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Maryland Emergency Medical Services (EMS)
Do Not Resuscitate (DNR) and Medical Care Order
REVISED AUGUST 2010
This form is a physician\'s or nurse practitioners order under which EMS personnel will
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How to fill out do not resuscitate dnr

How to fill out a do not resuscitate (DNR) form:
01
Start by obtaining the appropriate DNR form from a healthcare provider, hospital, or your state's department of health. It is essential to use the official form specific to your jurisdiction to ensure its legality and validity.
02
Carefully read and understand the instructions provided on the form. Familiarize yourself with the purpose, implications, and limitations of a DNR order.
03
Enter the personal information required on the form, such as your full name, address, date of birth, and contact information. Ensure accuracy to prevent any confusion or complications.
04
Indicate your preferences regarding resuscitation by selecting the appropriate checkboxes or providing written instructions. The form may include options for various degrees of resuscitation, such as CPR, intubation, defibrillation, or medication administration.
05
Consider discussing your decision with your healthcare provider, family members, or anyone else involved in your healthcare to ensure they are aware of your wishes and can provide support if needed.
06
If applicable, appoint a healthcare proxy or durable power of attorney for healthcare, who can make medical decisions on your behalf if you are unable to do so. Provide their contact information and any specific instructions regarding your preferences for resuscitation.
07
Sign and date the DNR form in the presence of the required witness or witnesses, complying with your jurisdiction's legal requirements. Witnesses may include healthcare professionals, notary publics, or other authorized individuals.
08
Keep a copy of the completed and signed DNR form for yourself, and provide copies to your healthcare providers, hospital, and anyone else involved in your care, ensuring they are aware of your wishes.
Who needs a do not resuscitate (DNR) order?
01
Individuals facing a terminal illness or at the end stage of a chronic condition may consider a DNR order if they no longer wish to undergo resuscitation attempts in the event of cardiac or respiratory arrest.
02
Patients with advanced directives or living wills that explicitly state their desire for a DNR order.
03
Those who have had discussions with their healthcare provider and have made an informed decision based on their medical condition, prognosis, and personal values.
04
Elders who have discussed their end-of-life preferences with their families and wish to avoid aggressive medical interventions.
05
Individuals suffering from severe medical conditions, where resuscitative measures may not be in line with their goals of care or quality of life.
06
Patients in palliative care or hospice settings, where the focus is on providing comfort and dignity at the end of life rather than prolonging it.
Overall, deciding whether or not to have a DNR order is a deeply personal decision that should be made in consultation with healthcare professionals, loved ones, and based on an individual's unique circumstances and beliefs.
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What is do not resuscitate dnr?
A do not resuscitate order (DNR) is a legal document that specifies whether or not a person wants to receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.
Who is required to file do not resuscitate dnr?
A do not resuscitate order (DNR) is usually discussed and decided upon by a person and their healthcare provider. It is then documented in the person's medical records.
How to fill out do not resuscitate dnr?
To fill out a do not resuscitate order (DNR), a person needs to discuss their wishes with their healthcare provider and have the document signed by a physician.
What is the purpose of do not resuscitate dnr?
The purpose of a do not resuscitate order (DNR) is to allow individuals to make decisions about their end-of-life care, specifically regarding CPR.
What information must be reported on do not resuscitate dnr?
A do not resuscitate order (DNR) typically includes the person's name, date of birth, physician's signature, and the effective date of the order.
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