DNR (Do Not Resuscitate)

Definition

A Do Not Resuscitate (DNR) order is a legal medical order instructing healthcare providers to withhold cardiopulmonary resuscitation (chest compressions, defibrillation, intubation, ACLS medications) if the patient's heart or breathing stops.

Key Points

• A DNR does NOT mean 'do not treat', the patient still receives all other care including comfort measures, medications, and other interventions.
• A patient with a DNR may still have surgery, receive antibiotics, and be admitted to the ICU.
• DNR can be revoked at any time by the patient or surrogate.
• POLST/MOLST forms extend DNR portability across care settings.

Nursing Responsibilities

Verify current DNR order on admission and at every transition of care. Know the specific code status (full code, DNR-CC, DNAR, limited code). Advocate for the patient's documented wishes even if family disagrees. Provide emotional support during end-of-life decisions.

NCLEX Relevance

DNR does not mean 'do not care.' Always verify and advocate for patient wishes.