Medical esp ER folks - DNR/AND?

[whatthehey]

I know the best solution is medical directives on file and I have those, but in an ER situation I doubt they would be available in a timely manner. I wear a DNR pendant but have started seeing AND (allow natural death) in more frequent use.

I am considering a tattoo of both on my chest but would like some first hand insight if possible.


Is AND a widely understood acronym in the ER?

Would a tattoo be taken as a definitive patient wish in the absence of a directive etc? Would imagine more than a pendant myself but I'm neither doctor nor lawyer.

I'm fairly clued in on what DNR would eschew as treatment but generally speaking what would an AND directive, if followed, preclude?

Not looking for specific medical advice or direction, just generalities.

Thanks in advance.

[ismnotwasm]

1. We don't use AND in my hospital

We use DNR do not resuscitate or DNAR- do not attempt resuscitatation as well as DNI- Do not intubate. Patient often pick one over the other or both. I found an interesting article on the terms

Abstract
The American Heart Association in 2005 moved from the traditional do not resuscitate (DNR) terminology to do not attempt resuscitation (DNAR). DNAR reduces the implication that resuscitation is likely and creates a better emotional environment to explain what the order means. Allow natural death (AND) is the name recommended in some settings to make the meaning even clearer. Most hospitals still use the obsolete DNR term. Medical staffs should consider moving to DNAR and in some settings to AND. Language is important.

Keywords: AND, allow natural death; CPR, cardiopulmonary resuscitation; code status; DNAR, do not attempt resuscitation; DNR, do not resuscitate

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241061/

[onyourleft]

2. Will your tattooed...

...chest have a signature? Just asking.

[whatthehey]

3. if so not mine - I'm not that limber!

[Lars39]

4. I was told to literally keep a set my wishes on me or in the vehicle,

and to give them to the ambulance crew. Of course if you're not conscious...

Thanks for starting this thread,btw.