The definition of DDNR should be amended to incorporate the POST form that is being used by more and more providers around the state.  POST is a physicians order that enables a patient's wishes and care plan to be established on a common form that is effective regardless of a patient's location.

The only edit that appears to be necessary is a revision to the definitions, 12VAC5-66-10, such as: “The term DDNR shall include a Physician Orders for Scope of Treatment (POST) form completed by a licensed practitioner and signed by the patient or patient’s authorized representative.”

Currently, the comprehensive use of the POST form is hindered by the fact that the immunity provided in the the Healthcare Decisions Act (Va. Code 54.1-2988) is not expessly available to providers.

Thank you for considering this comment.

Nathan A. Kottkamp

Founder and Chair, National Healthcare Decisions Day