Out of Hospital Do Not Resuscitate Program

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The Out-of-Hospital Do-Not-Resuscitate program allows people to decide that they do not want to be resuscitated. The program allows people to declare that certain resuscitative measures will not be used on them. Those resuscitative measures specifically listed in the OOH DNR legislation are cardiopulmonary resuscitation (CPR), advanced airway management, defibrillation, artificial ventilations and transcutaneous cardiac pacing.

OOH DNR forms can be ordered from the Texas Medical Association or downloaded from the web.  You can contact TMA at:
Texas Medical Association
ATTN: DNR form
401 West 15th Street
Austin, Texas 78701-1680
(512) 370-1306 -- Recorded information concerning the prices of the DNR form and bracelets.

Looking to order an OOH DNR identification device?  After completing the Texas OOH DNR Order form, the patient may obtain, at the patient's expense, an optional means of identification. The OOH DNR ID device may only be obtained AFTER fully executing the Texas OOH DNR Order form. A recent amendment to 25 TAC 157.25 gives consumers greater choice in Texas OOH DNR identification devices by allowing more businesses to offer identification devices. The amendment now requires:

(1) An intact, unaltered, easily identifiable plastic identification OOH DNR bracelet, with the word "Texas" (or a representation of the geographical shape of Texas and the word "STOP" imposed over the shape) and the words "Do Not Resuscitate", shall be honored by qualified EMS personnel in lieu of an original OOH DNR Order form.

OR

(2) An intact, unaltered, easily identifiable metal bracelet or necklace inscribed with the words, "Texas Do Not Resuscitate - OOH" shall be honored by qualified EMS personnel in lieu of an OOH DNR Order form. 

Ordering OOH-DNR Devices
Approved manufacturers for metal devices
(As of 7/16/12)

Approved manufacturers for vinyl bracelets

American Medical Identifications, Inc.
Suite 100
949 Wakefield
Houston, Texas 77018
(800) 363-5985
www.americanmedical-id.com


Texas Medical Association
ATTN: DNR form
401 W. 15th Street
Austin, Texas 78701
Order line:
(512)370-1306

MedicAlert Foundation, Inc.
2323 Colorado Ave.
Turlock, California 95382
(888) 755-1448
www.medicalert.org



Caring Advocates
2730 Argonauta St
Carlsbad, California 92009
(800) 647-3223
www.caringadvocates.org/dnr



Oneida Nameplate Company, Inc.
1697 229th Avenue
Manchester, Iowa 52057
(877) 925-2586
http://www.oneidamedicaljewelry.com/product/dnr-bracelets-and-necklaces-for-texas/

   

Prices may vary between vendors.  Contact vendors for information.

External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of Health. These sites may also not be accessible to persons with disabilities.

HONORING DIRECTIVE DOES NOT CONSTITUTE OFFENSE OF AIDING SUICIDE.  A person does not  commit an offense under Section 22.08, Penal Code, by withholding or withdrawing life-sustaining treatment from a qualified patient in accordance with this subchapter. (Health and Safety Code 166.047)

Specifications regarding the OOH DNR form:

  • The red "STOP" logo in the upper left-hand corner is no longer required to be in color on the current OOH DNR Order form.
  • The current OOH DNR Order form is on standard letter-size paper, 8 1/2 inches by 11 inches.
  • The current version of the form can be copied and used as an original.
  • The correct form should be printed with the OOH DNR Order form on the front and the instructions on the back of the sheet.
  • Copies of an executed DSHS Standard OOH DNR Order can be made and are legal, binding documents.


OOH DNR Forms and Information

OOH DNR Forms and Information

If you are distributing blank OOH DNR forms to be filled out by patients, family and doctors, the blank form MUST include the OOH DNR form on one side and the instructions on the other side.  In the instructions, there is some information required by law that must be made available to the patient, family, witnesses and doctors before the form is signed.

Emergency medical services personnel can honor an OOH DNR form that appears to have been properly executed, even if the instructions are not on the opposite side.

Print a DNR form

An OOH DNR Order form must be properly executed in accordance with the instructions on the opposite side to be considered a valid form by emergency medical services personnel.

Instructions in Spanish(Word) (PDF) An OOH DNR Order form must be properly executed in accordance with the instructions on the opposite side to be considered a valid form by emergency medical services personnel. The signature side of the Texas OOH DNR form (that can be printed from the link above) is still used for the form to be considered a valid form.
Frequently Asked Questions about OOH DNR
 

Out-of-Hospital Do Not Resuscitate Legislation

Out-of-Hospital Do Not Resuscitate Legislation

    Chapter 166, Advanced Directives
    Texas Administrative Code, Chapter 157.25

Other informative links to DADS, others

Texas Department of Aging and Disability Services, Handbooks and Forms

 

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Last updated March 24, 2014