Understanding DNROs in Assisted Living

Understanding DNROs in Assisted Living
Understanding DNROs in Assisted Living

Complying with 59A-36.009, F.A.C. — Do Not Resuscitate Orders

In assisted living, honoring a resident’s medical wishes is not only a matter of respect — it’s also a legal requirement. Florida’s 59A-36.009 outlines how assisted living facilities (ALFs) must manage and document Do Not Resuscitate Orders (DNROs). Here’s a practical guide to help you stay compliant and prepared.

What Is a DNRO?

A Do Not Resuscitate Order (DNRO) is a medical form that directs emergency personnel not to perform CPR if a person’s heart stops or they stop breathing. In Florida, this must be documented on DH Form 1896, which must be printed on yellow paper to be valid.

Two Required Forms

ALFs are responsible for ensuring that the following two documents are made available to residents:

  1. Form SCHS-4-2006: Health Care Advance Directives – The Patient’s Right to Decide

     This form outlines a resident’s right to make decisions about their healthcare.

     👉 Download Form SCHS-4-2006 (PDF)

  2. DH Form 1896: Florida Do Not Resuscitate Order

     This is the official DNRO form. It must be signed by both the resident (or legal representative) and a physician.

     👉 Download DH Form 1896

Facility Responsibilities

According to 59A-36.009, facilities must:

  • Document in the resident’s record whether a DH Form 1896 has been executed.

  • If the form has been completed, a yellow copy must be included in the resident’s file.

  • If a copy has not been received, the facility must document that it has been requested.

  • The DNRO must be readily accessible to emergency responders in the event of a medical crisis.

Why This Matters

Proper documentation of a DNRO ensures that:

  • The resident’s wishes are respected

  • Emergency personnel act appropriately

  • Your facility remains in compliance with Florida law

Staff Awareness Is Key

It’s important to train your team on:

  • Where DNROs are stored

  • How to recognize a valid DH Form 1896

  • What steps to follow during an emergency

Final Thought: DNROs are not just forms — they’re a critical part of honoring a resident’s right to make informed choices about their care.