🚀 go-pugleaf

Through the sci.med newsgroup, I learned from an MD in southern
California that the "advanced directive" about DNR and other
issues is attached to the refrigerator and that there was state
or county legislation which outlined how the process was to be
carried out.   

Clearly, this issue would have to be studied and input from patient
groups as well as health care providers and legislators would be
crucial.  

You might wish to try the sci.med news group or a few other
selected newsgroups.

Regards,

Jeff Schaefer


>
>Which jurisdictions are using DNR "braclets" 
>or other form of ID that is attached to the 
>patient? 
>Of those areas where they are being used, how 
>are they working out, ie. any problems?

In Maryland, A new DNR protocol has been in place for about 2 months 
now.  It consists of a legal size document which must be signed by a 
doctor.  This document must be original and is not photocopyable.  In 
addition to this document, a bracelet must be worn by the patient, which 
includes the patient's name, and doctor's name and phone #.  If any of 
the above is not filled in or present, the document is invalid and EMS 
must provide all rescue efforts.  If the document is present, supportive 
care, such as pain meds, etc. can be given with medical direction.
     It seems to work well around here.  We've had a problem with public 
education regarding the program, but people are slowly catching on.  It 
should be noted that these documents are the ONLY ones recognized by 
Maryland prehospital providers.  Hope this helped!

   ********************************************************************
   *   Michael L. Kalck       University of Maryland Baltimore County *
   * Maryland Certified       Department of Emergency Health Services *
   * Cardiac Rescue Tech              Paramedic Track Student	      *
   * mkalck1@gl.umbc.edu            Woodlawn Volunteer Fire Company   *
   *						EMS Lieutenant	      *
   *   Disclaimer:  Views expressed do not necessarily represent the  *
   *                opinions of the above organizations.              *
   ********************************************************************

In Maryland, we have a statewide DNR bracelet program.  If there isn't
a valid DNR bracelet (filled out properly) or the DNR form that the
bracelet starts out attached to or an MD standing there giving a DNR
order w/ proper credentials we *MUST* start CPR.

There used to be what were called Hospice cards that were accepted but
they're not valid any longer.


On 22 Feb 1996 15:27:00 GMT, mppa@magic.mb.ca (MB Prehospital
Professions Assoc.) wrote:

>Which jurisdictions are using DNR "braclets" 
>or other form of ID that is attached to the 
>patient? 
>Of those areas where they are being used, how 
>are they working out, ie. any problems?
>Anything else that may be of use to us. 
>Thanks in advance.
>
>Dwayne Forsman, EMT-P
>Manitoba Prehospital Professions Association
>mppa@magic.mb.ca
>

--
Russ Zaccari, EMT-A
zaccari@digex.net
http://www.access.digex.net/~zaccari