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OutOfHospital
Do Not
Resuscitate
(DNR)
Ohio
Document
Name:Do Not Resuscitate Comfort Care Order
OR
Do Not Resuscitate Comfort Care Rearrest
Underwear do
you get the
form:A physician. A certified nurse
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How to fill out do not resuscitate comfort

How to fill out do not resuscitate comfort
01
To fill out a do not resuscitate comfort form, follow these steps:
02
Obtain the form: Contact your local healthcare provider, hospital, or physician's office to request a do not resuscitate comfort form.
03
Read and understand the form: Take the time to carefully read through the form. If you have any questions or concerns, consult with a healthcare professional.
04
Consult with your healthcare provider: Discuss your medical condition, treatment options, and end-of-life wishes with your healthcare provider. They can help you make informed decisions and complete the form accurately.
05
Complete the form: Fill in all the required information on the form, including your personal details like name, date of birth, and contact information. Indicate your choice of do not resuscitate comfort clearly.
06
Sign and date the form: Once you have carefully reviewed and filled out the form, sign and date it in the designated spaces.
07
Distribute copies of the form: Give copies of the completed form to your healthcare provider, family members, and trusted individuals involved in your care. Keep a copy for your records.
08
Review periodically: It is important to review your do not resuscitate comfort form periodically to ensure it reflects your current wishes.
09
Communicate your decision: Inform your loved ones and healthcare team about your decision to have a do not resuscitate comfort. This will help ensure that your wishes are respected during medical emergencies.
Who needs do not resuscitate comfort?
01
Do not resuscitate comfort is typically needed by individuals who have a chronic or terminal illness and have made a conscious decision to avoid aggressive medical interventions in certain situations.
02
These individuals might want to prioritize pain management, comfort care, or palliative care instead of resuscitation measures like chest compressions, intubation, or defibrillation.
03
It is essential to consult with a healthcare professional to fully understand the implications and discuss if a do not resuscitate comfort order is appropriate for your specific medical condition and wishes.
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What is do not resuscitate comfort?
Do not resuscitate comfort is a medical order indicating that a patient does not wish to receive cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest.
Who is required to file do not resuscitate comfort?
A patient, or their legally authorized decision maker, in consultation with a healthcare provider, is required to file a do not resuscitate comfort order.
How to fill out do not resuscitate comfort?
To fill out a do not resuscitate comfort order, a patient or their authorized decision maker must discuss their wishes with a healthcare provider and complete the necessary forms.
What is the purpose of do not resuscitate comfort?
The purpose of a do not resuscitate comfort order is to respect a patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.
What information must be reported on do not resuscitate comfort?
The do not resuscitate comfort order must include the patient's name, date of birth, the decision maker's information, healthcare provider's signature, and specific instructions regarding resuscitation.
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