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POLICY1BOARD OF EDUCATION ROSELAND PUPILS 5332/Page 1 of 2 Do Not Resuscitate Orders M5332. DO NOT RESUSCITATE ORDERS (M) Federal and State legislation entitles every pupil to a free, appropriate

How to fill out do not resuscitate orders

How to fill out do not resuscitate orders

1. To fill out do not resuscitate orders, follow these steps:
2. Obtain the required form: Contact your local hospital or healthcare provider to obtain the do not resuscitate (DNR) form. They will provide you with the necessary paperwork.
3. Read the instructions: Carefully go through the instructions provided with the DNR form. Understand the terms and conditions stated on the form.
4. Provide personal information: Fill out your personal information such as name, address, date of birth, and contact details on the form.
5. Specify healthcare proxy: If you have appointed a healthcare proxy or healthcare power of attorney, mention their details on the form. This person will make medical decisions on your behalf if you are unable to do so.
6. Express your wishes: Clearly indicate your desire not to be resuscitated in case your heart stops or you stop breathing. This may include a request to withhold cardiopulmonary resuscitation (CPR), mechanical ventilation, or any other life-sustaining measures.
7. Sign and date the form: Once you have completed filling out the form, sign and date it. Some forms may require a witness signature as well.
8. Distribute copies: Make copies of the completed DNR form and distribute them to relevant parties. These may include your healthcare providers, family members, and other individuals involved in your care.
9. Keep the original in a safe place: Keep the original signed DNR form in a safe and easily accessible place. Inform your family members and healthcare providers where the document is stored.
10. Review periodically: Regularly review and update your DNR orders as needed. Discuss any changes in your medical condition or preferences with your healthcare provider and make the necessary adjustments to the form.
11. Communicate with healthcare providers: Ensure that your healthcare providers are aware of your DNR status. Carry a wallet card indicating your DNR status and provide a copy to your healthcare team.
13. Note: It is recommended to consult with your healthcare provider or legal advisor for specific guidance in your jurisdiction.

Who needs do not resuscitate orders?

1. Do not resuscitate orders are typically relevant for individuals who have a terminal illness, are in a persistent vegetative state, or have a significantly reduced quality of life with little chance of recovery.
2. Specific situations where do not resuscitate orders may be appropriate include:
3. Advanced age: Elderly individuals who have expressed a desire to avoid aggressive life-saving measures in case of a medical emergency.
4. Chronic illness: People suffering from chronic and progressive illnesses, such as advanced cancer, end-stage kidney disease, or advanced heart failure.
5. Terminal illness: Patients with a terminal illness, where curative treatment is no longer an option and the focus is on providing comfort and palliative care.
6. Irreversible brain damage: Individuals in a persistent vegetative state or with irreversible brain damage who would not want life-prolonging medical interventions.
7. Personal choice: Anyone with a personal choice to decline resuscitative efforts, irrespective of the reason.
9. It is important to consult with a healthcare provider or medical professional to determine if a person needs do not resuscitate orders based on their specific medical condition and individual preferences.

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What is do not resuscitate orders?

Do not resuscitate orders are medical orders written by a physician that instruct healthcare providers not to perform CPR if a patient's heartbeat or breathing stops.

Who is required to file do not resuscitate orders?

Do not resuscitate orders are typically required to be filed by a physician after discussing the patient's wishes with them or their legal representative.

How to fill out do not resuscitate orders?

To fill out do not resuscitate orders, a physician must document the patient's medical condition, discussions about end-of-life care, and the patient's or legal representative's decision.

What is the purpose of do not resuscitate orders?

The purpose of do not resuscitate orders is to respect the patient's wishes regarding end-of-life care and avoid unnecessary and potentially harmful interventions.

What information must be reported on do not resuscitate orders?

Do not resuscitate orders must include the patient's name, date of birth, medical condition, physician's signature, and any specific instructions regarding resuscitation.