DNR vs OOH-DNR - Monarch Senior Solutions

“DNR” VS. “OOH-DNR” – What to know about Do Not Resuscitate

What to know about Texas Do Not Resuscitate Orders

Navigating Advanced Directives can be a confusing endeavor.  One of many advanced directives is commonly known as a Do Not Resuscitate or “DNR.”  A DNR is an election as well as a medical order that instructs health care professionals not to conduct cardiopulmonary resuscitation “CPR” should a person’s heart stop beating or breathing stops.

What most people do not know is that there are two kinds of DNR’s.  There is an in-hospital DNR and an out of hospital DNR.

When entering a hospital, if a patient is terminally ill, overall physical condition is severely or permanently compromised, they may elect and physician agreed to be a DNR.  This signed document will be maintained in the patient’s chart and would be respected by hospital personnel.

However, this form is only applicable inside the hospital.  If the patient or responsible party wants the DNR to continue, an out of hospital do not resuscitate “OOH-DNR” would need to be filled out and signed by a physician.

This document would stay with the person whether that is at home, in an assisted living or even taking a road trip.  In the event of an emergency, paramedics could review the form to help best assist someone to maintain their wishes.

OOH-DNR’s are state specific.  Therefore, if a client has an OOH-DNR from California and moves to Texas, a new OOH-DNR would have to be executed.  More information on OOH-DNR’s for Texas can be found at the Department of Texas Health and Human Services.

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