Do not resuscitate bracelet

A “Do Not Resuscitate” (DNR) bracelet is an increasingly popular method for individuals to communicate their wishes regarding cardiopulmonary resuscitation (CPR) in emergency situations. This page explores what a DNR bracelet is, its legal validity in the UK, and practical considerations for those considering this option.

What Is a Do Not Resuscitate Bracelet?

A DNR bracelet is a piece of wearable jewellery that clearly indicates a person’s wish not to receive CPR in the event of a cardiac or respiratory arrest. Typically made from durable materials like silicone or metal, these bracelets are designed to be easily visible and accessible to emergency responders.

Legal Validity of DNR Bracelets in the UK

In the UK, a DNR bracelet alone does not have legal standing. The only formal document that legally instructs medical professionals to withhold CPR is a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) order. This order must be documented on a recognised form and included in your medical records.

However, while a DNR bracelet is not legally binding, it can serve as an important visual cue for emergency services. It can prompt first responders to check for a formal DNACPR order and ensure that your wishes are honoured if they are accessible.

The Role of a DNACPR Order

A DNACPR order is a formal document issued by a healthcare professional that must be included in your medical records. It is legally binding and informs medical personnel of your wish to forgo CPR. This order is usually discussed and agreed upon with your healthcare team based on your medical condition and personal wishes.

Practical Considerations

  1. Visibility and Communication: A DNR bracelet can help communicate your wishes to emergency responders but should not be relied upon as the sole method of conveying your preferences. It is crucial to have a formal DNACPR order in place.
  2. Updates and Review: Regularly review your DNACPR order to ensure it remains accurate and reflects your current wishes. Inform your healthcare providers and loved ones about your decision.
  3. Integration with Other Measures: Consider using the bracelet alongside other communication tools such as a medical alert card or an advance decision document.

Conclusion

While a DNR bracelet can be a helpful tool to indicate your preferences in an emergency, it does not replace the need for a formal DNACPR order. To ensure that your wishes are legally recognised and respected, it is essential to have a DNACPR order documented in your medical records.