Can a DNR be signed electronically?

• A. No
• B. Only with hospital policy
• C. Only if the patient has legal capacity
• D. Yes

Answer: (D)

Electronic signatures on Do-Not-Resuscitate orders are valid because a DNR is a physician order and electronic signatures are legally recognized for medical records. Under the federal ESIGN Act and Texas law (UETA), an electronic signature is binding when the signer’s identity is verifiable and the record is properly maintained. The signer must be the patient or a legally authorized representative; if the patient lacks capacity, a surrogate can sign on their behalf. Hospital policy may specify the exact steps, but the general rule allows electronic signing for DNR orders.