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COMMUNITY LIVING DURHAM NORTH DO NOT RESUSCITATE ORDERS Policy No: B12(Service Delivery)Effective Date: April 27, 2009Rationale: To provide a clear statement to employees regarding the agencies expectations. To
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To fill out a B-12 Do Not Resuscitate form, follow these steps:
02
Obtain the B-12 Do Not Resuscitate form from a healthcare provider or hospital.
03
Read the instructions and familiarize yourself with the purpose and implications of the form.
04
Provide your personal information, including your full name, date of birth, and contact details.
05
Specify your healthcare preferences regarding resuscitation.
06
Sign and date the form in the presence of a witness.
07
Ensure that the witness also signs and provides their contact information.
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Keep a copy of the completed form for your own records.
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Share the completed form with your healthcare provider and family members, so they are aware of your wishes.

Who needs b-12 do not resuscitate?

01
B-12 Do Not Resuscitate forms are typically required and used by individuals who have made the decision to decline resuscitative measures in the event of cardiac or respiratory arrest.
02
These individuals may include those who are terminally ill, suffering from a debilitating illness, or have a poor prognosis.
03
B-12 Do Not Resuscitate forms provide legal documentation of the patient's wishes and are important for healthcare providers when making critical decisions during emergencies.
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B-12 do not resuscitate refers to a medical order indicating that a person does not wish to receive CPR or other life-saving measures in case of cardiac or respiratory arrest.
A physician must fill out and sign the b-12 do not resuscitate order in consultation with the patient or their legal representative.
To fill out a b-12 do not resuscitate form, a physician must document the patient's wishes regarding resuscitation and sign the form.
The purpose of a b-12 do not resuscitate order is to ensure that a patient's wishes regarding resuscitation are followed in case of a medical emergency.
The b-12 do not resuscitate form must include the patient's name, the physician's signature, the date the order was issued, and the specific resuscitation preferences of the patient.
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