"Code status" is a prominent feature of end-of-life discussions in U.S. hospitals. This essay analyzes how the rhetoric of code status articulates the terms of end-of-life decision-making in one hospital's "Patient" Preferences Worksheet. The Worksheet signifies the abandonment of the technological fix as the preferred treatment for moribund patients and the transformation of a previously private moment into a matter of institutional control. Examining the Worksheet's interlocking institutional, technical, and vernacular deathbed rhetoric challenges the dominant bioethical discourse of patient autonomy and suggests a need to supplement this procedurally rational discourse with one of relational integrity. (Contains 1 figure and 112 notes.)