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Appendix Durable DNR FACT SHEET Information provided by the Virginia Office of EMS Durable DNR Forms are NOT intended for use in admission or welcome packages. The Durable DNR Form shall be treated
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How to fill out durable dnr fact sheet

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How to fill out the durable DNR (Do Not Resuscitate) fact sheet:

01
Start by gathering necessary information: Begin by collecting the necessary details to complete the durable DNR fact sheet. This may include personal information such as full name, date of birth, address, and contact information.
02
Understand the purpose of the document: Familiarize yourself with the purpose and significance of a durable DNR fact sheet. This document is used to communicate your medical preferences in the case of a life-threatening situation where you do not wish to be resuscitated.
03
Consult with healthcare professionals: It is advisable to consult with healthcare professionals, such as doctors, nurses, or attorneys, who can provide guidance and answer any specific questions you may have about completing the durable DNR fact sheet accurately.
04
Carefully complete all sections: Take your time to thoroughly fill out each section of the durable DNR fact sheet. Provide accurate and updated information, ensuring that all fields are properly filled in. This may include specifying your healthcare proxy or the person responsible for making medical decisions on your behalf.
05
Review and sign the document: Once you have completed all the required sections, carefully review the entire fact sheet to ensure accuracy and consistency. If there are any doubts or concerns, seek professional advice before signing the document. When you are confident with the information provided, sign the durable DNR fact sheet, and if necessary, have a witness sign if required by local laws.

Who needs a durable DNR fact sheet:

01
Individuals with terminal illnesses: People who have been diagnosed with terminal illnesses and do not wish to undergo life-prolonging measures may opt for a durable DNR fact sheet. This helps to ensure that their medical preferences are respected in an emergency situation.
02
Patients with chronic or irreversible conditions: Individuals living with chronic or irreversible conditions that may require resuscitation attempts might decide they would prefer not to be resuscitated. In such cases, a durable DNR fact sheet allows them to express this preference clearly.
03
Elderly individuals or those nearing the end of life: As people age, they may have a clearer understanding of their end-of-life preferences. A durable DNR fact sheet enables elderly individuals or those nearing the end of life to have their wishes regarding resuscitation communicated and followed.
Note: It is crucial to understand that the specific requirements for a durable DNR fact sheet may vary based on the laws and regulations of your jurisdiction. It is recommended to consult with healthcare professionals or legal experts to ensure compliance with applicable regulations.
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Durable DNR fact sheet is a document that outlines an individual's medical wishes regarding Do Not Resuscitate orders in a durable manner.
Individuals who wish to have their medical wishes regarding Do Not Resuscitate orders documented are required to file a durable DNR fact sheet.
To fill out a durable DNR fact sheet, individuals can consult with a healthcare provider or legal professional to ensure that their medical wishes are clearly documented.
The purpose of a durable DNR fact sheet is to provide healthcare providers and emergency personnel with clear instructions regarding an individual's wishes regarding resuscitation in the event of a medical emergency.
A durable DNR fact sheet must typically include the individual's name, date of birth, signature, and specific instructions regarding their wishes for resuscitation.
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