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The effective date of the Act is Jan. 28, 2007. The Act empowers a person with an end-stage medical condition, or an appropriate representative of that person, to secure an out-of-hospital DNR order and, at the person's option or the option of an authorized representative, an out-of-hospital DNR bracelet or necklace.
The DNR guides Emergency Medical Service (EMS) providers and can give EMS permission not to perform cardiopulmonary resuscitation (CPR), whereas a POLST might include a DNR instruction regarding CPR, but provides more instructions regarding additional medical interventions.
A Pennsylvania do not resuscitate (DNR) order form provides an individual with the ability to avoid life-saving treatments in the event that they experience cardiac or respiratory arrest. The DNR is valid once signed by the patient (or authorized representative) and the patient's physician.
How is a DNR Order Created? The doctor writes the DNR order in your medical record if you are in the hospital. Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings. Standard forms may be available from your state's Department of Health.