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do any of you know anyone with "no code" tattooed across their chest?
In my EMT class, we were told that even if the patient's spouse, the mailman, and the parish priest all insist there is a DNR, for the care-giver to be legally okay in NOT providing treatment, the document has to be present. One guy had a little sign by his back door saying 'DNR,' and it turned out not to be needed. But we told him he should amend the sign to say 'DNR... (is in the top desk drawer in a blue envelope).'Originally posted by Cowboy DO
Stupid question, but from a legal standpoint would you still need to see actual documentation?
Originally posted by Febrifuge
In my EMT class, we were told that even if the patient's One guy had a little sign by his back door saying 'DNR,' and it turned out not to be needed. But we told him he should amend the sign to say 'DNR... (is in the top desk drawer in a blue envelope).'
Originally posted by Cowboy DO
Stupid question, but from a legal standpoint would you still need to see actual documentation?
Originally posted by ERMudPhud
My personal feeling is that if someone has gone to the trouble of tattooing it then their intentions are pretty clear. I realize that laws and practices vary from state to state and that the standard is different for prehospital and in hospital providers. I generally accept the patient's statement, a wrist band or necklace, or statements from next of kin and I have been told by medicolegal people that this is OK. Obviously, if it was a 25year old with no medical problems I would question it but in somebody who clearly is approaching the end of their life it seems a stretch to force a full rescusitation on them just because somebody forgot to go to the file cabinet before coming to the ER. On the other hand I have had people with signed DNR's suddenly change their mind when they get sick and if they clearly express that they have changed their mind I feel I need to respect that.
If you are still in med school or residency it is something to ask the medicolegal people at your institution to give you a talk about. You might be surprised that the law isn't as rigid in requiring a specific signed form as you think it is.
Originally posted by kungfufishing
I heard you were a 'flamethrower' homonculus...
I would expect that "tattoo documentation" might not hold up so well in court.
Originally posted by Kalel
Is having DNR written on your chest even valid in any state? Here in my state, unless you have DNR forms signed by a physician, witness, and patient/reprentative; family members can scream bloody murder but the EMS personel and physicians are obliged under law to run a full code. In the past, we've even told familes not to call EMS until they are sure that the patient is dead just to avoid any possible confusion.