This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.
USLegal Pamphlet on Do Not Intubate - DNI
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Multi-State
Control #:
US-PMPH-05
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Word;
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Description Form Resuscitate Document
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How to fill out Dni Consent Form?
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Some patients choose the "do not intubate" option, which means that they do not want to be placed on a ventilator to prolong their life. " Do not resuscitate" means the patient chooses not to have CPR.
A DNI or Do Not Intubate order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed. An AND or Allow Natural Death order is a term used at some hospitals as an alternative to the more traditional DNR order.
Conclusions: Conflation of DNR and DNI into DNR/DNI does not reliably distinguish patients who refuse or accept intubation for indications other than cardiac arrest, and thus may inappropriately deny desired intubation for those who would accept it, and inappropriately impose intubation on patients who would not.
Conclusions: Conflation of DNR and DNI into DNR/DNI does not reliably distinguish patients who refuse or accept intubation for indications other than cardiac arrest, and thus may inappropriately deny desired intubation for those who would accept it, and inappropriately impose intubation on patients who would not.
The DNR must be signed by the doctor. There are several types of DNR forms: DNR-A status indicates comfort care only; the comfort care order set should be completed routinely for all DNR-A patients.
A patient has the option to be Full Code, DNR (Do Not Resuscitate), DNI (Do Not Intubate) or both DNR and DNI. This choice is far from simple, and the way these questions are worded can be a major factor in a patient's choice.
Under this new directive, resuscitation plans replace no-CPR or DNR orders, and must be made in consultation with the patient or substitute decision-maker. They are legally enforceable, and must be followed by staff, but need to be reviewed on a regular basis.