West Coast EMT Block One Exam

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You are called to attend to an elderly patient with a DNR order indicated by a MedicAlert bracelet. What should you do?

  1. Initiate resuscitation in the absence of paperwork.

  2. Transport with minimal care.

  3. Confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.

  4. Confirm the patient's identity and honor the DNR order.

The correct answer is: Confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.

When responding to a call involving a patient with a DNR (Do Not Resuscitate) order indicated by a MedicAlert bracelet, confirming the patient's identity and honoring the DNR order is crucial. The DNR order signifies that the patient has made an informed decision to forgo resuscitation efforts in the event of cardiac arrest or respiratory failure. In this scenario, the correct protocol involves first confirming that the patient is indeed the individual indicated by the MedicAlert bracelet. Once identity is confirmed, it’s essential to respect the DNR decision, which may sometimes require verification through the MedicAlert Foundation. This adds an additional layer of assurance that the order is valid and reflects the patient's wishes. The other options may compromise the patient's rights. Initiating resuscitation without proper documentation contradicts the purpose of the DNR order. Transporting with minimal care neglects the necessity of providing appropriate care aligned with the patient's wishes, and while confirming the DNR by calling the MedicAlert Foundation is a prudent step, it does not replace the importance of honoring the DNR once confirmed. Therefore, the approach of confirming identity and honoring the DNR is the most ethical and medically appropriate choice.

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