That is one way to handle the situation...:) I think I'll check with our local EMT guys and see if they would honor it. It isn't a matter of not being informed, like the patient can't tell them. It is actually the law, they must give their best efforts to keep you alive. That's why they have a very special form to cover the situation. I have one client, an elderly man who lives alone, who has his form taped to the outside of his bedroom door. They can't get into the bedroom without seeing the form. I thought that was an awesome idea. I learn from my clients all the time.
That is one way to handle the situation...:) I think I'll check with our local EMT guys and see if they would honor it. It isn't a matter of not being informed, like the patient can't tell them. It is actually the law, they must give their best efforts to keep you alive. That's why they have a very special form to cover the situation. I have one client, an elderly man who lives alone, who has his form taped to the outside of his bedroom door. They can't get into the bedroom without seeing the form. I thought that was an awesome idea. I learn from my clients all the time.If nothing else, they'd be too busy laughing to do anything invasive. You are correct, though, each "layer" of medical care provider has different legal obligations and must be notified in the proper manner. If one wants a DNR order, fine, but that has to be done properly and everyone, from paramedic to ED to floor, must have their own tees crossed and eyes dotted. Consult with a professional estate planner or lawyer in your area who is familiar not only with the State laws but the local emergency medical services' policies and procedures as well.
Important note to families: Do not get too upset if heroic measures are being taken; the staff (ambulance, ED, whatever) may just not have been properly informed. Remember that the default procedure is to use all heroic measures.
JD86, your client's idea is pretty clever. He should be sure to have a copy of the form on his person, were he to collapse outside his home.