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Emergency Medical Services Division Policies Procedures Protocols Withholding Resuscitation Measures (1008.00) I. GENERAL PROVISIONS: A. To establish criteria that recognizes and accommodates a patient
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How to fill out withholding resuscitative measures 1008
How to fill out withholding resuscitative measures 1008
01
To fill out withholding resuscitative measures 1008, follow these steps:
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Start by entering the patient's personal information, such as name, age, and contact details.
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Specify the date and time of the resuscitative measures decision.
04
Provide a brief summary of the patient's medical condition and any relevant background information.
05
Clearly indicate the withholding resuscitative measures decision and the rationale behind it.
06
If applicable, state any specific instructions or preferences regarding the implementation of withholding resuscitative measures.
07
Sign and date the form to validate its completion.
08
Remember to consider the ethical and legal implications when filling out this form.
Who needs withholding resuscitative measures 1008?
01
Withholding resuscitative measures 1008 may be necessary for individuals who meet certain criteria:
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- Patients with terminal illnesses, advanced directives, or do not resuscitate (DNR) orders.
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- Individuals who have expressed their wishes to withhold resuscitative measures or who have appointed a healthcare proxy to make such decisions on their behalf.
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- Patients with irreversible medical conditions or poor prognosis where resuscitative measures would only prolong suffering without offering meaningful benefit.
05
Consult a healthcare professional or refer to local guidelines for more specific information regarding who may need withholding resuscitative measures.
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