of a completed IDPH Uniform DNR are valid.
State info link
http://www.idph.state.il.us/public/books/advdir4.htm
State statute link:
http://www.ilga.gov/legislation/ilcs/documents/075500400K65.htm
Other links
http://www.vialoflife.com/
DNR Bracelet links
Illinois does not recommend a specific vendor.  However, two you might try are:
Appomattox Drug Store http://tinyurl.com/cf5jdg
Medic Alert Foundation International http://tinyurl.com/dk3yun
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.

Do Not Resuscitate (DNR) California

Document Name
Emergency Medical Services Pre-Hospital Do Not Resuscitate (DNR) form
Where do you get the form
You should get the form from a medical professional or download it here: http://www.emsa.ca.gov/Forms
Who is permitted to request a DNR

A patient with a life threatening illness or injury can request a DNR.

Who signs the form
The form is signed by the physician as well as the patient.
Patient Identification
There is no requirement for a patient to wear a DNR identification medallion.  However, California does recognize the medallion as proof of the patient having a DNR order.
How do you obtain a DNR medallion
There are currently only two state approved providers who can produce the pre-hospital DNR medallions.  They are:
Medic Alert Foundation 888-633-4298  http://www.medicalert.org
Caring Advocates 800-647-3223 http://www.caringadvocates.org
You will have to submit a copy of the DNR prior to being allowed to purchase a medallion.
Revoking a DNR
A DNR order can be revoked at any time.  Just destroy the paperwork and also notify your doctor’s office and family.
Photocopy
Photocopies of a completed DNR form are valid.
State info link

http://www.emsa.ca.gov/Forms

Other links
http://www.vialoflife.com/
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.