West Virginia issues its out-of-hospital Do Not Resuscitate order on an orange card. EMS can only follow DNR orders written as medical orders, such as this card or the WV POST form; DNR requests in advance directives can be honored only by non-EMS providers. The card withholds CPR alone and does not limit other treatment.
An MD, DO, APRN or PA completes the card after discussion with the patient, or with the medical power of attorney representative or surrogate decision-maker when the patient is incapacitated.
Download the current version from the source each time; forms change without notice.
West Virginia Do Not Resuscitate (DNR) Order (orange card)
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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Health care provider offices order them free from the WV Center for End-of-Life Care through the online request form on its Clinicians pages. Allow about two weeks for delivery. Patients cannot order cards directly; they get one from their clinician's office because the card is a medical order.
Both are medical orders EMS can follow. The DNR card covers only CPR if the heart stops or breathing stops. The Center describes the POST form as having more options than a DNR card, including treatment orders for when the patient has a pulse and is breathing, plus nutrition preferences.