Section DHS 125.04 - Do-not-resuscitate braceletA do-not-resuscitate bracelet shall meet all of the following requirements:
(1) The bracelet shall be a clear, standard hospital-type bracelet at least 3/4 of an inch in width.(2) The identifying information placed in the bracelet shall be printed on a bracelet insert form supplied by the department. The bracelet insert form as supplied by the department shall have on it, preprinted in blue, the words "Do Not Resuscitate" and the state seal of Wisconsin. Note: Copies of the bracelet insert form may be obtained from the EMS Section, Division of Health, P.O. Box 309, Madison, WI 53701-0309.
(3) The physician who has issued the do-not-resuscitate order shall complete or direct another person to complete the bracelet information by printing on the bracelet insert form in size 8 or greater font all of the following information: (a) On the left half of the form, the patient's name, address, date of birth and gender.(b) On the right half of the form, the physician's name, business phone number and original signature.Wis. Admin. Code Department of Health Services DHS 125.04
Cr. Register, July, 1997, No. 499, eff. 8-1-97.