Utah
About StickyJ Medical ID DNR and POLST Bracelets
StickyJ Medical ID Jewelry is a provider of Utah Life With Dignity (DNR) bracelets. Your order must be accompanied by a valid POLST form (Life with Dignity form) from Utah, signed by both the patient's physician and the patient (or legal surrogate). Only POLST forms which specify 'Do not attempt or continue any resuscitation (DNR)' in box A may receive a bracelet that says DO NOT RESUSCITATE.
- In the back engraving section, please be sure the patient’s first and last name is entered on the first line.
- You can either scan and upload the POLST form at the time you place your order, email it to us to CustomerService@stickyj.com, or fax it to 727-499-0989.
- If you would prefer to order by mail, you can download and print our Utah Life with Dignity bracelet order form by clicking on Utah Life with Dignity Bracelet Mail Order Form.
QR Code Option for Quick DNR or POLST Access
For a modest additional fee, StickyJ Medical ID offers an optional QR Code feature with your medical ID bracelet. If you select this option, you can send us a copy of your DNR or POLST order, which we will securely digitize and upload to our protected online database. The QR Code, engraved on the back of your bracelet, allows paramedics and emergency responders to use a smartphone to scan and immediately view an image of your DNR or POLST order. This can be extremely useful when time is of the essence.
To add the QR Code option, you must either scan-and-upload OR mail a copy of your Do Not Resuscitate or POLST order to StickyJ Medical ID. Once received, we will securely store your document online, making it accessible to EMS personnel whenever necessary. (Note: if you are planning to scan and upload your DNR, we recommend using Adobe Scan. It's a free app available for both Apple and Android phones).
Important Legal Notice
Please be aware that the bracelet itself is not legally sufficient for EMS personnel to withhold resuscitation efforts. In the event of a cardiac emergency, you must have a copy of your physician order with you, and it must be accessible to emergency responders. Only a medical professional can issue a portable medical order. For more information about your choices and legal requirements, consult with your physician.