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Do Not Attempt Resuscitation Policy PROV 27 March 20091Document Management Title of document Not Attempt Resuscitation PolicyMap of documentPolicy PROV 27DescriptionTo ensure that do not resuscitate
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How to fill out do not attempt resuscitation

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How to fill out do not attempt resuscitation

01
To fill out a do not attempt resuscitation (DNAR) form, follow these steps: 1. Obtain the DNAR form from a healthcare provider or hospital.
02
Read the instructions on the form carefully and make sure you understand the implications of not attempting resuscitation.
03
Fill in your personal information, including your name, date of birth, and contact details.
04
Indicate your decision regarding resuscitation by checking the appropriate box or writing a clear statement.
05
If you have any specific preferences or instructions regarding your care in case of cardiac arrest, write them down in the provided space.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the form in the designated areas.
08
Keep a copy of the signed DNAR form for your records.
09
Share the completed form with your healthcare provider, family members, and those involved in your care to ensure your wishes are known and respected.
10
Note: It is important to consult with a healthcare professional if you have any questions or concerns about filling out a DNAR form.

Who needs do not attempt resuscitation?

01
Do not attempt resuscitation is a decision made for individuals who have a terminal illness, advanced age, or a condition that significantly lowers their quality of life.
02
It is typically considered for patients who do not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
03
The decision to have a DNAR in place is often discussed between the patient, their family, and their healthcare provider.
04
It is important to note that each individual case is unique, and the decision should be based on the patient's wishes and medical condition.
05
The presence of a DNAR form ensures that the patient's preferences regarding resuscitation are respected and followed by healthcare providers.
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It is a medical order that instructs healthcare providers not to perform CPR or other resuscitation measures in case of cardiac or respiratory arrest.
It is typically filed by a patient or their healthcare proxy in consultation with a physician.
The form is typically filled out by a healthcare provider and signed by a physician.
The purpose is to respect the patient's wishes regarding end-of-life care and avoid unnecessary interventions.
It must include the patient's name, date of birth, physician's signature, and date of signing.
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