Document name
Do Not Resuscitate form and Medical Order for Scope of Treatment (MOST). Note: The state has combined rules related to both of these into one legal statute.
Where do you get the form
You can only get the form from a physician’s office or a licensed healthcare facility. If you’d like to see a sample, click here.
Who signs the form
The physician, physician’s assistant or nurse practitioner signs the form. In North Carolina, the patient does not sign a DNR form; however, he or she does sign a MOST.
Who is permitted to request a DNR order for themselves
Generally, a doctor writes a DNR order for patients who are terminally and incurably ill, or in a persistent vegetative state, and who do not want their life needlessly prolonged by resuscitation efforts.
How do you obtain a DNR bracelet
North Carolina does not seem to have any specific regulations or instructions related to DNR bracelets.
Revoking a DNR
A DNR may be revoked verbally by the patient, the patient’s guardian or an on-scene physician. It can also be revoked by writing void on the original form or destroying it.
Photocopy
A photocopy is not accepted. It must be the original yellow form to be valid.
State info link
http://www.ncdhhs.gov/dhsr/EMS/dnrmost.html
http://www.ncleg.net/EnactedLegislation/Statutes/PDF/BySection/Chapter_90/GS_90-21.17.pdf
Other link
Special notes
Order a Vial of Life decal for your front door. The decal informs an Emergency Medical Services team that a DNR has been prepared and can be found in your refrigerator.
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