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Stark County Board of Developmental Disabilities Policy 5.17 Do Not Resuscitate Orders and Advanced Directives Chapter 5: Program ServicesEffective: 10/25/2016-Page 1 of 3DO NOT RESUSCITATE ORDERS

How to fill out 17 do not resuscitate

How to fill out 17 do not resuscitate

1. Obtain the 17 do not resuscitate form from the appropriate healthcare facility.
2. Read and understand the instructions provided with the form.
3. Fill out your personal information accurately, including your full name, date of birth, and contact details.
4. Provide your medical history and any relevant healthcare information that can assist in making the decision.
5. Indicate your decision clearly by checking the appropriate box or writing 'do not resuscitate' in the designated section.
6. Sign and date the form to make it legally valid.
7. If necessary, have a witness sign the form to verify your decision.
8. Keep a copy of the completed form for your records and provide a copy to your healthcare provider.
9. Review and update the form periodically to ensure it reflects your current wishes.
10. Communicate your decision with your loved ones and healthcare team to ensure they are aware of your preferences.

Who needs 17 do not resuscitate?

1. The 17 do not resuscitate (DNR) order is typically needed by individuals who have made a conscious decision not to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest or other medical emergencies. This may include individuals with terminal illnesses, advanced age, or medical conditions where the benefits of resuscitation may be outweighed by the potential harm or reduced quality of life.
2. It is important to consult with a healthcare professional or legal advisor to understand the specific requirements and procedures for obtaining a 17 do not resuscitate order in your jurisdiction.

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What is 17 do not resuscitate?

17 Do Not Resuscitate (DNR) is a legal order written by a doctor stating that CPR should not be performed if a patient's heart stops or if they stop breathing.

Who is required to file 17 do not resuscitate?

A doctor or healthcare provider is required to file 17 Do Not Resuscitate (DNR) orders for patients.

How to fill out 17 do not resuscitate?

To fill out a 17 Do Not Resuscitate (DNR) order, a doctor must discuss the option with the patient or their authorized representative, and then document the decision in the patient's medical record.

What is the purpose of 17 do not resuscitate?

The purpose of 17 Do Not Resuscitate (DNR) orders is to allow patients to make decisions about their end-of-life care and avoid unnecessary medical interventions.

What information must be reported on 17 do not resuscitate?

17 Do Not Resuscitate (DNR) orders must include the patient's name, the doctor's signature, and the effective date of the order.