Do Not Intubate (DNI) Order

A Do Not Intubate (DNI) Order is a medical order written by a doctor indicating that intubation and mechanical ventilation should not be performed if a patient experiences respiratory failure. This order is intended to prevent unwanted or unnecessary invasive respiratory support.

A DNI order is often used in conjunction with a Do Not Resuscitate (DNR) order, but it specifically addresses the use of breathing tubes and ventilators. As a result, some healthcare systems use the term Do Not Ventilate (DNV) interchangeably with DNI.

The decision to create a DNI order typically results from discussions between the doctor and patient (or patient’s Medical Power of Attorney). This order can be revoked at any time by the patient if they are mentally competent or by their Medical Power of Attorney.

A DNI order may be part of an Advance Directive and/or a larger POLST form.

The exact implementation and scope of DNI orders can vary between different healthcare systems or jurisdictions. Always consult with healthcare providers or legal professionals for specific guidance.