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MEMORANDUM Texas Department of Human Services Long Term Care Policy * Survey and Certification Clarification TO: Long Term Care-Regulatory Regional Directors and State Office Managers FROM: Evelyn

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What is out of hospital do-not-resuscitate?

Out of hospital do-not-resuscitate is a legal form that specifies a person's wish to not receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest outside of a medical facility.

Who is required to file out of hospital do-not-resuscitate?

Out of hospital do-not-resuscitate is typically filed by individuals who have a terminal illness or do not wish to receive CPR outside of a hospital setting.

How to fill out out of hospital do-not-resuscitate?

Out of hospital do-not-resuscitate forms can be obtained from a physician or healthcare provider and must be completed and signed by the individual and their healthcare provider.

What is the purpose of out of hospital do-not-resuscitate?

The purpose of out of hospital do-not-resuscitate is to ensure that an individual's wishes regarding CPR outside of a medical setting are respected.

What information must be reported on out of hospital do-not-resuscitate?

Out of hospital do-not-resuscitate forms typically include the individual's name, date of birth, signature, the healthcare provider's signature, and any specific instructions regarding resuscitation.

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