Upon revocation of a DNR/POLST, EMS must document on the PCR:

• A. The presence of the DNR/POLST order and how the patient indicated revocation
• B. The patient's full medical history
• C. The revocation does not require documentation
• D. The time of revocation only

Answer: (A)

Documenting revocation of a DNR/POLST on the PCR is about capturing the patient’s updated resuscitation preference clearly. When a patient revokes a DNR or POLST, EMS must note that such an order existed and precisely how the revocation was indicated (for example, verbally stated by the patient with witnesses, destruction of the order, or an explicit written/ verbal statement). This ensures the patient’s autonomy is honored, informs all responders and the receiving facility of the current directive, and creates a legal record for this encounter. Simply recording a time or other unrelated information would not convey the patient’s decision or how it was communicated, so the essential details are the existence of the order and the method by which the revocation occurred.