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DNR 1 1/14/03 OFFICIAL POLICIES OF THE BOARD DO NOT RESUSCITATE POLICY ACKNOWLEDGMENT AND RECEIPT The undersigned being the parent, guardian, or legal representative of, a student the subject of a
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How to fill out do not resuscitate policy

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How to fill out do not resuscitate policy:

01
Begin by clearly stating the purpose of the policy, which is to provide guidance on end-of-life decisions regarding resuscitation efforts.
02
Include a section that outlines who is eligible to have a do not resuscitate (DNR) order in place. This typically includes individuals with a terminal illness, advanced age, or those who have expressed a strong desire to forgo resuscitation.
03
Specify the criteria that must be met for a DNR order to be implemented, such as a physician's certification or a patient's decision-making capacity.
04
Outline the steps involved in documenting the DNR order, including the completion of specific forms and obtaining necessary signatures from the patient, their healthcare proxy, and healthcare providers.
05
Provide guidelines on how to communicate the existence of the DNR order to relevant healthcare professionals, including emergency medical services and hospital staff.
06
Include any additional considerations specific to the jurisdiction in which the policy will be implemented, such as legal requirements or regulations.
07
Regularly review and update the policy to ensure it remains in line with current best practices and legal requirements.

Who needs a do not resuscitate policy:

01
Patients who have a terminal illness and have expressed a desire to avoid resuscitation.
02
Individuals who, due to advanced age or existing health conditions, may not benefit from resuscitation efforts.
03
Patients who possess decision-making capacity and have voluntarily chosen to forgo resuscitation.
04
Those with a healthcare proxy or legally designated representative authorized to make end-of-life decisions on their behalf.
05
Healthcare providers, including hospitals, long-term care facilities, and emergency medical services, who require guidance on the appropriate response to a patient's request for do not resuscitate orders.
Note: It's important to consult with legal and medical professionals in order to ensure compliance with local regulations and to address any specific considerations regarding do not resuscitate policies in your jurisdiction.
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A do not resuscitate policy is a medical order written by a physician instructing healthcare providers not to perform CPR in case the patient's heart stops or they stop breathing.
A do not resuscitate policy must be filed by the patient's healthcare provider, usually a physician, in consultation with the patient or their legal guardian.
To fill out a do not resuscitate policy, a physician must discuss the options with the patient or their legal guardian, explain the risks and benefits, and document the decision in the patient's medical records.
The purpose of a do not resuscitate policy is to respect the patient's wishes regarding end-of-life care, prevent unnecessary suffering, and allow for a natural death process.
A do not resuscitate policy must include the patient's name, date of birth, physician's signature, date of the order, and a clear statement instructing healthcare providers not to perform CPR.
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