What determines the validity of the Out of Hospital DNR?
• Merely the presentation of a signed Out of Hospital DNR form (or a copy) or a DNR bracelet to the EMT. • A good faith attempt to identify the patient. A witness who can reliably identify the patient is useful. • Out of hospital DNRs do not expire. • The Out of Hospital DNR form and/or bracelet should be taken with the patient. Hospital & Nursing Home DNR orders All Article 28 licensed facilities are required to issue, review and maintain DNR orders. EMS providers will honor hospital DNR orders for patient transports originating from the facility. The DNR can not be expired. The facility staff must provide a copy of the order and/or patient’s chart with the recorded DNR order to the ambulance crew. Facilities, other than hospitals or nursing homes, are encouraged to use the NYS-DOH approved non-hospital DNR Form as supplemental documentation to avoid confusion and potentially unwanted resuscitation. May EMS providers accept living wills or health care proxies? A living will or health
