Get the free Do Not Resuscitate Policy

Policy No:RM27bVersion:5.0Name of Policy:Do Not Resuscitate PolicyEffective From:1st October 2009Date Ratified Review Date Sponsor Expiry Date Withdrawn Date28/09/2009 Resuscitation Committee 01/09/2011 Medical

How to fill out do not resuscitate policy

How to fill out do not resuscitate policy

1. Step 1: Obtain a copy of the do not resuscitate (DNR) policy form from a hospital or healthcare provider.
2. Step 2: Read and understand the purpose and guidelines of the DNR policy.
3. Step 3: Consult with a healthcare professional or legal advisor if you have any questions or concerns.
4. Step 4: Fill out the personal information section of the DNR policy form, including your full name, date of birth, and contact details.
5. Step 5: Indicate your medical conditions, allergies, and any specific instructions you may have regarding resuscitation measures.
6. Step 6: Specify your preferred healthcare provider or hospital for DNR enforcement if applicable.
7. Step 7: Sign and date the DNR policy form in the presence of a witness.
8. Step 8: Make copies of the completed DNR policy form for your records and share them with relevant healthcare providers and family members.
9. Step 9: Review and update the DNR policy as needed, especially in the event of any significant changes in your medical condition or preferences.
10. Step 10: Keep the original DNR policy form easily accessible and inform your family members, healthcare providers, and emergency responders about its existence.

Who needs do not resuscitate policy?

1. Individuals with terminal illnesses who do not wish to undergo resuscitation attempts in case of cardiac or respiratory arrest.
2. Patients who have expressed their desire for a natural death and wish to avoid invasive medical interventions.
3. Elderly individuals with serious health conditions who have discussed their preferences with their healthcare providers and/or family members.
4. Those who have previously experienced adverse reactions or complications during resuscitation attempts.
5. Individuals with advanced directives or living wills outlining their desire for a do not resuscitate order.
6. Patients with severe cognitive impairments or irreversible medical conditions who would not benefit from resuscitation measures.

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What is do not resuscitate policy?

A do not resuscitate policy is a legal document that instructs healthcare providers not to perform life-saving measures in the event of cardiac or respiratory arrest.

Who is required to file do not resuscitate policy?

The patient or their legal representative, in consultation with a physician, is required to file a do not resuscitate policy.

How to fill out do not resuscitate policy?

A do not resuscitate policy can be filled out with the assistance of a healthcare provider or legal counsel, ensuring all required information is accurately documented.

What is the purpose of do not resuscitate policy?

The purpose of a do not resuscitate policy is to allow individuals to make decisions about their end-of-life care and specify their preferences regarding resuscitation efforts.

What information must be reported on do not resuscitate policy?

A do not resuscitate policy must include the patient's name, signature, date of completion, physician's signature, and specific instructions regarding resuscitation.