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Michigan General Procedures DONOTRESUSCITATE Date: May 31, 2012Page 1 of 4DoNotResuscitate Purpose: The purpose of this policy is to provide a guideline to prehospital providers, who under certain
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01
To fill out a do-not-resuscitate form for Promedica, follow these steps:
02
Obtain the do-not-resuscitate form from the Promedica website or by visiting a Promedica facility.
03
Read the instructions carefully and make sure you understand the purpose and implications of a do-not-resuscitate order.
04
Provide your personal information, including your full name, date of birth, and contact information.
05
Indicate your healthcare provider's name and contact information.
06
Specify your preferences regarding resuscitation. You may choose to either allow or refuse resuscitation.
07
Sign and date the form. If necessary, have a witness present and provide their signature as well.
08
Keep a copy of the completed form for your records, and provide a copy to your healthcare provider or primary care physician.
09
Review and update the form as needed, depending on any changes to your medical condition or preferences.
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It is advisable to consult with your healthcare provider or legal counsel if you have any questions or concerns while filling out the do-not-resuscitate form for Promedica.

Who needs do-not-resuscitate - promedica?

01
A do-not-resuscitate order is typically relevant for individuals who have made a well-informed decision that they do not wish to be revived or resuscitated in the event of cardiac or respiratory arrest. This decision is often based on personal beliefs, quality of life considerations, or terminal illness. The decision to have a do-not-resuscitate order is highly personal and should be discussed with healthcare providers, family members, and legal professionals to ensure its appropriateness and understanding of the implications.
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Do-not-resuscitate - promedica is a legal document that indicates a person's wish to not receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.
A person's healthcare proxy or legal guardian, with the individual's consent, is required to file a do-not-resuscitate - promedica form.
The do-not-resuscitate - promedica form can be filled out with the assistance of a healthcare provider or legal professional, and must be signed by the individual or their healthcare proxy.
The purpose of a do-not-resuscitate - promedica is to ensure that an individual's wishes regarding CPR are respected in the event of a medical emergency.
A do-not-resuscitate - promedica form typically includes the individual's name, signature, date, healthcare proxy information, and specific instructions regarding CPR.
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