On March 4, 2019, you will be able to identify if a patient has an Out of hospital DNR or an In Hospital DNR on file on the banner bar in PowerChart.
If a patient does not have a DNR on file for either Out of Hospital or In Hospital, it will reflect ‘None’ in the banner bar. Note: If the field is blank, click refresh.
Out of Hospital DNR/In Hospital DNR on File
If a patient has an Out of Hospital DNR and/or an In Hospital DNR (Applies to patients who are admitted to inpatient or placed in observation), the document will be scanned into the AD Out of Hospital DNR Order bucket and/or the AD Consent for DNR bucket. Once the document is scanned, the banner bar will reflect ‘Review’ on the banner bar.
This provides indication that the patient has a current or previous Out of Hospital DNR and/or In Hospital DNR on file (This is NOT an indication that the DNR is valid – this is only an indication that the chart should be reviewed for what is on file)
**The source of truth will always be the scanned document**
If the patient revokes their Out of Hospital DNR and/or In Hospital DNR, the scanned DNR will be rescanned with VOID marked across the page.
Accessing the DNR on File
In order to quickly access the DNR on file, navigate to the Summary View or the Workflow Page (for those on Dynamic Documentation). Click on the blue hyperlink and you will navigate directly to the scanned document.
Changing the Code Status
To change the code status order:
- DO NOT discontinue!
- Find the existing Code Status and right click to Modify.
