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COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY Document # PROGRAM DOCUMENT: Draft Date: Do Not Resuscitate (DNR) 2085.13 06/01/13 Revised: 02/09/15 Review: EMS Medical Director Effective:

How to fill out do not resuscitate dnr

How to fill out a do not resuscitate (DNR) form:

1. Begin by obtaining a DNR form from the appropriate authority, such as your healthcare provider or state-specific resources.
2. Read the form carefully, ensuring that you understand all the instructions and the implications of filling it out. Seek clarification if needed.
3. Provide personal information, such as your full name, date of birth, and contact details, to accurately identify yourself.
4. Indicate your healthcare preferences by selecting the appropriate options on the form. Typically, a DNR form includes choices regarding cardiopulmonary resuscitation (CPR), intubation, defibrillation, and other life-sustaining interventions.
5. If you have specific instructions or preferences beyond what is covered in the form, you can usually add a note or attach an additional document explaining your wishes more comprehensively.
6. Review the completed form to ensure all information is accurately provided.
7. If required, sign and date the form in the designated spaces. Some forms may require a witness signature or notarization, so be sure to comply with any additional requirements.
8. Keep a copy of the filled-out DNR form for yourself, and distribute copies to your healthcare providers, family members, and any other relevant individuals or institutions.
9. Regularly review and update the DNR form as per your preferences and healthcare status changes.

Who needs a do not resuscitate (DNR) form?

1. Individuals who have certain medical conditions and do not wish to receive aggressive life-saving measures like CPR or mechanical ventilation may opt for a DNR form.
2. Patients who are terminally ill and nearing the end of their life may choose a DNR to ensure their wishes for a natural and peaceful passing are respected.
3. People with chronic, progressive illnesses who do not want their condition to be prolonged through resuscitation measures may elect to have a DNR in place.
4. DNR forms can be appropriate for individuals who have had extensive discussions with healthcare professionals, considered their options, and made informed decisions regarding their care preferences.
5. The decision to have a DNR form is highly personal and should be made in consultation with healthcare providers, family members, and legal professionals, if necessary.

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What is do not resuscitate dnr?

Do not resuscitate (DNR) is a legal order written by a doctor that instructs healthcare providers not to do CPR if a patient's breathing stops or if their heart stops beating.

Who is required to file do not resuscitate dnr?

A doctor is required to file a do not resuscitate (DNR) order based on the patient's wishes or healthcare directives.

How to fill out do not resuscitate dnr?

To fill out a do not resuscitate (DNR) order, a doctor must have a discussion with the patient about their end-of-life wishes and ensure it is documented properly in the patient's medical records.

What is the purpose of do not resuscitate dnr?

The purpose of a do not resuscitate (DNR) order is to honor a patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.

What information must be reported on do not resuscitate dnr?

A do not resuscitate (DNR) order must include the patient's name, the date the order was written, the signature of the doctor, and clear instructions not to perform CPR.