Who writes a DNR or AND prescription in the client's medical record?

Who writes a DNR or AND prescription in the client's medical record?

• A. The Nurse
• B. The Provider
• C. The Patient
• D. The Administrator

Answer: (B)

A DNR or AND order is a formal medical directive that must be written by a licensed clinician who has the authority to determine resuscitation status in light of the patient’s wishes and medical condition. The provider discusses the patient’s goals, confirms understanding, and then enters the order in the medical record so every member of the care team follows it. Nurses carry out and document actions based on existing orders, but they do not create these orders themselves. The patient can express preferences and may have an advance directive, but the actual order is placed by the provider. Administrators oversee policies and record-keeping, not the issuing of resuscitation decisions.

A DNR or AND order is a formal medical directive that must be written by a licensed clinician who has the authority to determine resuscitation status in light of the patient’s wishes and medical condition. The provider discusses the patient’s goals, confirms understanding, and then enters the order in the medical record so every member of the care team follows it. Nurses carry out and document actions based on existing orders, but they do not create these orders themselves. The patient can express preferences and may have an advance directive, but the actual order is placed by the provider. Administrators oversee policies and record-keeping, not the issuing of resuscitation decisions.