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Michigan General Procedures TERMINATION OF RESUSCITATION Date: May 31, 2012-Page 1 of 1 Termination of Resuscitation PreMedical Control PARAMEDIC 1. Follow the Cardiac Arrest General Protocol. 2.

How to fill out termination of resuscitation

How to Fill Out Termination of Resuscitation:

1. Obtain the necessary form: Start by acquiring the termination of resuscitation form from the appropriate healthcare institution or organization. This form is typically used by medical professionals to document the decision to cease resuscitation efforts.
2. Gather patient information: The form will require relevant details about the patient, such as their name, age, and medical history. Make sure to accurately record this information to ensure proper identification and documentation.
3. Indicate the date and time of the termination decision: Specify the exact date and time when the decision to terminate resuscitation was made. This is a crucial piece of information for medical records and legal purposes.
4. Document the reason for termination: Provide a clear and concise explanation as to why resuscitation efforts were discontinued. This can include factors such as the patient's lack of response to treatment, the presence of a valid Do Not Resuscitate (DNR) order, or the determination of irreversible injury or illness.
5. Obtain necessary signatures: Depending on the healthcare institution's policies, the termination of resuscitation form may require signatures from involved medical professionals, such as attending physicians, nurses, or emergency medical personnel. Ensure that all required signatures are obtained to validate the decision and ensure proper completion of the form.

Who Needs Termination of Resuscitation?

1. Patients with irreversible injuries or illnesses: Termination of resuscitation is typically considered for patients who have experienced severe injuries or illnesses from which recovery is deemed impossible or highly unlikely.
2. Patients with a valid Do Not Resuscitate (DNR) order: If a patient has previously expressed their wish to avoid resuscitation attempts in the event of cardiac arrest or other life-threatening situations, the termination of resuscitation may be appropriate in accordance with their wishes.
3. Medical professionals in emergency situations: Healthcare providers dealing with critical patients in emergency settings may need to make the decision for termination of resuscitation based on clinical judgment and established protocols.

Please note that the process of filling out termination of resuscitation forms may vary depending on the healthcare institution and country-specific guidelines. It is essential to adhere to local regulations and consult with healthcare professionals for specific instructions in your jurisdiction.

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What is termination of resuscitation?

Termination of resuscitation is the decision to stop efforts to revive a patient who is in cardiac arrest.

Who is required to file termination of resuscitation?

The healthcare provider in charge of the resuscitation efforts is usually required to file termination of resuscitation.

How to fill out termination of resuscitation?

Termination of resuscitation forms typically require information such as patient's name, date of birth, date and time of resuscitation, reason for termination, and signatures of healthcare providers involved.

What is the purpose of termination of resuscitation?

The purpose of termination of resuscitation is to acknowledge that further resuscitation efforts are futile and allow for dignified end-of-life care.

What information must be reported on termination of resuscitation?

Information such as patient's demographics, resuscitation start and end times, reason for termination, and signatures of healthcare providers must be reported on termination of resuscitation.