EMS provides life sustaining treatment guided by pre-approved protocols. The NETO Orders provide clear, unambiguous medical orders for EMS to depart from protocol when patients have refused CPR, Intubation and/or Transport.
The NETO Declaration summarizes the patient's directives for scope of initial treatment and code status if a seriously ill patient requires treatment but is unable to make decisions. It gives direction to both medical providers and surrogates.
NETO is an advance directive, so most policies and procedures are in place to handle the forms. Unlike other advanced directives, this form is explicitly designed to direct emergency treatment, so ED and Admission procedures may have to be adjusted.
Most planning should happen while patients are stable with the advice of a doctor who knows them. The Patient Guide describes the choices available. Other handouts provide more detail.
This fact filled clinician guide will answer many questions about the NETO form and process. If you are printing this, use 11x17 paper and fold in half.
NETO is a bright yellow two-sided document that combines a Declaration to accept, limit or refuse treatment on one side, and physician orders for EMS on the other side. The declaration answers four questions that guide treatment if the patient can't make decisions. It was developed to promote planning and continuity of care, and to provide a standard document that fits Nebraska's existing laws. It was created by a group of Nebraska physicians and lawyers who wanted to improve care. The Nebraska Health Network funded the production of the forms and media.
The declaration is divided into four sections:
The orders for EMS:
Medical provider attests that the patient had capacity to make decisions when the orders were written and that the orders are based on the patients declaration.