Nebraska Emergency Treatment Orders (NETO)

The advanced illness work group has developed this program to assist you in helping patients plan for medical emergencies. No changes may be made to the NETO forms below, please print them exactly as indicated to preserve consistency across settings.

PROVIDER AND PATIENT EDUCATION

Nebraska Emergency Treatment Orders, Forms

 

NETO Form

The NETO form should be printed on Astrobright “lift-off lemon” 60# text. Paper is available at Staples and Office Depot/Max. Two-sided printing.

NETO, Worksheet

This form is specifically for patients, health coaches, and families to review before meeting with their physician. Please print on regular white paper to avoid confusion with the official document.

NETO, Stand Alone Orders

The Stand Alone Orders should be printed on Astrobright “lift-off lemon” 60# text. Paper is available at Staples and Office Depot/Max.

NETO, Wallet Card

The Wallet Card should be printed on Astrobright “lift-off lemon” 60# text. Paper is available at Staples and Office Depot/Max.

NETO, Power of Attorney Form

Provider Education

 

Provider Education, Medical Provider Guide to NETO

4-page guide to the purpose and structure of the NETO planning process.

Code Status Visual

Patient Education

NETO, Patient Guide

A detailed 4-page guide to walk patients through the NETO decisions, used to prepare interested patients for the planning conversation. Includes a worksheet.

NETO, Truth About Long-Term Medically Administered Nutrition and Hydration

NETO, Truth About Code Status and CPR

NETO, Truth About Life-Sustaining Treatment

NETO, Patient Story

An 11X18″ poster designed to fit on the back of exam room doors or other highly visible locations.

NETO, Patient Brochure

A trifold brochure to develop interest in the NETO planning process.