An elderly patient with a Do Not Resuscitate order and a MedicAlert bracelet has no paperwork. What should you do?

• A. confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.
• B. confirm the patient's identity and honor the DNR order.
• C. transport with minimal care.
• D. initiate resuscitation in the absence of paperwork.

Answer: (A)

Verifying a Do Not Resuscitate status with a reliable source before taking action. When a patient has a DNR but no paperwork, you must confirm the directive through a trusted verification method rather than assuming it’s current or accurate. The MedicAlert bracelet provides a 24/7 way to verify critical medical information, including DNR status. By first confirming the patient’s identity and then contacting the MedicAlert Foundation using the number on the bracelet, you ensure the DNR is authentic and up to date for this specific patient. If the verification shows a valid DNR, you honor the directive and refrain from resuscitation while continuing appropriate comfort care. If you cannot verify the DNR, you follow your EMS protocols rather than acting on an unconfirmed order. This approach protects patient autonomy, reduces the risk of acting on outdated or incorrect information, and uses a trusted source to guide care.