What Is It?
As a Northrop Grumman employee, you have the right to decline medical treatment, even if you die as a result of your decision. Depending on your medical condition, your prognosis, and your views on the quality of life, you may wish to refuse lifesaving measures, such as cardiopulmonary resuscitation (CPR). Executing a do not resuscitate (DNR) order is one way of doing this. A DNR is a doctor's order that tells all other medical personnel not to perform CPR if you go into cardiac arrest. Cardiac arrest occurs when your heart stops beating, blood flow to your brain stops, and you stop breathing. If the blood flow is not quickly restored, permanent damage to the brain and other organs can occur. CPR simulates heartbeat and breathing, while attempting to restart these functions.
The term CPR actually encompasses a variety of separate procedures, including cardiac compression, endotracheal intubation, assisted ventilation, defibrillation, and cardiac medications. Most states recognize two types of DNRs. One is effective only while you are hospitalized. The other is used by people outside the hospital--for example, nursing home residents, hospice patients, and even those who are not receiving medical treatment.
Typically, terminally ill patients and elderly individuals execute DNRs to avoid prolonging their final illnesses. However, some states allow healthy adults to execute the orders, as well. Depending on the laws of your state, a DNR used outside the hospital may be called a 'pre-hospital DNR,' 'out-of-hospital DNR,' 'outpatient DNR,' 'DNR for EMS,' or 'CPR directive.' As a result of your request, your doctor generally notes an in-hospital DNR order on your chart. Out-of-hospital DNRs take various forms, depending on the laws of your state. ID bracelets, MedicAlert necklaces, and wallet cards are some methods of noting DNR status.
When Can It Be Used?
Availability of DNRs Is Determined By State Law
Not all states have DNR laws. For Northrop Grumman employees, you may want to consider how your state's laws govern whether DNRs are permissible, who can execute a DNR, and what form the order must take. These laws may permit in-hospital DNRs, out-of-hospital DNRs, both of these, or neither of these. Some state laws allow any person of legal age to execute a DNR, while others permit DNRs only for individuals with terminally ill conditions. Some states allow children to participate in decisions regarding DNR in certain cases. Check the laws of your state and any other states where you spend a significant amount of time.
Strengths
Allows You to Exercise Choice In Medical Treatment
Cardiopulmonary resuscitation (CPR) has produced some miraculous results when used on normally healthy individuals in trauma situations. However, it can be a painful and even violent procedure. Its effectiveness is limited when used on terminally ill or hopelessly deteriorated patients. In some cases, CPR only delays the moment of death.
For example, CPR could restore your heartbeat, but if permanent brain or organ damage occurs during cardiac arrest, you may be dependent on life support machines. Executing a do not resuscitate (DNR) order allows you to choose a natural death.
Example(s): Hal is hospitalized with a terminally ill condition. He is on a respirator and knows he has only a short time to live. Hal consults his doctor and learns that the laws of his state permit in-hospital DNRs. This will allow him to forego CPR if his heart fails. Hal asks his doctor to execute a DNR as soon as possible. The following week, Hal's heart stops. Because of Hal's DNR, hospital personnel do not attempt CPR.
Specifically Intended for an Emergency Situation
If you go into cardiopulmonary arrest, your DNR lets medical personnel know that you don't want CPR. Because of the emergency nature of this situation, other types of advanced directives are usually not timely enough to accomplish this goal.
Tradeoffs
Extremely Limited Usefulness
Although a do not resuscitate (DNR) order is a very powerful instrument, it is only effective under specific conditions. Generally, a DNR comes into play only if you go into cardiac arrest, and it frequently only allows you to refuse cardiopulmonary resuscitation (CPR), although in some states it may allow you to decline other drastic medical treatment as well. A living will or durable power of attorney for health care may be needed to convey other medical treatment instructions, such as your wishes regarding life support and intravenous feeding.
Out-of-Hospital DNR May Not Be Effective In Other States
As a Northrop Grumman employee, it is beneficial to understand how an out-of-hospital DNR that is valid in your state may not be valid in other states. Therefore, if you spend a significant amount of time in another state, you should find out whether that state's laws recognize DNRs, whether you are eligible to have a DNR in that state, and what restrictions are placed on the form of the DNR.
Doctors May Be Hesitant to Broach This Topic or Reluctant to Write a DNR
If you are hospitalized with a serious illness, your doctor may not bring up the option of executing a DNR. If you don't want to be resuscitated, you should initiate this discussion with your doctor. Also, studies indicate that many doctors are slow to write DNRs, even when they are aware of their patients' preferences, although the reasons for this vary. If you are a Northrop Grumman employee and want to ensure your wishes are followed, you should touch base with your doctor to make sure the DNR is placed on your chart.
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How to Do It
Research Your State's Laws Regarding Dnrs
Not all states provide for these orders. Each state has its own eligibility requirements, particularly for out-of-hospital DNRs.
Discuss Your Wishes With Your Doctor
Your doctor should be able to provide information on your prognosis and counsel you on your options. If you are a Northrop Grumman employee, your doctor's signature will most likely be required on any DNR you execute.
Execute Your Out-of-Hospital DNR Properly And Keep It With You
If you are a Northrop Grumman employee interested in DNR, you must consider how if your state allows out-of-hospital DNRs, there is probably a required format for the order. Examples of state-required DNR formats include ID bracelets, necklaces, wallet cards, and letter-size forms. If your DNR is not in the required form, it may not be honored. If medical personnel can't find your DNR order, they are obligated to give full and immediate care. Thus, it is extremely important to execute your DNR order properly and keep it with you (or in an appropriate place) at all times.
Example(s): Hal is a resident of an assisted-living facility. Hal is 89 years old and feels he has lived a good life. He does not want to die in a hospital or be dependent on machines for his survival. Hal discusses his feelings with his doctor. Hal's doctor suggests executing an out-of-hospital DNR, which will instruct medical personnel not to perform cardiopulmonary resuscitation (CPR) if Hal goes into cardiac or respiratory arrest. Hal agrees and receives an ID bracelet noting his DNR status. Hal wears his bracelet faithfully. Six years later, Hal's heart fails as he jogs in the park. Medical personnel arrive on the scene, but immediately notice Hal's DNR ID bracelet. CPR is not attempted.
Tell People About Your Decision
In general, other people cannot reverse your decision once you execute a DNR. As a Northrop Grumman employee however, if your DNR is misplaced or for some reason is not followed, it would be important for your family and friends to understand your wishes. Although this topic may be difficult to discuss, those close to you are more likely to support and uphold your decision if they understand how you feel and why you feel that way. If you have appointed a representative in a durable power of attorney for health care (DPAHC) , it is especially important that this person be aware of your decision.
Coordinate All Advanced Directives
Since a DNR is so limited in scope, you may wish to establish a living will and/or DPAHC as well. If you do so, make sure your wishes are stated consistently throughout these documents. In some states, the most recent document will govern if there is a conflict, so you must make sure your wishes are clear.
Tax Considerations for Northrop Grumman Employees
Income Tax
None
Gift And Estate Tax
None
Questions & Answers for Northrop Grumman Employees
What If You Go Into a Coma Before Executing Your DNR, And You Can't Express Your Wishes?
Your healthcare representative, if you have appointed one, may be able to have a DNR executed on your behalf. As a Northrop Grumman employee, there must be evidence that this is what you would want. You might include these instructions in your durable power of attorney for health care , especially if the laws of your state do not allow out-of-hospital DNRs. Be aware, however, that this method of instruction is useless in an emergency if your representative is not present. In some states, with your family's consent, your doctor may be able to execute a DNR on your behalf. Again, it would be unwise to rely on this course of action in an emergency.
Can You Change Your Mind?
Yes, it is possible to revoke a DNR order. If you have an out-of-hospital DNR, you may be able to revoke it by simply removing the bracelet or the wallet card. However, some states also have a database of DNR patients. If this is true in your state, you may need to take additional steps to revoke your DNR. When your doctor writes the DNR, ask what steps are necessary to revoke the order.
Additionally, medical personnel must give emergency care to anyone who requests it. For example, Emergency Medical Service guidelines in Wisconsin instruct personnel to perform cardiopulmonary resuscitation (CPR) if a person rips off his or her DNR bracelet or asks for CPR during cardiac arrest.
How can Northrop Grumman employees effectively maximize their retirement income, and what role do pension plans and personal investments play in this strategy? It's important for employees to understand how components like the Pension Plan Benefits, Savings Plan Benefits, and Social Security Benefits collectively provide a robust retirement framework. This question invites a detailed exploration of how Northrop Grumman's various programs interact, and what actions employees can take to ensure they are optimizing their retirement savings.
Maximizing Retirement Income at Northrop Grumman: Northrop Grumman employees can maximize their retirement income by effectively leveraging the combination of Pension Plan Benefits, Savings Plan Benefits, Social Security Benefits, and Personal Savings and Investments. Each component plays a crucial role: the pension plan provides a defined benefit based on salary and years of service, the savings plan offers a vehicle for tax-advantaged growth through employee and employer contributions, and social security offers a baseline of income adjusted for inflation. Employees should aim to maximize their contributions, particularly to the 401(k) plan, and manage their investments according to their individual retirement timelines and risk tolerance.
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Types of Retirement Benefits: Northrop Grumman offers both defined benefit and defined contribution retirement plans. The Heritage TRW Pension Plan, a defined benefit plan, bases pensions on final average earnings and years of service. The 401(k) Savings Plan, a defined contribution plan, allows employees to save and invest with tax advantages, with contributions from both the employee and employer. Understanding these plans' structures and benefits is essential for employees to plan effectively for retirement.
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Impact of Recent Changes to Pension Program: Recent changes to the Northrop Grumman Pension Program, such as the freezing of the final average earnings calculation as of December 31, 2014, affect employees planning to retire soon. These changes may alter the expected retirement benefits for some employees, making it crucial for near-retirees to reassess their projected pension benefits under the new rules and plan accordingly to meet their retirement goals.
How do Northrop Grumman employees qualify for early retirement under the current pension plan, and what benefits can they expect? This question should delve into the eligibility criteria for early retirement based on age and years of service, as well as highlight the benefits associated with this option. It provides an opportunity to explore the trade-offs and advantages of opting for early retirement versus working longer.
Early Retirement Qualifications and Benefits: Northrop Grumman employees can qualify for early retirement if they are at least 55 years old with 10 years of vesting service, receiving benefits reduced based on early retirement factors. Understanding these factors and the impact on the retirement benefits can help employees decide the best age to retire to maximize their pension benefits while considering their personal and financial circumstances.
What essential steps should Northrop Grumman employees take to prepare for retirement, including understanding their pension plan and social security benefits? This question can explore the various resources available, such as tools and calculators provided by Northrop Grumman, and the importance of proactive planning. Employees should consider how their decisions today will influence their retirement lifestyle, including the necessity of accumulating both pension and social security benefits.
Preparation Steps for Retirement: Employees should take proactive steps such as utilizing Northrop Grumman’s retirement calculators, attending planning seminars, and consulting with financial advisors available through the Northrop Grumman Benefits Center. It's also important for employees to understand how their pension benefits interact with Social Security and personal savings to create a comprehensive retirement strategy.
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How does Northrop Grumman determine the final average earnings (FAE) used in calculating pensions, and what factors should employees consider to impact this calculation positively? This question could lead to a discussion about the significance of high-earning years, the concept that only the top five consecutive earning years count, and how employees can strategically plan their careers to boost their FAE for retirement.
Determining Final Average Earnings (FAE): Northrop Grumman calculates FAE for pension benefits based on the highest five consecutive years of earnings. Employees should aim to maximize their earnings during these peak years, as this will directly increase the pension benefits they receive upon retirement.
What are the specific vesting requirements for Northrop Grumman's pension plans, and why is understanding these concepts critical for employees? As employees may leave the company at various stages of their careers, grasping how vesting works can significantly affect their financial security. This question allows for a detailed discussion on how years of service translate into non-forfeitable benefits.
Understanding Vesting Requirements: Vesting in Northrop Grumman's pension plans requires completing three years of service, after which the benefits earned become non-forfeitable. Employees should be aware of their vesting status, especially if considering changing jobs, as it impacts their eligibility for pension benefits.
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Utilizing Northrop Grumman Benefits Center Resources: The Northrop Grumman Benefits Center offers tools, resources, and support for retirement planning. Employees should frequently use these resources, such as the retirement income calculator and personalized consultations, to plan effectively for their retirement.
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Finding Retirement Information and Support: Additional information about retirement options and resources can be accessed through Northrop Grumman's Benefits Online portal and the Benefits Center. Employees are encouraged to actively use these channels for up-to-date information and personalized support to navigate their retirement planning effectively.